利用主動式RFID整合開發手術病人前進監測系統

Development and Integration of a Surgical Patient Advancement Monitor System Using Active RFID Technology

背景及目的：良好的手術流程管理可以提升手術室利用效率以及確保手術病人安全，本研究以主動式無線射頻辨識裝置(RFID)導入開刀房，建置一套手術病人前進監測系統(Patient Advancement Monitoring System, PAMS)。方法：資料庫使用Microsoft SQL Server 2005為後端作業平台，結合醫院資訊系統(HIS)的病人基本資料，並連結手術排程資料及實驗室檢查資料，並配合主動式RFID腕帶標籤、條碼系統(bar code)、超小型行動電腦(Ultra-mobile Personal Compurter, UMPC)、筆記型電腦的使用。結果：手術病人前進管制系統的建立，醫護人員能即時更新患者的訊息，提升手術病人身分辨識的正確性；護送過程中，也降低醫護人員溝通訊息不對等、交接不完善的情形；系統警告及錯誤提醒功能也使的病人安全維護更加周全。結論：手術病人前進監測系統的建置，提供醫護人員及手術患者更安全的醫療環境與醫療品質；醫療提供者能更有效的運用醫療資源，使手術室利用率更趨完善。

Objectives: To improve management competency and to enhance patient safety, we in-cooperate radio-frequency identification (RFID) and web-based database technologies to develop a Patient Advancement Monitoring System (PAMS) in the operation theater. Methods: A web-based SQL database (PAMS) is designed with partial links to hospital information system (HIS). Operation schedule, care process, patient identity verification, and laboratory data are entered into the database separately at various checkpoints along the surgical patient advancement pathway through various data converting ports. The data ports, including RFID, bar code, and ultra-mobile personal computer (UMPC) are chosen considering convenience of field employees at designated checkpoints. Active radio-frequency identification (RFID) tag, in a wrist-band form, is used to initiate data demonstration on the computer screens upon a patient's arrival at any particular checkpoint along the advancement pathway. Results: The RFID-initiated PAMS provides caregivers' instant, wireless information sharing with minimized data entry work loading. The alert and default functions of RFID-initiated PAMS enhance protection of patient safety and improve quality monitoring. The data captured from the PAMS can be analyzed to monitor surgical quality from risk and outcome perspectives. Conclusion: RFID-initiate PAMS is a valuable management tool to meet the safety, quality, efficiency requirements in today's high service volume operation theater.