手術器械之電腦輔助教學與評量系統

Web-based Computer-Aided Instruction and Evaluation System for Surgical Instrument

隨著醫療科技的進步，手術室中有越來越複雜與貴重的器械。醫學專業領域上有比以往更重的工作負擔，實習醫生與新進的醫護人員面對要熟悉如此眾多與複雜的手術器械常覺得受挫。因為外科手術訓練上，需花費許多人力及時間，因此手術的訓練與教育是電腦輔助教學一個重要的應用。本研究針對須用到手術器械的醫護人員討論其相關議題，並設計手術器械電腦輔助教學系統。首先我們利用物件導向方式分析手術器械與手術包盤之關係，利用這物件模型，使用者能很容易的學習得知手術器械的規格、使用方式、以及其影像。除此，使用者可透過系統的評量得知學習成果。這系統可記錄使用者的學習情況以及學習進度。這系統依手術器械的重要性、困難度、使用頻率來定出學習成效評估策略；透過這系統，醫療院所就可提供實習醫生、醫護人員與器械供應人員職前、在職教育來提升手術品質。

As medical technology advances, the operating rooms contain more and more complex and costly instruments. The professionals have more workload than ever, and interns and new medical staffs are frustrated in facing so many and complicated instruments. Due to the fact that the surgical training is expensive and time-consuming, training and education in the surgery is an area where computation is needed. This paper focuses upon the educational issues for the medical staff who operates the instruments. We develop a web-based computer-assisted system to support the teaching and training of the operators. First, we use Object-Oriented (OO) method to explore the relationship among the surgical packages and instruments and then build an object model for them. The user can interactively get the specification, usage and images of the surgical instruments with easy accessibility. He can have a test for evaluating the effects of the learning. The system records the users' learning status and performance in the tests. A learning achievement evaluation strategy, based on the importance, difficulty and occurring frequency pertaining to the instruments, is proposed. With this system, hospitals are able to assist interns, paramedics and instrument supplying personnel in pre-vocational and on-vocational education and then improve the quality of operations.