醫療機構之設施規劃：以亞東紀念醫院臨床病理科實驗室為例

Facilities Layout of Medical Care Institution: A Case Study of Clinical Pathology Division of Far Eastern Memorial Hospital

醫療機構會隨著營運規模的擴大而需重新規劃，亞東紀念醫院（以下簡稱：亞醫）當然也不例外，亞醫第二期擴建新院區自2014年9月29日啟動試營運後，各項醫療設施（facilities）、設備（equipments）、儀器（instruments）、器材（materials）等均必須重新安排與配置，才能發揮最大的功效，此正是設施規劃（Facilities Planning）效用之所在，連同物料（檢體）搬運在內，均需納入考量。透過ARENA軟體模擬後，將有助於亞醫中央實驗室的設施規劃，除能增進工作效率減輕工作負荷外，並能大幅降低佈置錯誤所可能造成損失的風險。研究結果顯示：現階段除「驗尿&血凝人員、CBC血球分析人員與行政人員」之檢驗負荷較高外，整體產能尚足堪負荷，因此實驗室可依據驗尿、驗血、驗生化之流程，以「最短移動距離」來安排各項檢驗儀器；本研究並提出最後的設施規劃佈置建議圖，供亞醫病理實驗室建置參考之用。

A health care institution needs to redesign its facility plan when its operation grows and expands. The Far Eastern Memorial Hospital (FEMH) is no exception. The second phase of its expansion plan has reached a milestone when the construction of new campus building was completed and the operational trial started on September 19, 2014. All facilities, equipment, instruments, and materials have to be rearranged and realigned in order to achieve the maximum effectiveness, which is exactly the purpose of doing this Facility Planning exercise. The delivery process of patient test samples also needs to be included in the planning consideration. ARENA simulation software tool was used to greatly help the facility planning of central laboratories not only in improving the operational efficiency and lower the workload, but also in tremendously reducing the risk of loss caused by set-up errors. As revealed by this study results, the current operational evaluation on average testing equipment usage except in the areas for urine and blood testing technician, and CBC analysis technician and administrators. Thus, the overall operational process and functional load is acceptable. Therefore, the pathology laboratory may consider to streamline its urine testing, blood testing, and biochemistry testing process by rearranging the production line of testing equipment based on the “shortest moving distance” principle. This study also presented a recommended facility planning set-up diagram for FEMH as a reference of a model pathology laboratory.