| 中文摘要 |
目的：藥車延遲交車是臨床工作上常見的問題，延遲交車容易耽誤到病人的服藥時間，不利病情發展，我們透過品管圈來解決這個棘手的問題，期望達成有效改善。方法：分析本科2016年6月的統計數據後，發現藥車交車延遲率為20.9%，故成立品管圈欲降低交車延遲率。檢視其原因，以柏拉圖驗證後發現「工作分配不周全」、「電腦不夠用，查詢用藥需排隊」為問題要因，據此擬定對策措施，並利用Plan-DoCheck-Action手法進行對策檢討和效果確認。結果：對策實施後，交車延遲率由改善前20.9%，下降至0%（目標值為12.4%），目標達成率為245.9%、進步率為100%，顯示運用品管圈的改善方法效果良好，同時也提高工作人員滿意度，並有效提升住院藥車作業及護理人員給藥之效率與安全性。結論：利用品管圈手法，改善住院藥車作業流程，除縮短給藥延遲時間、提升工作人員滿意度外，推動小組在品管手法運用、活動信心及創新與潛能開發方面，亦有顯著進步。
Objectives: The delay of drug delivery cart is a common problem in the routine clinical practice. It delays to the patient's time for taking medication. This study investigates the efficacy of a quality control circle (QCC) to decrease the delay rate. Methods: Data for June 2016 were analyzed, and the results revealed that delay rate is 20.9%. Thus,a QCC was established to decrease it .Through Pareto analysis, the QCC identified that “poor job assignment” and “the computer is not enough ” were the root causes of damage. Accordingly, the QCC formulated solutions,which were subsequently verified by the Plan–Do– Check–Action. Results: After the implementation of the countermeasures, the delay rate has decreased from 20.9% to 0% (the target value was 12.4%). The goal achievement was 245.9%, and progress was 100%. It showed the use of QCC works well. It improved the employee satisfaction, the efficiency and safety of medication administration for inpatients. Conclusion: This program helps our hospital to improve medication supply process. It reduces the waiting time in medication delivery and enhances employee satisfaction. Therefore, this program is a useful strategy to improve medication management. |
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