縮短骨骼銀行保存庫入出庫作業時間

Reducing Processing Time of Bone Bank Graft Storage and Retrieval Manual

骨骼銀行作業從骨骼入庫至出庫，記錄均以手工作業導致時間長，為了縮短骨骼銀行保存庫入出庫作業時間，深入探討確認問題導入解決方案：建置捐贈骨骼組織條碼化資訊系統、建立跨科檢驗數據資料分享機制。因運用電腦資訊化系統，連結病人捐贈及植入手術資料，自動列印及存檔，簡化手工作業流程縮短時間，確保骨骼受贈病人安全性，其成效：（一）護理師骨骼入庫作業時間由608秒／件，縮短至60秒／件，下降548秒／件（90.3％）；（二）護理師執行骨骼出庫作業花費時間，由改善前422秒／件，縮短至30秒／件，下降392秒／件（92％）；（三）骨骼銀行管理員作業時間由改善前1200秒／件，縮短至78秒／件，下降1122秒／件（92％），達到專案目的，也提升醫院之醫療品質。

Documentation of bone bank graft storage and retrieval is a time consuming process. The purpose of this program is to decrease the operation time for the bone bank and to avoid unnecessary working hours in advance. We have utilized bar code information system to connect data between bone donation and reception in the project. Cross-specialty laboratory data sharing protocol has also been established to store and print information automatically. With the use of this system, the operation time can be significantly reduced and the safety of musculoskeletal tissue donation is thus reassured. In this study, we find the time of bone storage processing by the theatre nurse has decreased from 608 seconds to 60 per allograft (90% reduction of operation time), and the bone graft retrieval time has declined from 442 seconds to 30 seconds per graft (92% reduction). As for the bone bank administrator, the average operation time of each graft storage or retrieval has dropped significantly from 1,200 seconds to 78 seconds per graft (92% reduction). The results achieved our project's purpose and facilitated the hospital's medical quality.