運用健康照護資訊平台提升過勞風險評估效能

Effectiveness of a health care information platform for overwork risk assessment

目的：醫療人員工作負荷與壓力引起的身、心理疾病已成為職場安全重要議題，期藉由過勞風險資訊化評估，即早發現過勞高風險員工並提供健康管理措施，進以建構職場安全環境。材料與方法：回溯分析2016年本院員工過勞風險評估作業情形，經由建構過勞資訊評估系統、建立多元化問卷填答活動及建置問卷調查追蹤提醒機制等措施。改善前後以過勞量表問卷回收率、調查時間及過勞風險評估作業工時做為評估指標。結果：問卷回收率由42.7%提升至67.5%，卡方檢定達統計顯著差異（P<0.001)，問卷調查時間由6個月縮短至3週，過勞風險評估作業工時由58小時降低至4小時。結論：運用過勞風險資訊化評估，針對高風險員工早期介入關懷，建立醫療人員安全、健康職業環境。 Purpose: Physical and mental illnesses caused by high workload and work stress have become important issues that affect workplace safety for medical staff. In this study, we developed an information system to evaluate the risk of overwork for the early detection of employees and provide health management measures to establish a safe and healthy work environment. Methods: In this retrospective study, we assessed the overwork risk of the employees of our institution in 2016. To develop the overwork risk information evaluation system, multiple questionnaires on work overload were distributed, and the results of the questionnaires were analyzed. We conducted pretest and posttest analysis and recorded the questionnaire recovery rate, investigation time, and working hours of overworked employees, which were used as evaluation indicators. Results: After the improvement measures were implemented, the recovery rate of questionnaire increased from 42.7% to 67.5%; significant differences were observed in chi-squared test scores (P < 0.001). The investigation time was shortened from 6 months to 3 weeks, and the working hours of employees evaluated to be at overwork risk were reduced from 58 hours to 4 hours. Conclusion: Constructing an employee overwork information evaluation system for the early detection of employees with a high risk of overwork can enable a safe and healthy workplace for medical staff.