以精實理念運用ECRS手法改善小夜班助理員工作時效

Promoting ECRS Skills to Improve the Working Experience of Evening-Shift Nursing Assistants

本專案以精實理念及ECRS手法改造小夜班助理員作業，目的為重組規劃作業範圍內容及流程、訂定支援機制、簡化檢核工具等提升效率，透過分工善用整合資源，優化人力運用並提昇醫療照護品質。結果顯示非直接作業工時中庶務作業（搬運、延遲）平均時間縮短為23.8分鐘、轉送作業平均時間縮短為44.1分鐘；其中又以直接作業工時（檢核）平均時間降至4.4分鐘，病人接送檢查準點率提升至96.5％、助理員工作滿意度達86.5％，亦因流程簡化後人力成本每日減少近3人。在倡導組織改造增加競爭力的社會中，透過程序改善作業時間及動線距離以提升作業效率，謹以此經驗與護理界同仁分享。

This project was implemented to improve the working experience of evening-shift nursing assistants by promoting ECRS skills through the restructuring and planning of the scope and content of work, establishment of support mechanisms, and simplification of inspection tools to increase the efficiency of the nursing assistant program. Effective division of labor can result in precise utilization of talent and other resources to provide high-quality medical care while minimizing labor requirements, ultimately improving the quality of medical care. Through the implementation of these interventions, the average time of general operations (carrying, delays) was reduced to 23.8 minutes, and the average time for transfer operations was reduced to 44.1 minutes. The average working hours (inspection) were reduced to 4.4 minutes, punctuality rate of patients receiving examinations rose to 96.5%, and assistant job satisfaction increased to 86.5%; additionally, process simplification reduced the labor requirements by three people. The procedures reduced the working time and distance to improve the efficiency of operations. I would like to share this experience with my colleagues in the nursing profession.