降低供應中心精密顯微器械處理過程損壞率方案

A Project of Reducing the Delicate Micro-sugical Instrument Damage Rate in the Management Process in Central Supply Room

精密顯微器械是顯微手術之必備器具，本院供應中心負責顯微器械使用後之處理，自清點至清洗、去污染、檢查、保養、包裝、滅菌止。據87全年統計，本院精密顯微器械損壞率為6.1%，其中於供應中心處理過程中損壞者佔2.3%，佔總損壞率之37%，比率相當高。本專案旨在降低供應中心處理過程中所致之損壞率；減少因無庫存品能及時補充而必須取消或更改手術排程之案次，及降低器械維修所產生時間與金錢之成本負擔。故於88年初開始擬定與執行改善計劃，半年內損壞率即由2.3%降至0.23%；因無庫存品補充影響手術排程者由2案╱月降低至幾乎為0案╱月；維修及報廢須購買新品之費用由平均12,617元╱月降至567元╱月；處理送修作業之時間從8.26小時╱月減少為0.97小時╱月。

Delicate microsurgical instruments are indispensable for micro surgeries. The Central Supply Room (CSR) in our hospital is responsible for the treatment of delicate microsurgical instruments after being used, to include counting, cleaning, decontaminating, visual inspection, maintenance, package, sterilization. The 1998 annual statistics showed that the total damage rate of these instruments was 6.1% in our hospital. However, among 6.1%, 2.3% of the damage happened during the management process in CSR. The purpose of this project is to decrease the damage rate in CSR in order to reduce the impact on surgeries, labor expenditure, and cost. Since the beginning of 1999, we have executed this plan to monitor the damage rate. Within 6 months, the damage rate fell dramatically from 2.3% to 0.23%. Therefore, the number of cancelled or delayed surgery cases dropped from 2 to 0, the cost on the repair of the instruments and the supply for the new instruments reduced from NT$12,617 to NT$567, and the time for arranging the repair was shortened from 8.26 to 0.97 hours every month. In conclusion, this project proved to be extremely effective in decreasing delicate microsurgical instruments damage rate in CSR in our hospital. Meanwhile, it does not only promote the quality of surgeries, but also decrease the labor expenses and cost.