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篇名
運用資訊整合優化門診抽血櫃檯採檢簽收流程及簡化檢體時效監控
並列篇名
Integrate Information to Optimize Sample Collection Process and Simplify and Monitor the Clinical Laboratory Examination Process
作者 吳孟儒李佩珊 (Pei-San Lee)陳淑珍辜明慧王凱茂彭俊雄林等義張淳淳
中文摘要
檢驗醫學科提供精準檢驗數據以利醫師為病患進行評估、治療與處置,在醫療團隊中扮演不可或缺的重要角色。檢驗前最重要的採檢與收件流程需倚賴大量人工審核查檢介入,雖訂有標準流程,但是人為介入成分占比太高,使得每一個環節都藏有潛在失效模式,甚至難以查覺。
為輔助醫事檢驗師能在多種且複雜的檢驗項目中快速、精確的追蹤其責任工作範圍之檢體狀態,進而提升服務品質及優化流程,我們從精實實驗室的角度出發,思考與審視在既有的標準作業流程中如何提升需要之價值與減少不必要的浪費,以達到持續改進之目標。並開發適用於檢驗科使用之「門診簽收系統」及「檢驗時效監控系統」等Python程式以達到優化與精實流程的目的。統計系統自2017年啟用後至2019年間,在檢驗量逐年上升情況下仍維持良好檢驗時效(TAT),且相較於啟用前減少了近49%的檢驗前異常事件發生率;醫護滿意度增加了3.2%;員工資訊使用滿意度增加了87.9%。
英文摘要
The Department of Laboratory Medicine provides accurate test data for physicians to evaluate, treat and dispose of patients, and plays an indispensable role in the medical team. Before the inspection, the most important process including collection and reception requires a lot of manual review and inspection intervention. Although there is a standard process, the proportion of human intervention is still too high, so that every link has potential failure modes, and even difficult to detect.
In order to assist the medical technologists to quickly and accurately track the status of specimens within their scope of responsibility in various and complex inspection items for improving the service quality and optimizing the processes. From the perspective of a lean laboratory, we examined how to increase the required value and reduce unnecessary waste in the existing standard operating procedures to achieve the goal of continuous improvement. We also developed Python program such as ’’Outpatient reception System’’ and ’’Inspection Timeliness Monitoring System’’ suitable for use in the laboratory department to achieve the purpose of optimizing the process. Statistics from the start of this system in 2017 to 2019 showed that it still maintained a good time-to-test (TAT) despite the year-on-year increase in the number of inspections and reduced the incidence of abnormal events before the test by nearly 49% compared to before it was put into use; patient satisfaction increased by 7.8%; employee satisfaction with information use increased by 87.9%.
起訖頁 121-130
關鍵詞 精實實驗室PythonTATLean LaboratoryPythonTAT
刊名 生物醫學暨檢驗科學雜誌  
期數 202309 (35:3期)
出版單位 台灣醫事檢驗學會
該期刊-上一篇 Analysis of the Current Situation of Common Gastrointestinal Pathogens in the Central Medical Center
 

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