泌尿外科住院病患手術流程再造與RFID資訊系統之應用：以某醫學中心為例

Reengineering the Operation Processes for the Hospitalized Patients in Division of Urology with the Application of a RFID Information System: A Case Study in a Medical Center

手術是在醫院的個單位中，無論建造費用、設備投資或是人事成本都相當高昂，無疑的是醫院最主要的資源之一，而且手術室的收益直接地反映醫院的營收狀況。由於手術室運作牽涉到龐大的醫療成本，因此如何充分利用手術流程中的資源，避免因流程管理不當所衍生的浪費，並其縮短住院病患在手術過程中等待的時間，以提升服務品質為醫院高階主管所共同期許。本案例之醫學中心為達成上述目的，先以泌尿外科為例，並以RFID資訊系統為配套，推動醫療作業流程再造。本文包含三個階段：第一階段，先進行泌尿外科住院病患手術流程文件化，以充分瞭解目前手術流程的現況；第二階段，依據手術流程文件化，探討其中因流程機制設計不良而造成浪費之處，配合RFID軟硬體系統進行資料蒐集，將所蒐集到的資料進行分析並展開手術流程合理化；第三階段，在反覆檢討第二階段的合理化改善活動後，建立泌尿外科住院病患手術流程管理的標準作業程序。

It is obvious that the Operating Room (OR) is one of the most important income sources in a medical system. On the other hand, OR also requires significant amount of resources because of its extensive costs incurred from its construction, the investment of equipments and the salary of professional personnel. In order to improve the efficiency of OR, the managers of medical institutes would like to reduce the costs incurred in OR and shorten the waiting time of a patient in the operating process. To conduct operation process re-engineering in OR, we divide this research plan into three stages: In the first stage, we will use flow charts to secure complete documentation on the operating processes in OR. The second stage reviews the problems and wastes resulting from the design of the operating processes and proposes alternatives for improvement. Also, we accurately collect time statistics of time intervals in the operation processes for the hospitalized patients in Division of Urology utilizing a RFID information system. Finally, in the third stage, we will establish Standard Operating Procedures (SOP) based on the improved processes from the second stage after iteratively revising the operating processes from the second stage.