運用智能系統提升毒化災暨大量傷患應變能力

Enhancing Response Capabilities to Toxic Chemical Leak and Mass Casualty Incident Through the Use of Intelligent Systems

本院位於化工區核心地帶，急診平均每年接獲1-2件毒化災或大量傷患事件。急診在應變中面臨多項挑戰，為提升效率，與消防局、外部廠商合作，運用智能化系統進行改善：裝置到院前救護警示系統、建立解毒劑資料庫、傷患資訊平台、支援人力電子定位系統、防護裝備物資管理平台。成果（一）人員準備時間增加166%、（二）病人到院後第一筆醫令處方開立時間縮短86%、（三）毒化物查詢時間縮短90%、（四）醫護病比失衡警示100%、（五）裝備盤點時間縮短86%、（六）裝備過期率0%、（七）裝備符合最低標準量達成率100%、（八）員工安全異常事件0件。藉由導入智能化系統，做到人力運用、裝備管理、預先準備等流程的精實管理，簡化流程，提升毒化災暨大量傷患處理效率，營造工作人員及病人安全醫療環境。

The hospital is located in the heart of a chemical industrial zone, and the Emergency Department responds to an average of one to two toxic chemical leak or mass casualty incidents each year, facing numerous challenges in the process. To increase efficiency, the Emergency Department collaborated with the fire department and external factories to implement improvements through the application of intelligent systems, including an EMS alert system, an antidote database, an injured patient information platform, an electronic position-fixing system for support staff, and a protective equipment management platform. The benefits were as follows: (1) personnel preparation time increased 166%, (2) patient wait time for initial prescriptions post-arrival decreased 86%, (3) toxic chemicals query time decreased 90%, (4) nurse–patient ratio imbalance alerts reached 100%, (5) equipment inventory time decreased 86%, (6) expired equipment ratio reached 0%, (7) the amount of equipment meeting minimum standards reached 100%, and (8) employee safety incidents stood at zero. By introducing intelligent systems, the Emergency Department achieved lean management of manpower utilization, equipment management, advance preparations, and other processes. This process simplification increased the efficiency of handling toxic chemical leaks and mass casualty incidents, thereby creating a safe healthcare environment for employees and patients.