癌症登記編碼正確性對於國家衛生政策至關重要，本院編碼審查過程耗時，經過一個月的審查表格回收率為53%，而全部完成需要兩個月。本專案目的在於提高癌症登記編碼品質審查的效率，確認影響審查進度的因素，使用SIPOC模型說明癌症登記編碼品質審查工作流程，並與跨領域專家合作擬定改善對策，期望提升整個審查過程的效率。

以使用者為中心思考，結合雲端導入電子病歷、強化醫院虛擬私人網路(Virtual Private Network, VPN)加密通道使用、設定自動發送審查通知簡訊、癌症期別自動組合，實現智能化審查流程。最終，成功將整體病歷審查時間由之前的19,199分鐘降低至7,048分鐘，達成改善目標。除此之外，節省相關成本，符合環境、社會和公司治理的期望。這項改善計畫不僅提升審查效率，還推動院方的無紙化作業，為未來的醫療資訊化水平提升和癌症診療品質提供了堅實基礎。

Accurate cancer registration coding is crucial fornational health policies. However, the review process at the study hospital has proven to be time-consuming, with a form return rate of only 53% after 1 month and a total review time of 2 months. This project aimed to enhance the efficiency of the cancer coding reviews by identifying factors hindering progress, and mapping workflows using the suppliers, inputs, process, outputs, customers (SIPOC) model, and collaborating with crossdisciplinary experts to develop improvement strategies.

The intelligent review process was achieved by adopting a user-centered approach that integrated cloud-based electronic medical records, strengthened the use of encrypted virtual private network (VPN) channels, automated review notifications through text messages, and combined cancer staging automatically. These innovations reduced the review time from 19,199 to 7,048 minutes, which met our improvement goals. The project also generated cost savings and aligned with environmental, social, and corporate governance standards. In addition to improving efficiency, this initiative advanced paperless hospital operations, establishing a foundation for future medical informatization and enhancing cancer diagnosis and treatment quality.