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題名: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
書刊名:健康管理學刊
作者:姚銘忠 引用關係楊啟瑞趙德馨林正偉徐晴星
作者(外文):Yao, Ming-jongYang, Chi-reiChao, De-hsingLin, Cheng-weiHsu, Ching-hsing
出版日期:2009
卷期:7:1
頁次:頁1-20
主題關鍵詞:手術室流程再造文件化合理化標準作業程序Operating roomsProcess reengineeringDocumentationRationalizationStandard operating procedure
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:3
  • 點閱點閱:62
手術室在醫院的各單位中,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,並期縮短住院病患在手術流程中等待的時間,以提升服務品質爲醫院高階主管所共同期許。本案例之醫學中心爲達成上述目的,先以泌尿外科爲例,並以RFID資訊系統爲配套,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,以充分了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,2泌尿外科住院病患手術流程再造與資訊系統之應用:以某醫學中心爲例,在反覆檢討第二階段的合理化改等活動後,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.
期刊論文
1.Aguilar-Savén, R. S.(2004)。Business Process Modelling: Review and Framework。International Journal of Production Economics,90(2),129-149。  new window
2.Ip, W. H.、Chen, B.(2004)。An Enterprise Model and the Organization of ERP。International Journal of Computer Applications in Technology,21(3),79-85。  new window
3.Li, E. Y.、Chen H.G.(2001)。Output-Driven Information System Planning: A Case Study。Information and Management,38(3),185-199。  new window
4.McQuarrie, D. G.(1981)。Limits to Efficient Operating Room Scheduling - Lessons from Computer-Use Models。Archives of Surgery,116,1065-1071。  new window
5.Ng, J. K. C.、Ip, W. H.、Lee, T. C.(1999)。A Paradigm for ERP and BPR Integration。International Journal of Production Research,37(9),2093-2108。  new window
6.Phalp, K. T.(1998)。CAP Framework for Business Process Modeling。Information and Software Technology,40(13),731-744。  new window
7.Phalp, K.、Shepperd M.(2000)。Quantitative Analysis of Static Models of Processes。Journal of Systems and Software,52(2),105-112。  new window
8.游張松、陳志華、廖珮君、李岳縉(20080100)。建置RFID手術室醫療管理系統提升病患安全之研究--以基隆長庚醫院為例。資訊管理學報,15(1),97-122。new window  延伸查詢new window
9.Krasner, Herb(2000)。Ensuring E-Business Success by Learning from ERP Failures。IT Professional,2(1),22-27。  new window
10.Hammer, Michael(1990)。Reengineering work: Don't automate, obliterate。Harvard Business Review,90(4),104-112。  new window
11.Davenport, Thomas H.、Short, James E.(1990)。The new industrial engineering: Information technology and business process redesign。Sloan Management Review,31(4),11-27。  new window
會議論文
1.邱瑞科、張彥群、何佳隆、黃珈瑩(2008)。RFID及資通科技於醫療照護的推動與應用。2008與創新管理研討會。臺北:華梵大學。  延伸查詢new window
研究報告
1.Priddle, P.(2001)。Package/Solution Selection Approach Notes for Guidance。  new window
圖書
1.Davenport, T. H.、Prusak, L.、Wilson, H. J.(2003)。What's the Big Idea? Creating and Capitalizing on the Best New Management Thinking。Boston:Harvard Business School Press。  new window
2.Harris, A. P.、Zitzmann, W. G.(1998)。Operating Room Management Structure, Strategies and Economics。Saint-Louis:Mosby-Year book Inc.。  new window
3.Martin, J.(1989)。Information Engineering, Book I: Introduction。Englewood Cliffs, New Jersey:Prentice Hall。  new window
4.Hammer, Michael、Champy, James(1993)。Reengineering the Corporation: A Manifesto for Business Revolution。London:Nicholas Brealey Publishing Limited。  new window
5.Martin, J.(1990)。Information Engineering, Book II: Planning and Analysis。Englewood Cliffs, New Jersey:Prentice Hall。  new window
6.International Business Machines Corporation(1984)。Business Systems Planning: Information Systems Planning Guide。White Plains, NY:IBM。  new window
其他
1.恩主公醫院(2006)。恩主公醫院與HP攜手開創RFID醫療應用新紀元,http://h50025.www5.hp.com/ENP5/Public/Content.aspx?contentID=21930&portalID=369&pageID=1。  延伸查詢new window
2.經濟部RFID應用推動辦公室(2006)。RFID在健康與醫療應用先導計畫相關專利研析,http://www.rfid.org.tw/content.php?sn=134。  延伸查詢new window
3.Boma(1996)。Process Definition,http://www.sesh.com/procdef.html。  new window
4.(2003)。IDEF Family of Methods,http://www.idef.com。  new window
 
 
 
 
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