縮短骨骼銀行保存庫入出庫作業時間

Reducing Processing Time of Bone Bank Graft Storage and Retrieval Manual

10.6540/NTJN.2018.1.005

葉思亨(Szu-Heng Yeh)；吳素蘭(Su-Lan Wu)；王美雅(Mei-Ya Wang)；張瑟紋(Se-Wen Chang)；王琦(Chi Wang)；石惠美(Whei-Mei Shih)

骨骼銀行 ； 資訊化 ； 出入庫作業 ； bone bank ； electronic information system ； bone graft storage and retrieval

新臺北護理期刊

20卷1期（2018 / 03 / 01）

53 - 63

繁體中文

骨骼銀行作業從骨骼入庫至出庫，記錄均以手工作業導致時間長，為了縮短骨骼銀行保存庫入出庫作業時間，深入探討確認問題導入解決方案：建置捐贈骨骼組織條碼化資訊系統、建立跨科檢驗數據資料分享機制。因運用電腦資訊化系統，連結病人捐贈及植入手術資料，自動列印及存檔，簡化手工作業流程縮短時間，確保骨骼受贈病人安全性，其成效：（一）護理師骨骼入庫作業時間由608秒/件，縮短至60秒/件，下降548秒/件（90.3%）；（二）護理師執行骨骼出庫作業花費時間，由改善前422秒/件，縮短至30秒/件，下降392秒/件（92%）；（三）骨骼銀行管理員作業時間由改善前1,200秒/件，縮短至78秒/件，下降1,122秒/件（92%），達到專案目的，也提升醫院之醫療品質。

Documentation of bone bank graft storage and retrieval is a time consuming process. The purpose of this program is to decrease the operation time for the bone bank and to avoid unnecessary working hours in advance. We have utilized bar code information system to connect data between bone donation and reception in the project. Cross-specialty laboratory data sharing protocol has also been established to store and print information automatically. With the use of this system, the operation time can be significantly reduced and the safety of musculoskeletal tissue donation is thus reassured. In this study, we find the time of bone storage processing by the theatre nurse has decreased from 608 seconds to 60 per allograft (90% reduction of operation time), and the bone graft retrieval time has declined from 442 seconds to 30 seconds per graft (92% reduction). As for the bone bank administrator, the average operation time of each graft storage or retrieval has dropped significantly from 1,200 seconds to 78 seconds per graft (92% reduction). The results achieved our project's purpose and facilitated the hospital’s medical quality.

1. 葉耕榕,王鈿,李承翰(2014)。醫療資訊科技服務品質模型：由醫事人員觀點出發。資訊管理學報，21(2)，139-160。
   連結：
2. DalSasso, G. M.,Barra, D. C.(2015).Cognitive workload of compu-terized nursing process in intensive care units.Computers, Informatics, Nursing,33(8),339-345.
3. Holden, R. j.,Brown, R. L.,Scanlon, M. C.,Karsh, B. T.(2012).Pharmacy workers＇perceptions and acceptance of bar coded medi-cation technology in a pediatric hospital.Research in Social & Admi-nistrative Pharmacy,8(6),509-522.
4. Jennifer, M.,Brusco, B. S.(2012).Incorporating barcoding into the perioperative setting.Association of Operating Room Nurses,96(1),86-89.
5. Myeroff, C.,Archdeacon, M.(2011).Autogenous bone graft: Donor sites and techniques.Journal of Bone & Joint Surgery,93(23),2227-2236.
6. Smith, F. D.(2012).Bone products in surgery: A blueprint for standardization.Association of Operating Room Nurses,95(2),239-254.
7. 全國法規資料庫（2012，10月2日）‧人體器官保存庫管理辦法‧取自http://law.moj.gov.tw/LawClass/LawContent.aspx?PCODE=L0020151
8. 周清邦,周思丞,陳映樺,李明鑫,陳惠芳(2014)。98-102年度人體器官保存庫管理現況調查。食品藥物研究年報，5，399-405。
9. 林柏君,王俊聞(2010)。漫談骨骼與軟組織銀行：骨缺損與韌帶受損之救星。長庚醫訊，31(11)，22-23。
10. 趙子傑(2013).實用醫療品質管理學.台北:華杏.
11. 衛生福利部統計處（2017年1月10日）‧104年全民健康保險醫療統計年報 ‧ 取自http://dep.mohw.gov.tw/DOS/np-1919-113.html

1. 劉珈瑜,楊思書,李秀芳,何青艷(2021)。運用資訊系統改善護理案例分析審查作業之滿意度。醫務管理期刊，22(3)，232-246。