運用6S管理模式提升血液透析室醫療衛材管理效率之專案

Using the 6S Management Model to Improve the Effectiveness of Hemodialysis Medical Material Management

10.3966/172674042016031501003

陳宥均(Yu-Chun Chen)；張淑女(Shu-Nu Chang)；林妮妮(Ni-Ni Lin)；曾雅婷(Ya-Ting Tseng)；謝春滿(Chun-Man Hsieh)

醫療 ； 衛材 ； 管理效率 ； 專案 ； medical ； medical material ； management efficiency ； projects

臺灣腎臟護理學會雜誌

15卷1期（2016 / 03 / 01）

26 - 39

繁體中文

背景：血液透析室有責任提供安全無疑醫材，若醫材管理正確，則有利於病人順利完成洗腎，故引發改善動機。目的：本文旨在提升血液透析室醫材管理效率，經調查醫材管理效率僅有58.6％的主要原因為：（一）病人及家屬未自備醫材而自行取用；（二）人員取用及補充醫材之認知及技能有誤；（三）欠缺合宜的在職教育、欠缺適當的庫房管理辦法、醫材管理規範。（四）醫材整理盒標示不清及電腦化醫材管理系統設計不良；解決辦法：運用6S管理模式擬定改善辦法，包含提供病患及家屬宣導活動、舉辦工作人員在職教育、制定稽核與獎勵機制、建立庫房管理暨醫材管理規範、修訂工作車及醫材放置盒等設備等。結果：改善後使醫材管理效率由58.6％提升96％，顯示達專案目的。結論：運用6S管理模式不僅有效管理血液透析室醫材，且提升醫材正確取用知能，期望作為類似單位改善之參考。

Background: The hemodialysis unit is responsible for providing absolutely safe medical material. As proper medical material management helps patients complete dialysis without incident it motivated the authors to conduct this project. Purpose: This study sought to evaluate the efficiency of medical material management at a hemodialysis unit. There were some issues that limited the efficiency of medical material management to just 58.6%: (1) Patients and their families preferred to choose from medical materials at the hospital rather than bring their own; (2) Problems in nurses' understanding and technique on collection and replenishment of medical materials. (3) Lack of appropriate in-service education, store room management regulations and medical material management guidelines; (4) Medical material sorting bins were unclearly marked and poor design of the computerized medical material management systems. Resolution: The following strategies based on the 6S management model were implemented during this project: promoting medical material management for patients and families, in-service education, creating auditing and incentive mechanisms, establishing standard operating procedures for store room management and medical material management, and modifications to related equipment etc. Results: After the implementation of the project the efficiency of medical material management improved from 58.6% to 96%, realizing the goal of the project. Conclusion: Using the 6S management model not only enabled effective management of medical materials but also enhanced knowledge and ability for proper collection of medical materials. The author hopes this will provide a useful reference for improvements at other similar units.

1. 莊佳惠,歐蕙華,楊于青,李逸(2015)。運用倉儲管理手法提升居家護理所醫療衛材管理之方案。長庚護理，26(2)，179-191。
   連結：
2. 趙正敏,游雅雯,黃及人,鄭博文(2011)。醫療衛材電子化請領系統之服務品質缺口及修改重點排序探討。醫務管理期刊，12(4)，248-261。
   連結：
3. Leonard, M. S.(2010).Patient safety and quality improvement: Medical errors and adverse events.Pediatrics in Review,31(4),151-158.
4. Pai, F. Y.,Huang, K. I.(2011).Applying the technology acceptance model to the introduction of healthcare information systems.Technological Forecasting and Social Change,78(4),650-660.
5. Swanson, C.(2014).Reorganizing a resuscitation room using six sigma (6S) principles.Journal of Emergency Nursing,40(4),371-376.
6. 李佳靜,莊慧瑛,劉耿彰(2007)。醫療器材：如何促進病人安全。慈濟醫學，19(1)，49-53。
7. 林怡辰,陳美芳,薛羽雯,高筱涵(2013)。運用 6S 原則創造護理實習生更衣室友善環境。品質月刊，49(7)，38-43。
8. 林美蓮,柯幸芳(2012)。運用倉儲管理手法提升外科病房醫療衛材管理正確性。志為護理，11(3)，77-86。
9. 洪靖惇,呂芝慧,桑潁潁,李榮芬(2013)。提昇臨床單位醫材盤包滅菌前準備之完整率。榮總護理，30(4)，398-406。
10. 財團法人醫院評鑑暨醫療品質策進會（2015）‧104 年醫院評鑑基準及評量項目‧取自 http://www.jct.org.tw/FrontStage/ download.aspx
11. 陳德鑫(2012).6S 管理運用技巧.台北:憲業.
12. 曾麗姏,葉秀真,蕭珮彣,章淑娟(2007)。某綜合科病房護理人員醫衛材管理之改善方案。志為護理，6(1)，102-112。

1. 羅竹君,鍾凱吉,戴怡萍,黃繡蓉,張瓈方,邱春榕(2022)。降低新興傳染病新病人收療流程不完整率。源遠護理，16(2)，50-57。