縮短門診跟診人員排班作業時間之專案

Project on Reducing Processing Time of Outpatient Nursing Shift Arrangement

陳秀汝(Show-Zu Chen)；高淑華(Shu-Hua Kao)；楊曉芬(Hsiao-Fen Yang)；江欣怡(Hsin-I Chiang)；張美珍(Mei-Jen Chang)；古秋雲(Chiou-Yun Ku)

門診 ； 排班 ； 交叉訓練 ； outpatient ； shift arrangement ； cross training

若瑟醫護雜誌

7卷1期（2013 / 08 / 01）

45 - 58

繁體中文

有效率安排第一線門診人力，使病人能順暢安全的就診，是門診排班功能首要重點。然本院門診因排班耗時及漏排，往往造成人力調度問題，於2010年9月調查門診12科排班作業時間，高達11.2工作天，故引發本專案動機，旨在縮短門診跟診人員排班作業時間。經現況分析原因為（一）缺乏電腦輔助排班系統（二）各科缺乏共識無統一排班規範（三）缺乏機動人力支援機制。故針對問題，參考文獻收集人員意見，並依據決策矩陣分析結果設計方案，方案為建立資訊系統輔助排班、制定門診排班原則、依科別屬性分區支援、進行人員交叉訓練。經對策執行三個月後進行評值，排班作業時間由11.2工作天縮短至3.0個工作天，除節省時間外，更加提升排班正確性。

To arrange first-line nursing facilities efficiently is the most important task of shift arrangement, mainly for patients' convenience and safety. However, it is time-consuming, and errors are common in shift arrangement and usually result in the unavailability of outpatient nurses in certain circumstances. For example, an investigation of the total processing time for shift arrangement in a single month (September 2010) from 12 outpatient clinics in National Cheng Kung University Hospital revealed that the process took an average of 11.2 workdays. The specific aim of the present study was to reduce the processing time of outpatient nursing shift arrangement. The three major causes of shift arrangement problems were (1) no computerized shift arrangement system, (2) no uniform rules for the process, and (3) no mechanism for reserve nursing facilities. After a literature search, opinion gathering, and an analysis of a decision matrix, we designed a protocol that established a computerized system and uniform rules on outpatient shift arrangement, multiple reserve nursing facilities, and the rotation of outpatient nursing personnel. Three months after it was implemented, the processing time was reduced from 11.2 workdays to 3.0 workdays. The protocol not only saves time, but it also improves accuracy in shift arrangement.

1. 蔡雅萍(2016)。整數規劃法於跨院區醫師排班之應用。屏東科技大學工業管理系所學位論文。2016。1-62。