應用醫療照護失效模式與效應分析降低外送檢體錯誤率-苗栗縣竹南鎮衛生所為例

羅偉祐

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2025/01/01~2025/12/31

感谢试用，科学期刊库｜科学论文库，期间：2025/04/01~2025/06/30

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

书目管理工具

导出
E-mail 给朋友
打印书目

相关连结

问题回报

全文下载

应用医疗照护失效模式与效应分析降低外送检体错误率-苗栗县竹南镇卫生所为例

Apply Healthcare Failure Mode and Effect Analysis to Reduce the Error Rate of Delivery Samples –A Case Study of Health Center at Zhunan Township in Miaoli County

罗伟佑 , 硕士　　导师：邱铭传　　

繁体中文

病人安全；卫生所检验流程；医疗照护失效模式与效应分析；特性要因分析图； 5W2H ； Patient Safety ； Inspection process ； HFMEA ； Cause and Effect Diagram ； 5W2H

0 个人觉得这篇文章赞

摘要 │ 参考文献 (43) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Inspectional data provides an important basis for doctor’s diagnosis and treatment. Precise inspection report can improve the medical quality as well as patients’ safety. Healthcare Failure Mode and Effect Analysis (HFMEA) is a process which generally utilized by the hospitals to evaluate the safety of patients recently and a risk assessment tool to improve the quality of care.
This research was conducted from April 2016 to October, adopting the HFMEA process from Joint Commission Accreditation of Healthcare Organizations (JCAHO), to enhance the inspectional quality of a district health center. The research results showed that the five steps of HFMEA operated by a cross functional team successfully improved the quality. After 3 main procedures of inspectional process were analyzed, it researched 17 potential failure mode and 24 reasons that can probably cause failures. By employing the Cause and Effect diagram and 5W2H technique, the team found 3 main causes of manual work errors, which are manually identify the prescription of the inspectional project, manually write the vacutainer labels and manually deliver inspectional prescription. Solutions to the above three issues: Systemize the information,, standardize the procedure of the blood collection, Train and educate the workers, and Changing the collection signs were also provided. After improvement, return rate of new declined from 2.14%(2015) to 0.49%(2018), which effectively reduced the inspection error rate and enhanced the patients’ safety as well as quality of care.

参考文献 ( 43 ) 〈TOP〉

1.Al Saleem N, Al-Surimi K Reducing the occurrence of errors in a laboratory's specimen receiving and processing department BMJ Open Quality 2016;5:u211474.w4624. doi: 10.1136/bmjquality.u211474.w4624
连结：
doi:https://doi.org/10.1016/S1070-3241(02)28025-6
连结：
4.Goodrum, L., & Varkey, P. (2017). Prevention is better: the case of the underutilized failure mode effect analysis in patient safety. Israel journal of health policy research, 6, 10. doi:10.1186/s13584-016-0131-2
连结：
6.Jain, K. (2017). Use of failure mode effect analysis (FMEA) to improve medication management process. International Journal of Health Care Quality Assurance, 30(2), 175-186. doi:10.1108/IJHCQA-09-2015-0113
连结：
7. Jiang, Y., Jiang, H., Ding, S., & Liu, Q. (2015). Application of failure mode and effects analysis in a clinical chemistry laboratory. Clinica Chimica Acta, 448. doi:10.1016/j.cca.2015.06.016
连结：

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址

E-mail ：

使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。