頁籤選單縮合
題名 | 病歷室空間擴建再造工程--以臺大醫院雲林分院為例=Renovation and Expansion of a Medical Record Room--Taking Yun-Lin Branch of National Taiwan University Hospital as an Example |
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作者 | 蔡介文; 蔡遠鵬; 黃世傑; Tsai, Chieh-wen; Tsay, Yeuan-perng; Huang, Shier-chieg; |
期刊 | 病歷資訊管理期刊 |
出版日期 | 20090900 |
卷期 | 9:1 2009.09[民98.09] |
頁次 | 頁31-43 |
分類號 | 419.46 |
語文 | chi |
關鍵詞 | 病歷管理; 流程再造; 病歷檔案空間; Medical record management; Process reengineering; Medical record filing space; |
中文摘要 | 自民國96年臺大醫院雲林分院虎尾院區大規模成立後,緊接著進行斗六院區舊大樓與復健大樓之擴建計畫。由於改制後臺大醫師人力進駐,次專科診別及先進儀器之新增,使得原本需跨縣就醫的民眾得以就近就醫,門診量與住院量也不斷增加,使原本空間有限之病歷室,更顯得擁擠,雖每年定期做次活動病歷抽出移檔及厚病歷抽存,活動病歷的空間仍然有限。因前次醫院評鑑建議改善「病歷室之門禁管制及消防設施,並重新規劃逃生動線以更爲順暢」。爲積極改善前次醫院評鑑缺失,院方立即規劃門禁改善及擴建事宜,從參與設計圖草擬、工程招標、地基開挖施工、定期會議檢討及列管追蹤、實體雛形修邊到工程完竣,自民國97年6月至98年l月歷經7個月寒暑。在醫院要取得空間已相當不易,何況是醫院花上千萬元作病歷室空間的擴大與動線的再造工程,大大改善日後病歷存放空間不足的問題。 |
英文摘要 | Soon after the establishment of Hu-Wei Regional Campus of Yun-Lin Branch of National Taiwan University Hospital (NTUH) in a big way in 2007, an expansion plan of the existing Medical Building and Rehabilitation Building on Dou-Liou Regional Campus was kicked off. Because of the then organizational reform, many NTUH clinicians moved in to form a much larger permanent staff and a host of sub-specialties were added to the infrastructure list along with a lot of advanced instruments and facilities, which purposely enabled the local people to be well-cared once sick without traveling far to the neighboring counties as before. So the number of both outpatients and inpatients on the campus were quickly on the rise, and so was the volume of medical records generated by those patients, which resulted in a tremendous stress on the old Medical Record Room mainly due to its limited operative space in spite of yearly regular sorting out and removal of less active records and even ones being too thick. It was recommended by last hospital accreditation that the medical record room could improve its access control and fire fighting facilities and reorganize its routes of people movement to make them smoother. As part of righting the shortcomings revealed by that hospital accreditation, Yun-Lin Branch immediately initiated an expansion project to contain the access control improvement. It started from taking part in the design drafting, followed by calling for construction tenders, laying down foundations and beyond, holding regular review meetings to monitor the progress, and the final beautification of the appearance of the building. The project took seven months to finish, from June 2008 to January 2009. Usually, it's very hard to gain sizable extra space in a hospital within the old and fixed setting, but to solve the problem by spending some ten million NT dollars on renovation after expansion was rather different. The medical record room not only solved the current space short problems, but also those expected in some years to come. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。