{"id":703,"date":"2016-04-05T10:09:40","date_gmt":"2016-04-05T02:09:40","guid":{"rendered":"http:\/\/epaper.pch.org.tw\/?p=703"},"modified":"2016-04-05T10:09:40","modified_gmt":"2016-04-05T02:09:40","slug":"%e5%be%9e%e7%92%b0%e5%8f%b0%e9%86%ab%e5%93%81%e7%ab%b6%e8%b3%bd%e6%b4%bb%e5%8b%95%e8%ab%87%e9%86%ab%e7%99%82%e5%93%81%e8%b3%aa%e8%88%87%e7%97%85%e4%ba%ba%e5%ae%89%e5%85%a8","status":"publish","type":"post","link":"http:\/\/epaper.pch.org.tw\/?p=703","title":{"rendered":"\u5f9e\u74b0\u53f0\u91ab\u54c1\u7af6\u8cfd\u6d3b\u52d5\u8ac7\u91ab\u7642\u54c1\u8cea\u8207\u75c5\u4eba\u5b89\u5168"},"content":{"rendered":"

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\u76df\u9662\u540d\u7a31<\/td>\n\u55ae\u4f4d\/\u5708\u540d<\/td>\n\u4e3b\u984c<\/td>\n<\/tr>\n
\u57d4\u91cc\u57fa\u7763\u6559\u91ab\u9662<\/td>\n\u6548\u7387\u751c\u751c\u5708<\/td>\n\u904b\u7528\u6839\u672c\u539f\u56e0\u5206\u6790\u81ea\u6bba\u6848\u4f8b\u4e4b\u6539\u5584\u65b9\u6848<\/td>\n<\/tr>\n
\u57fa\u9686\u9577\u5e9a\u91ab\u9662<\/td>\n\u9ea5\u53ef\u62c9\u5708<\/td>\n\u904b\u7528TRM\u63d0\u5347\u624b\u8853\u5718\u968a\u4ea4\u73ed\u5b8c\u6574\u6027<\/td>\n<\/tr>\n
\u57d4\u91cc\u57fa\u7763\u6559\u91ab\u9662<\/td>\n\u6709\u6c27\u5708<\/td>\n\u964d\u4f4e\u547c\u5438\u75c5\u623f\u58d3\u7621\u767c\u751f\u7387<\/td>\n<\/tr>\n
\u58e2\u65b0\u91ab\u9662<\/td>\nIC\u5708<\/td>\n\u63d0\u5347\u83cc\u8840\u75c7\u7167\u8b77\u54c1\u8cea<\/td>\n<\/tr>\n
\u5927\u5343\u7d9c\u5408\u91ab\u9662<\/td>\n3M\u5708<\/td>\n\u904b\u7528\u7cbe\u5be6\u624b\u6cd5\u6539\u5584\u75c5\u4eba\u51fa\u9662\u6d41\u7a0b<\/td>\n<\/tr>\n
\u5149\u7530\u7d9c\u5408\u91ab\u9662\u5927\u7532\u5206\u9662<\/td>\n\u5fae\u7b11\u5708<\/td>\n\u4ee5\u75c5\u4eba\u70ba\u4e2d\u5fc3\u4e4b\u9580\u8a3a\u4f4f\u9662\u6d41\u7a0b\u518d\u9020<\/td>\n<\/tr>\n
\u570b\u8ecd\u9ad8\u96c4\u7e3d\u91ab\u9662\u5de6\u71df\u5206\u9662<\/td>\n\u7ae0\u9b5a\u5708<\/td>\n\u63d0\u5347\u624b\u8853\u5168\u671f\u8b77\u7406\u8a2a\u8996\u7387<\/td>\n<\/tr>\n
\u81fa\u5357\u91ab\u9662<\/td>\n\u00a0SMART\u5708<\/td>\n\u964d\u4f4e\u8840\u6db2\u57f9\u990a\u4f5c\u696d\u903e\u6642\u7387<\/td>\n<\/tr>\n
\u5b89\u6cf0\u91ab\u9662<\/td>\n\u6293\u6f0f\u5708<\/td>\n\u964d\u4f4e\u9ebb\u9189\u79d1\u85e5\u54c1\u5446\u6eef\u7387<\/td>\n<\/tr>\n
\u9580\u8afe\u91ab\u9662<\/td>\n\u5abd\u5bf6\u5708<\/td>\n\u63d0\u5347\u7522\u5f8c\u8b77\u7406\u4e4b\u5bb6\u9810\u7d04\u6d41\u7a0b\u4e4b\u4e00\u81f4\u6027<\/td>\n<\/tr>\n
\u962e\u7d9c\u5408\u91ab\u9662<\/td>\n\u7cbe\u5f69(\u6750)\u5708<\/td>\n\u964d\u4f4e\u8b77\u7406\u90e8\u91ab\u6750\u64a5\u88dc\u932f\u8aa4\u7387<\/td>\n<\/tr>\n
\u962e\u7d9c\u5408\u91ab\u9662<\/td>\n\u5b89\u6c27\u5708<\/td>\n\u63d0\u5347\u4e9e\u6025\u6027\u547c\u5438\u7167\u8b77\u75c5\u623f(RCC)\u547c\u5438\u5668\u812b\u96e2\u7387<\/td>\n<\/tr>\n
\u9580\u8afe\u91ab\u9662<\/td>\n\u5fae\u7b11\u5708<\/td>\n\u964d\u4f4e\u5916\u79d1\u52a0\u8b77\u75c5\u623f\u975c\u8108\u708e\u56b4\u91cd\u5ea6\u4e4b\u5c08\u6848<\/td>\n<\/tr>\n
\u96f2\u6797\u57fa\u7763\u6559\u91ab\u9662<\/td>\n\u5b88\u8b77\u5708<\/td>\n\u63d0\u5347\u672c\u9662\u5927\u8178\u764c\u7be9\u6aa2\u967d\u6027\u500b\u6848\u78ba\u8a3a\u7387<\/td>\n<\/tr>\n
\u5609\u7fa9\u57fa\u7763\u6559\u91ab\u9662<\/td>\n\u8f49\u5708\u5708<\/td>\n\u964d\u4f4e\u6062\u5fa9\u5ba4\u75c5\u4eba\u6eef\u7559\u7387<\/td>\n<\/tr>\n
\u81fa\u5317\u91ab\u9662<\/td>\n\u611b\u814e\u5708<\/td>\n\u964d\u4f4e\u8840\u6db2\u900f\u6790\u75c5\u60a3\u8840\u6e05\u78f7\u503c\u6bd4\u7387<\/td>\n<\/tr>\n
\u81fa\u5317\u91ab\u9662<\/td>\n\u6548\u7387\u5708<\/td>\n\u904b\u7528\u5718\u968a\u5408\u4f5c\u6a21\u5f0f\u63d0\u5347ECMO\u75c5\u4eba\u7167\u8b77\u4e00\u81f4\u6027<\/td>\n<\/tr>\n
\u99ac\u5055\u7d00\u5ff5\u91ab\u9662\u65b0\u7af9\u5206\u9662<\/td>\n\u5fae\u7b11\u5708<\/td>\n\u7e2e\u77ed\u5a66\u79d1\u9580\u8a3a\u75c5\u4eba\u9818\u53d6\u624b\u8853\u540c\u610f\u66f8\u55ae\u5f35\u7b49\u5019\u6642\u9593<\/td>\n<\/tr>\n
\u7f85\u6771\u8056\u6bcd\u91ab\u9662<\/td>\n–<\/td>\n\u904b\u7528\u5718\u968a\u9818\u5c0e\u6a21\u5f0f\u6539\u5584\u9580\u8a3a\u75c5\u4eba\u4f4f\u9662\u4e2d\u5fc3\u81f3\u75c5\u623f\u7b49\u5019\u4e4b\u5c08\u6848<\/td>\n<\/tr>\n
\u81fa\u5b89\u91ab\u9662<\/td>\n–<\/td>\n\u904b\u7528HFMEA\u63d0\u5347\u9ad8\u8b66\u8a0a\u85e5\u7269-\u80f0\u5cf6\u7d20\u4e4b\u7528\u85e5\u5b89\u5168<\/td>\n<\/tr>\n
\u81fa\u5b89\u91ab\u9662<\/td>\n–<\/td>\n\u904b\u7528\u6574\u5408\u6027\u7167\u8b77\u670d\u52d9\u5168\u9762\u63d0\u5347\u793e\u5340\u6c11\u773e\u6975\u65e9\u671f\u5931\u667a\u75c7\u7be9\u6aa2\u8207\u6cbb\u7642<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u8868\u4e00 \u00a0 \u7b2c\u5341\u4e00\u5c46\u74b0\u53f0\u91ab\u54c1\u7af6\u8cfd\u767c\u8868\u55ae\u4f4d\u53ca\u4e3b\u984c
\n\u4eca\u5e74\u662f\u7b2c\u5341\u4e00\u5c46\u7684\u91ab\u54c1\u7af6\u8cfd\u6d3b\u52d5\uff0c\u904e\u53bb\u7684\u91ab\u54c1\u7af6\u8cfd\u53ea\u4fb7\u9650\u65bc\u5229\u7528\u54c1\u7ba1\u5708\u624b\u6cd5\u9032\u884c\u6539\u5584\uff0c\u6709\u9451\u65bc\u54c1\u8cea\u6539\u5584\u624b\u6cd5\u65e5\u65b0\u6708\u7570\uff0c\u52a0\u4e0a\u793e\u6703\u5927\u773e\u5c0d\u75c5\u4eba\u5b89\u5168\u7684\u65e5\u8da8\u91cd\u8996\uff0c\u6545\u8fd1\u5e74\u4f86\u5df2\u7d93\u4e0d\u518d\u4fb7\u9650\u4f7f\u54c1\u7ba1\u5708\u7684\u554f\u984c\u89e3\u6c7a\u578b\u6216\u8ab2\u984c\u9054\u6210\u578b\uff0c\u9678\u9678\u7e8c\u7e8c\u52a0\u5165\u4e86\u5c08\u6848\u7ba1\u7406\u3001\u5de5\u696d\u5de5\u7a0b\u7684\u6d41\u7a0b\u518d\u9020\u3001\u75c5\u4eba\u5b89\u5168\u7684\u6839\u672c\u539f\u56e0\u5206\u6790(Route Cause Analysis\uff0cRCA)\u3001\u91ab\u7642\u7684\u5931\u6548\u6a21\u5f0f\u8207\u6548\u61c9\u5206\u6790(Healthcare Failure Mode & Effect Analysis\uff0cHFMEA)\u7b49\u624b\u6cd5\u3002\u672c\u6b21\u6d3b\u52d5\u5171\u670916\u5bb6\u76df\u9662\uff0c21\u500b\u6539\u5584\u4e3b\u984c\uff0c\u53c3\u8cfd\u7684\u55ae\u4f4d\u53ca\u6539\u5584\u4e3b\u984c\u5982\u4e0a\u9801\u8868\u4e00\uff0c\u6539\u5584\u7684\u624b\u6cd5\u5206\u985e\u4ee5\u53ca\u61c9\u7528\u7684\u624b\u6cd5\u7d71\u8a08\u5982\u4e0b\u8868\u4e8c\uff1a
\n\u672c\u6b21\u767c\u8868\u6703\u4e2d\u4f7f\u7528\u7684\u624b\u6cd5\u7c21\u4ecb\u5982\u4e0b\uff1a
\n\u54c1\u7ba1\u5708\uff0c\u5171\u6709\u5341\u500b\u6b65\u9a5f\uff0c\u4e3b\u8981\u5f9e\u8a08\u756b(Plan)\u958b\u59cb\u7684\u300c\u4e3b\u984c\u9078\u5b9a\u300d\u3001\u300c\u73fe\u6cc1\u628a\u63e1\u300d\u3001\u300c\u6d3b\u52d5\u8a08\u756b\u64ec\u5b9a\u300d\u3001\u300c\u76ee\u6a19\u8a2d\u5b9a\u300d\u3001\u300c\u771f\u56e0\u78ba\u8a8d\u300d\u3001\u300c\u5c0d\u7b56\u64ec\u5b9a\u300d\uff1b\u57f7\u884c(Do)\u7684\u300c\u5c0d\u7b56\u64ec\u5b9a\u8207\u5be6\u65bd\u300d\uff1b\u78ba\u8a8d(Check)\u7684\u300c\u6548\u679c\u78ba\u8a8d\u300d\uff1b\u8655\u7f6e(Action)\u7684\u300c\u6a19\u6e96\u5316\u300d\u8207\u300c\u6aa2\u8a0e\u8207\u6539\u9032\u300d\u3002
\n\u5e38\u7528\u7684\u5de5\u696d\u5de5\u7a0b\u624b\u6cd5\uff0c\u662f\u5de5\u4f5c\u7c21\u5316\u5e38\u7528\u7684\u300c\u5408\u4f75\u300d\u3001\u300c\u522a\u9664\u300d\u3001\u300c\u91cd\u7d44\u300d\u3001\u300c\u7c21\u5316\u300d\u3002
\n\u75c5\u4eba\u5b89\u5168\u6539\u5584\u624b\u6cd5\u65b9\u9762\uff0c\u6211\u5011\u4f7f\u7528\u5230\u6839\u672c\u539f\u56e0\u5206\u6790\uff0c\u4e3b\u8981\u85c9\u7531\u56db\u500b\u6b65\u9a5f\u300c\u78ba\u8a8d\u554f\u984c\u300d\u3001\u300c\u627e\u51fa\u8fd1\u7aef\u539f\u56e0\u300d\u3001\u300c\u627e\u51fa\u6839\u672c\u539f\u56e0\u300d\u3001\u300c\u767c\u5c55\u6539\u5584\u884c\u52d5\u300d\u4f86\u6539\u5584\u5df2\u7d93\u767c\u751f\u7684\u91cd\u5927\u6216\u8b66\u8a0a\u4e8b\u4ef6\u3002
\n\u53e6\u5916\uff0c\u70ba\u4e86\u63d0\u65e9\u9810\u61c9\u53ef\u80fd\u767c\u751f\u7684\u5371\u6a5f\uff0c\u91ab\u7642\u754c\u53c3\u8003\u696d\u754c\u7d93\u9a57\uff0c\u767c\u5c55\u51fa\u91ab\u7642\u7684\u5931\u6548\u6a21\u5f0f\u8207\u6548\u61c9\u5206\u6790\uff0c\u4e3b\u8981\u662f\u91dd\u5c0d\u7cfb\u7d71\u4f86\u5206\u6790\u8a0e\u8ad6\uff0c\u4e26\u4f9d\u64da\u5408\u9069\u7684\u5de5\u5177(\u6c7a\u7b56\u6a39\u5206\u6790)\u627e\u5230\u6539\u5584\u7684\u512a\u5148\u6b21\u5e8f\u3002\u57f7\u884c\u7684\u4e94\u500b\u6b65\u9a5f\u5305\u62ec\u300c\u9078\u64c7\u9700\u8981\u6aa2\u8996\u7684\u6d41\u7a0b(\u9ad8\u98a8\u96aa\u6d41\u7a0b)\u300d\u3001\u300c\u7d44\u6210\u5718\u968a\u300d\u3001\u300c\u7e6a\u88fd\u6d41\u7a0b\u5716\u300d\u3001\u300c\u5371\u5bb3\u5206\u6790\u300d\u53ca\u300c\u64ec\u5b9a\u884c\u52d5\u8207\u91cf\u6e2c\u300d\u3002<\/p>\n\n\n\n\n\n\n\n\n\n\n\n
\u4e3b\u984c\u5206\u985e \\\u624b\u6cd5<\/td>\n\u554f\u984c\u89e3\u6c7a<\/td>\n\u5c08\u6848\u6539\u5584<\/td>\n\u7cbe\u5be6\u624b\u6cd5<\/td>\n\u6d41\u7a0b\u518d\u9020<\/td>\nHFMEA<\/td>\nRCA<\/td>\n\u7e3d\u8a08<\/td>\n<\/tr>\n
\u75c5\u4eba\u7167\u8b77<\/td>\n4<\/td>\n3<\/td>\n<\/td>\n<\/td>\n1<\/td>\n1<\/td>\n9<\/td>\n<\/tr>\n
\u6642\u9593\u6548\u7387<\/td>\n3<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n<\/td>\n<\/td>\n6<\/td>\n<\/tr>\n
\u91ab\u7642\u54c1\u8cea<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
\u6307\u6a19\u6539\u5584<\/td>\n2<\/td>\n1<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n3<\/td>\n<\/tr>\n
\u6210\u672c\u6548\u76ca<\/td>\n1<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n1<\/td>\n<\/tr>\n
\u6c11\u773e\u53c3\u8207<\/td>\n<\/td>\n1<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n1<\/td>\n<\/tr>\n
\u5176\u4ed6<\/td>\n1<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n1<\/td>\n<\/tr>\n
\u7e3d\u8a08<\/td>\n11<\/td>\n6<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n1<\/td>\n21<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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