改善傳統VSM導入醫療機構應用之探討

Tunghai University Institutional Repository > 工學院 > 工業工程與經營資訊學系所 > 碩博士論文 > Item 310901/24057

Please use this identifier to cite or link to this item: http://140.128.103.80:8080/handle/310901/24057

Title:	改善傳統VSM導入醫療機構應用之探討
Other Titles:	A Study of Modified VSM in Medicare Environment
Authors:	洪雅涵 Hung, Ya-Han
Contributors:	王偉華 Wang, Wei-Hua 工業工程與經營資訊學系
Keywords:	精實思想;VSM Lean Thinking;VSM
Date:	2013
Issue Date:	2014-02-19T06:59:07Z (UTC)
Abstract:	當今醫療機構及其流程充滿許多浪費和無效率的動作，導致流程延遲、員工與各部門事倍功半，間接影響醫院服務病患。有鑑於此本研究運用精實思考(Lean Thinking)與價值溪流圖(Value Stream Map, VSM)帶入醫療構進行流程改善。期望利用精實思考方法分析遇到的問題，再藉由VSM工具的特性以清楚呈現流程有、無價值動作、時間、人員與部門關係及運輸方式浪費，將浪費量化後消除，達到不增加人力資源又可提升醫療品質之目的。但是醫療機構與製造業具有不一樣的產品特性。製造業的產品變異性小，流程變異相對小，好比線性狀態。但是醫療機構服務對象為人，每個病患的病情不會一模一樣，而是有自身的獨特性，因此變異性相對大許多，屬於非線性狀態。故原用於生產的傳統VSM並無法完全呈現醫療流程現有問題。本研究將配合醫療機構特性將精實思考五原則的後兩項稍加修改成：定義價值、確認價值溪流、暢流、依據病患需求的流程（原拉式生產）以及配合每一個病患的流程（原為完善），達成以病患為中心的個人醫療VSM模型。並以某醫院臨時醫囑給藥流程為例，佐證醫療VSM模型比傳統VSM可發掘更多問題，再結合精實指標分析導入行動護理站的改善結果，證實醫療精實與醫療VSM模型可減少人力資源浪費、提升病患滿意度與醫療品質。 There are many wastes and inefficiencies in medical institutions which cause more works among staff and departments and eventually influence the whole service system towards patients. In this study, we use Lean Thinking and Value Stream Map (VSM) to improve hospital processes and analyze the root reason of problems. The features of VSM are showing the Value-Added (VA), Non-value-added (NVA) actions and time, the relationship between staff and departments, as well as the delivery wastes. VSM not only eliminates processes wastes and maintains manpower but also promotes the quality of medical care.However, there are many different product features between manufacturing industry and medical institutions. The sorts of manufacturing industry are similar, which is like a linear performance, on the contrary, medical institutions vary its products according to each individual patient’s needs, with represents an nonlinear performance. Therefore, we should adapt VSM to replenish medical institutions characteristics.In order to make VSM a more appropriate system for medical institutions, instead of using specify value, identify the value stream, flow, custom pull, and perfection, we adjust the last two principles into patient basis demand and individual patient process. We hope to make the modified VSM a patient-centered model. We use a stat order process to prove that the modified VSM can actually help us find out more wastes in this process and the adapting of Mobile Nursing can solve the wastes. In brief, the modified VSM can eliminate more wastes and achieve the goal of reducing human resources as well as increasing patient satisfaction and hospital service quality.
Appears in Collections:	[工業工程與經營資訊學系所] 碩博士論文

Files in This Item:

File	Size	Format
101THU00030021-001.pdf	1588Kb	Adobe PDF	2046	View/Open

Loading...