無線射頻識別應用在醫療管理之研究

Abstract

醫療品質已經從單純的治療結果，提昇至消費者對整個就醫過程的滿意程度，此現象反映了以病人權益為主的醫療觀念，是未來提昇醫療品質努力之方向。面對以病人安全為中心的時代，卓越的醫療品質已成醫療機構必須更為追求的目標。因此，本研究提出一套以無線射頻識別系統為基礎的醫療管理資訊系統，讓醫療機構創造更有效率與更為安全的醫療環境。 本研究整合無線射頻識別系統、急診室之作業流程、手術室之作業流程、住院之臨床路徑管理、住院之單一劑量用藥管理等五大領域，提出RFID醫療管理資訊系統。本系統架構是以醫療機構內核心之醫療與照護流程為基礎，經由整合RFID系統與急診作業流程、整合RFID系統與手術作業流程、整合RFID系統與住院之臨床路徑管理、整合RFID系統與住院之單一劑量用藥管理等四階段的過程，實際建置涵蓋就醫、行醫、照護等三個層級的系統架構。無線射頻識別系統則是應用其具有之辨識、追蹤、遠距、非接觸式、主動式或被動式資料通訊模式等特性，並將此特性應用於醫院內最重要的醫療系統。 本研究的結果能夠緊密整合RFID系統與醫療流程，建立RFID醫療管理資訊系統。RFID醫療管理資訊系統可作為醫院應用於改善醫療照護品質之參考，達成建構以病人安全為中心的就醫與行醫環境，以及提升整體醫療品質。本研究所提出的系統架構，亦可應用於具有商品品牌的製造業，在產品的庫存管理、產品的防偽等方面，協助企業迅速掌握產品資訊，以提升競爭優勢。

Medical quality has been promoted to patient satisfaction in the whole medical process rather than treatment outcome. All of the hospitals must seek for outstanding medical quality in the patient safety age. This research proposes a system architecture that is based on the RFID for medicine information system and helps hospitals to create more efficient and safe medicine environment. This research proposes a RFID medicine information system that integrates five theories including RFID technology, emergency room process, operation room process, clinical pathway, and unit dose. The system architecture is based on the most important medicine and healthcare process. This research applies some RFID features to medicine information system. These features include identification, tracking, distance communication, active or passive data communication, etc. The result of this research integrates RFID system and medical processes tightly. RFID medicine information system can be applied to improve medical quality by hospital. The proposed system architecture can be also applied to manufacturing for warehouse management and imitation.