| Summary: | 碩士 === 銘傳大學 === 公共事務學系碩士在職專班 === 97 === The advanced information technology renders the pervading employment of computer information system in medical institutions; therefore, medical information systems integrate closely with medical services procedures in hospitals. Consequentially, examinations, diagnoses, therapies, operating procedures and application for national health insurance all depend greatly on computer information system; moreover, there will be the promotion of e-anamnesis planned. Once the information computer interrupts, it will impact severely both patients and workers, and definitely affect the hospital’s fame and cause the financial loss. However, information interruption relates closely to the impact on the operating procedures, so it is hard to locate the damaged key procedures so as to prepare for either disaster reduction or emergency strategy if there is no systematic hazard analysis available. On the other hand, the failure mode and effect analysis (FMEA) is frequently used in the industrial field whereas the use for the crisis management or patients’ safety is still in the initial phase.
Through FMEA, a case of computer interruption in a large hospital in Taipei City is inquired to probe into the procedures of hazard risk assessment & analysis of the computer interruption in outpatient services and emergency rooms. The study is done in the following steps. First, the FMEA team founded collects the data of medical operating flow and computer interruption emergency procedures in the hospital via deep interviews; afterwards, the FMEA team will define the steps and the potential failure mode, cause and impact of computer interruption. Moreover, FMEA tools are used to conduct the hazard risk assessment so as to locate the high-risk key problems in terms of ranking of risk priority number (RPN). Finally, the adequate advices and improvement measures of the high-risk operating procedures via focus-group interview are proposed as the references to the preparation for disaster prevention and emergency strategy in medical institutions.
The paper contributes to the emergency management in medical institutions via analyzing hazards by FMEA. As for the preparation for disaster prevention and reduction, it is applicable to locate the hazardous origin of computer interruption to medical operating procedures, judge the key problem of hazards and build the priority of disaster reduction and prevention. As for the disaster emergency preparation, it is applicable to implement the execution of emergency strategy by planning it under the results of hazard analysis and enforcing the personnel drill training in lights of it. The hazard analysis via FMEA is a practical and beneficial measurement tool for hospital emergency management.
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