| Summary: | 碩士 === 義守大學 === 管理學院管理碩士在職專班 === 99 === The purpose of this study was to investigate the effectiveness of the implementation of the Central Supply Center (CSC) and the related factors. The research methods designed as case study, through interviews, surveys and observation to collecting data. The case was the CSC in a regional teaching hospital. There were 17 staffs, which including two nurses and eight technicians were interviewed, were all completed survey. To observe total 56 instrument packages though the whole procedure, which were from clean to sterile, within a two weeks period. The statistical analysis methods included descriptive statistics, correlation analysis, and independent sample t-test. The results showed that 9 of 15 steps time spending had significantly differences between survey and observation. Therefore, observation was the essential method for counting the time spending of step. After observed and counted the waiting time between steps, found after the 6th step and 8th step had the longest waiting time. The 6th step was unloading and putting the tray list on each pack. On the other hand, the 8th step was put the well counted instrument on the 3 levels trolley. Each of the following steps were, the 7th step was arranging, checking, and counting instrument, than put the indicator paper in the case; and the 9th step was packaging the instrument, than recheck the outside bar code match with package details, finally singing signature. Both of 7th and 9th step required manipulate. Especially, while the instruments overload, the staff needed longer time to complete the step. In order to make the procedure smoothly, the study suggested that the CSC should flexible managed the manpower depends on the amount of instrument packages.
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