臺灣博碩士論文加值系統

醫療設備的管理在醫療院所是相當重要的一環，現今科學實證與醫療診斷都需設備的輔助方能進行，而設備必須維持在合理的誤差範圍內，才有設備的存在價值。維持設備的價值在設備管理流程設計中是不可或缺的，設備在其生命週期中，有許多環節需要管理，為了使管理更有效率，資訊化的管理系統是不可或缺的工具。
設備的生命週期包含採購、安裝、運作、維護、報廢，項目則包含預算審核、適用評估、採購議價、醫療評估、驗收建檔、日常檢測、不良通報、使用調查、儀器保養、儀器校正、儀器維修、汰舊評估以及廢品處理，醫療儀器的管理就是設備完整生命週期的呈現。設備生命週期對於資訊管理系統的規劃方向相當重要，資訊化管理系統在設計時有很多個面向必須考慮，包含設備採購評估、設備財產、設備功能分類、設備風險分類、供應廠商、保養維護規劃、品質校正管控規劃、設備報廢等。另外，如果資訊的溝通可以在多個子系統互相建構，則可以增進管理的效能與方便性，如此將可逐步完成e化流程管理作業實務上的建置。
本論文以醫院的設備效能品質為優先考量，完成了e化流程管理作業的設計與效能評估，搭配醫院設備管理，達到增進管理效率與減少管理錯誤性，並可呈現使用者之設備品質報告，達到使用者與管理者雙贏的目標。

The management of medical equipments is a very important part in hospitals. Equipments are usually required for current scientific evidence and medical diagnosis. The equipments must be maintained within a reasonable range of tolerant error such that the value of the equipments could thus be enhanced. The value of the equipments is indispensable in the design of the equipment management process. In the life cycle, there are many aspects that need to be managed. In order to make the management more efficient, the information management system is an indispensable tool.
The equipment life cycle includes procurement, installation, operation, maintenance and scrapping. The detailed item includes budget review, applicable evaluation, purchase bargaining, medical evaluation, acceptance file, daily inspection, bad notification, use survey, instrument maintenance, instrument calibration, maintenance, the obsoleteness assessment and waste disposal. The management of medical equipments is the complete life cycle of equipments presented. The equipment life cycle is very important for the planning direction of the information management system. The information management system has many design considerations, including equipment procurement evaluation, equipment property, equipment function classification, equipment risk classification, supplier, maintenance planning, quality control planning, equipment scrap, and so on. In addition, if the communication of information can be built in multiple subsystems, the management can be improved to be more effective and more convenient. The e-process management can also be completed gradually.
This paper takes the performance quality of the equipments in hospital as the first priority. The operation design and the performance appraisal for the e-process management have been accomplished in this thesis. With the management of hospital equipments, achieves the efficiency in management and the reduction of management mistake have been achieved. The finished system may also manifest the equipment quality report for the users and achieve the win-win goal of the users and the equipment manager.

致謝 I
摘要 II
ABSTRACT III
目錄 V
圖目錄 VIII
表目錄 IX
第一章 緒論 1
1.1 前言 1
1.2 研究動機與目的 2
1.3 文獻回顧 3
第二章 研究背景 7
2.1 醫療儀器設備採購 7
2.1.1 醫療儀器預算評估 7
2.1.2 醫療儀器設備適用評估 8
2.1.3 醫療儀器購買方式評估 10
2.2 醫療儀器設備安裝 11
2.2.1 醫療工程 11
2.2.2 醫療儀器驗收建檔 11
2.3 設備運作 12
2.3.1 日常檢測 12
2.3.2 不良通報 12
2.3.3 使用調查 13
2.4 醫療儀器設備維護 14
2.4.1 儀器保養 14
2.4.2 儀器校正 14
2.4.3 儀器維修 15
2.5 醫療儀器報廢處理流程 16
2.5.1 醫療儀器報廢條件評估 16
2.5.2 醫療儀器汰舊換新 17
2.5.3 醫療儀器報廢處理程序 18
第三章研究方法 19
3.1 VISUAL STUDIO 2015 系統架構 19
3.1.1 Visual Studio 2015 19
3.1.2 資料庫 Access 19
3.1.3 ExceL 2003 20
3.2 系統流程架構規劃 21
3.2.1 校正管理流程設計 22
3.2.2 校正資訊化管理架構 23
3.3 流程設計測試 24
3.3.1 流程測試對象 24
3.3.2 流程效率監測比對 24
第四章實驗結果 25
4.1 校正流程分析 25
4.2 資訊化校正管理 27
第五章 結論與討論 31
5.1 結論 31
5.2 討論 31
參考文獻 32

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