臺灣博碩士論文加值系統

提昇醫療品質已成為醫院目前的趨勢，近年來臺灣環保意識逐漸抬頭，醫院所產出的廢棄物也為人們所討論。IOM 出版之 ｢To Err is Human｣ 中估計，因醫療不良事件發生損失約170億至290億美元。而生物醫療廢棄物是否有被妥善處理，也會被列入醫療不良事件之中，因此本研究採用FMEA風險的評估方法先行找出評估的風險因子，再利用AHP方法找出每個準則的權重，最後運用TOPSIS方法用於生物醫療廢棄物委外評選流程。研究結果可得到醫院在生物醫療廢棄物委外評選重要風險因子項目及重要性排序，並可供其他醫院在生物醫療廢棄物委外管理時做為參考。

Improvement of medical quality has become a trend in hospital development. In recent years, environmental protection has become a rising issue in Taiwan, and people have begun to discuss the biomedical waste that comes from hospitals. According to an estimate in “To Err is Human,” published by Institute of Medicine, the economic loss resulting from medical malpractice is about $17 to $29 billion, and the question of whether biomedical waste is properly disposed of is included as an incident of medical malpractice. Therefore, this study aims to study FMEA risk evaluation in order to screen out evaluation factors. Subsequently, the AHP is employed to determine the weight of each factor. Lastly, TOPSIS is employed in the process of biomedical waste outsourcing. The results of the study provide hospitals with biomedical outsourcing critical risk factor criteria and their order by importance, and as a reference for the management of biomedical waste disposal outsourcing.

中文摘要 I
英文摘要 II
誌謝 III
目錄 IV
圖目錄 VII 表目錄 VIII
第一章 緒論 1
1.1研究背景 1
1.2研究動機 2
1.3 研究目的 3
1.4研究範圍 4
1.5研究架構 4
第二章 文獻探討 6
2.1醫療廢棄物定義 6
2.2廢棄物之分類 9
2.2.1一般廢棄物 10
2.2.2事業廢棄物 10
2.2.2.1有害事業廢棄物 11
2.2.2.2生物醫療廢棄物 12
2.2.2.3一般醫療事業廢棄物 14
2.3廢棄物相關法規及現況 14
2.3.1國內相關法規及處理狀況 14
2.3.2 醫療廢棄物處理相關法規 16
2.4 醫療廢棄物處理方法 18
2.5 生物醫療廢棄物管理與風險 19
2.5.1 生物醫療廢棄物管理 19
2.5.2 生物醫療廢棄物風險 24
2.5.3 供應商定義及評選 25
第三章 研究方法 28
3.1 失效模式與效應分析 28
3.1.1 失效模式與效應分析之建構流程 28
3.1.2 失效風險分析評價方式 31
3.1.3 失效模式與效應分析表 34
3.2 層級分析法 35
3.3 TOPSIS法 37
第四章 研究結果 42
4.1 利用FMEA法找出評選準則 42
4.2 應用AHP決定生物醫療廢棄物廠商評選準則權重 44
4.3 整體層級權重之計算帶入TOPSIS中 52
第五章 討論與結論 59
5.1 討論 59
5.2 結論 63
5.3 未來研究 64
參考文獻 66
附錄一、層級分析法問卷 74
附錄二、醫療機構廠商評選評分表 81

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