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研究生:王淑貞
研究生(外文):Shu-Chen Wang
論文名稱:醫療實驗室安全衛生自護制度專家諮詢之研究
論文名稱(外文):The medical laboratory safety and health from protects research of the system expert consultation
指導教授:賴永昌賴永昌引用關係
指導教授(外文):Yung-Chang Lai
學位類別:碩士
校院名稱:高雄醫學大學
系所名稱:職業安全衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:41
中文關鍵詞:醫療院所檢驗實驗室安全衛生管理內部稽核
外文關鍵詞:laboratorySafety and health managementInternal auditing
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醫療院所檢驗實驗室安全衛生,除了需訂定安全操作準則外,在管理面必須有內部稽核及自我改善的管理系統,在安全觀念養成上也必須注重安全文化之建立。經綜合勞委會安全衛生自護制度(VPP)、美國職業安全與衛生管理署(OSHA)及國際ISO14000、OHSAS 18000等之自我檢查及環境稽核精神,設計「醫療機構檢驗操作感染性物質之管理制度自我檢查表」,系統性檢討醫院中實驗室安全衛生管理系統的運作情形,以供全面性檢核院方在管理醫院實驗室的優缺點,並可促使院方瞭解目前管理成效,進而達到自我管理、持續改善並符合法令規範的管理目標。
初步自評結果顯示醫療院所安全衛生管理仍有相當大的進步空間,建議強化稽核系統及緊急應變計畫的落實,將能提升實驗室的安全衛生管理。為確保此份自我查核表能更符合各層級實驗室使用,本研究邀請檢驗醫學專家以問卷方式,運用層級分析法分析來確認此份自檢表的權重配置之實用性,分析結果在管理政策、規劃與管理方案、管理系統與組織、稽核皆有較明顯的正差異;在防護設備及緊急應變、管理階層審查部份因應SARS事件後以漸入軌道所以權重呈現明顯的負差異。本研究希望藉由專家諮詢之過程將醫療院所安全衛生管理之架構能建構更完整。鼓勵推行安全衛生,以生命為核心價值,強化實驗室之安全,建構安全實驗室環境。
*關鍵字:醫療院所檢驗實驗室、安全衛生管理、內部稽核、安全文化
The healing institute examines the laboratory safety and health, besides must schedule the safe working practice, must have the internal auditing and the self-improvement management system management system in the management surface, in the security idea fosters on must pay great attention establishment of the security culture. From protects system (VPP), the American occupational safety and conservancy of sanitation bureau (OSHA) and international ISO14000, OHSAS after the synthesis councils of labor affair safety and health 18000 and so on self-examination and the environment investigation spirit, the design of “control system self-check table the Medical establishment checked operation infectious material”, the systematic characteristic examines in the hospital the laboratory safety and health management system management system''s operation situation, supplies the integrity control hospital to manage the hospital laboratory the good and bad points, and may urge the hospital understanding present management result, then achieves the self-control, to improve and to conform to the law standard management goal continually. From comments the result to demonstrate that initially the healing institute safety and health management still had the quite big progressive space, suggested that the strengthened investigation system and urgent contingency plan''s realization, will be able to promote the laboratory the safety and health management. In order to guarantee that this checks the table to be able to conform to various levels laboratory use, this research invitation laboratory medicine expert by the questionnaire way, using the level analytic method analysis confirmed this share from the checking list usability of weight disposition, the analysis result in the regulatory policy, the plan and the management plan, the management system management system and the organization, the investigation all has the obvious difference; In preventer and urgent strain, management echelon examination part after the SARS event by gradually enters the track, therefore the weight presents the obvious negative difference. This research hope can construct process of because of the expert consultation construction of the healing institute safety and health management is more complete. Encourages to carry out the safety and health, take the life as the core value, strengthens security of the laboratory, the construction security laboratory environment.
* key words: The healing institute examines the laboratory, the safety and health management, the internal auditing, the security culture
第一章:緒論
1.1前言……………………………………………………8-10
1.2背景……………………………………………………10-11
1.3研究動機………………………………………………11-13
1.4研究目的………………………………………………13
1.5研究範圍………………………………………………13
1.6研究方法………………………………………………14-15
1.7研究步驟及流程………………………………………15-16
1.8預期研究成果…………………………………………16-17
第二章:相關文獻
2.1生物安全等級…………………………………………18-19
2.2生物安全資料表(BSDS)……………………………19-20
2.3 生物安全等級風險評估………………………………20-26
2.4 生物安全衛生管理制度………………………………26-32
2.5 相關法規………………………………………………32-39
2.6 AHP層級分析法…………………………………………39-45
第三章 研究方法
3.1第一次問卷調查………………………………………45-47
3.2 第二次評核……………………………………………47-48
3.3 自我評核表應用………………………………………48-49
3.4 專家諮詢………………………………………………49-51
第四章 問卷調查與訪談結果
4.1第一次問卷回覆與現場訪視比較結果…………………52-53
4.2專家問卷諮詢結果………………………………………53-55
4.3自我評核表應用(新舊權重差異比較)………………55
第五章討論、建議
5.1討論…………………………………………………………56
5.2 結論…………………………………………………………56-57
第六章 參考文獻
附錄:醫療院所檢驗實驗室安全衛生自護管理專家諮詢問卷
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