增加无菌服务部门的再处理能力以支持可持续性成果.pdf

1、INCREASING STERILE SERVICE DEPARTMENT REPROCESSING CAPACITY TO SUPPORT SUSTAINABILITY OUTCOMESName:DR.SULISTI HOLMESAffiliation:Head of Decontamination and Incident ReportingCentre,National Services ScotlandSurvey Survey ResultsResults-IssuesIssues35%5%14%13%13%11%9%CapacityWorkforceBuilding AgeNon-

2、Standardised TrayFundingTracking SystemEquipment ProblemsSurvey Survey ResultsResults WorkforceWorkforce IssuesIssuesRecruitment/RetentionSicknessTrainingOtherHow How diddid wewe do do it it?PlanBuild the modelTest the modelRun simulationFlowchartsFlowchartsInput Opening hours Schedule of works Time

3、 to perform each stage Staff shifts&calendars Number of staff No of equipment Equipment cycle time/downtimeProcess Simulation(ProModel)Output Throughput Utilisation Turnaround time Productivity Bottleneck,delaysAs-is-PerformanceScenario 1(As-is-Staffing)348000(up 6%)347,993.00369,326.0074%79%AsAs-is

4、 is-Performance vs Scenario 1Performance vs Scenario 1Increasinginventory48 hoursturnaround:As-is-Performance-69%Scenario 1(As-is-Staffing)-41%Scenario 1Scenario 1As-is-PerformanceScenario 2(15%IncreasedStaffing)348000(up 20%)347,993.00417,136.0074%75%AsAs-is is-Performance vs Scenario 2Performance

5、vs Scenario 2As-is-PerformanceScenario 2(15%Increased Staffing)3.023.06ProductivityProductivity(items/(items/wtewte)80%80%Shift Shift additionaladditional staff?staff?Tim Cooke,ProModelUKSlawomir Olejnik,Gary Preston and Leigh Hunter,Central Decontamination Unit,NHS TaysideGillian McIntosh,NHS National Services S