{"created":"2023-06-20T15:57:01.033442+00:00","id":14146,"links":{},"metadata":{"_buckets":{"deposit":"c6f89341-8536-4742-b084-124fc238264a"},"_deposit":{"created_by":18,"id":"14146","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"14146"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00014146","sets":["3:560"]},"author_link":["51334","51330","51333","51337","51342","51329","51331","51340","51338","51341","51332","51339","51336","51335"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-09-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"370","bibliographicPageStart":"367","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"日赤医学"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【はじめに】　外来採血患者の採血待ち時間(以下ＴＡＴ)は検査結果報告までの時間に影響するだけでなく患者満足度にも大きな影響を与える。ＴＡＴの集計・原因分析・業務改善を行い、外来採血待ち時間短縮および外来採血待ち時間30分以上の人数を減らすための取り組みを行った。【取り組み・成果】2015年1月のＴＡＴ分析では外来採血待ち時間30分以上の割合は全患者の約14％、人数にして1日約50人であった。そこで「待ち時間30分以上の割合を5％未満にすること」を目標に設定した。8時～9時の受付人数が特に採血待ち時間に大きな影響を与えることが分かったので、8時からの外来診療開始前の採血早出職員を1名増員した。この結果、2015年6月には待ち時間30分以上の割合は2.4％となり当初の目標を達成することができた。次にさらなる改善を求めて現状を分析したところ、1)患者動線が悪い、2)採血者動線が悪い、3)採血台・人員の不足などの問題点が採血待ち時間に大きな影響を及ぼしていることが明らかになった。そこで、1)～3)それぞれについて1)検査部の機器更新に合わせて採血室レイアウトを変更し優先席と車椅子スペースを設置、2)採血台と採血管準備システムの動線見直しを行い、さらに3)採血室の最繁時における応援体制充実のため、他部門の業務見直しにより人員を確保する。同時に新規採用者全員に対して採血教育を行ったことで、採血台の増設・運用が可能となった。取り組み以降、外来採血待ち時間30分以上の割合は「1％未満」を維持することができている。【まとめ】TATの集計・原因分析・改善策実施によりこれまで一定の改善効果を認めたが、今後は他部門の改善も図ってゆきたい。\n","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"KARITA, Takeshi"}]},{"nameIdentifiers":[{}],"names":[{"name":"OSHIMA, Fumiko "}]},{"nameIdentifiers":[{}],"names":[{"name":"TAKI, Hidekazu "}]},{"nameIdentifiers":[{}],"names":[{"name":"SHIMOMURA, Keiko "}]},{"nameIdentifiers":[{}],"names":[{"name":"KOZONO, Haruhisa "}]},{"nameIdentifiers":[{}],"names":[{"name":"ONISHI, Shigeki "}]},{"nameIdentifiers":[{}],"names":[{"name":"URATA, Yoji "}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"第53回日本赤十字社医学会総会　優秀演題","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社医学会 "}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00184873 ","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0387-1215","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"苅田, 健"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大嶋, 文子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"多氣, 秀和"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"下村, 恵子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小薗, 治久"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大西, 重樹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浦田, 洋二"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-06-07"}],"displaytype":"simple","filename":"009974.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"pdf009974","url":"https://redcross.repo.nii.ac.jp/record/14146/files/009974.pdf"},"version_id":"1de1aadc-8c3e-40eb-a7c7-ac6046f462c7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"外来採血室","subitem_subject_scheme":"Other"},{"subitem_subject":"外来採血待ち時間","subitem_subject_scheme":"Other"},{"subitem_subject":"業務改善","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"外来採血室の業務改善と取り組み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"外来採血室の業務改善と取り組み"},{"subitem_title":"Improvement of activities in outpatient blood collection room","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"18","path":["560"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-06-07"},"publish_date":"2019-06-07","publish_status":"0","recid":"14146","relation_version_is_last":true,"title":["外来採血室の業務改善と取り組み"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2023-06-20T18:47:17.655782+00:00"}