应用品管圈降低ICU出凝血功能检验非计划性复检率的实践

The application of Quality Control Circle in reducing non-planning re-inspection rate of the blood coagulation function test in ICU

目的:探讨品管圈管理工具在降低ICU出凝血功能检验非计划性复检率中的应用。方法:成立品管圈小组,确立"降低ICU出凝血功能检验非计划性复检率"为活动主题,进行现况调查、目标设定、原因分析、对策拟定,应用PDCA循环原则实施各项对策。结果 :开展品管圈活动后,使ICU出凝血功能检验非计划性复检率由8.93%降至2.24%,P<0.05,差异有统计学意义。结论 :应用品管圈活动对采集出凝血标本进行管理控制,可以有效降低ICU出凝血功能检验非计划性复检率,同时也降低了ICU非必要医疗成本的支出并减少了患者血液的浪费。

Objective：To explore the application effect of Quality Control Circle （QCC） management tool in reducing non-planning re-inspection rate of the blood coagulation function test in ICU. Methods：Under the principle of PDCA circulation, we set up QCC group, established the activity theme as＂reducing non-planning re-inspection rate of the blood coagulation function test in ICU＂, invested the present situation, set goals, analyzed the reason and selected countermeasures. Results：Non-planning re-inspection rate of the blood coagulation function test in ICU decreased from 8.93%to 2.24%（P〈0.05） after carrying out QCC activity, the difference was statistically signiifcant. Conclusion：The management of the blood coagulation samples with QCC activity can not only effectively reduce non-planning re-inspection rate of the blood coagulation function test in ICU, but also reduce the unnecessary medical cost and the waste of the patient＆#39;s blood.