持续质量改进在降低生化室不合格标本率中的应用

The application of continuous quality promotion to reduce unqualified specimens rate in biochemical room

分析了生化室出现不合格标本原因:患者配合程度不够、开单医师告知欠详、护士采集标本不规范、标本运送护工培训不够、生化室操作程序不够标准。针对上述情况成立持续质量改进管理小组:加强对患者的宣教、提高开单医师的告知意识、规范护士采集标本、加强对运送护工的培训、建立生化室标准操作程序。实施持续质量改进以后,比较2011年1月至6月的不合格标本率(实施持续质量改进以前)和2011年7月至12月的不合格标本率(实施持续质量改进以后),不合格率明显降低,差异具有统计学意义(P<0.01)。

Factors caused unqualified specimens such as patient non-cooperation, insufficient inform, unqualified sampling, insufficient training on specimen transport and substandard biochemical operation procedure. Suggestions such as building continuous quality promotion team, strengthening patient＇s health education and doctor＇s inform obligation, standardizing nurse＇s specimens collection and transport procedure and designing standard operation procedure in biochemical room. The unqualified specimens rate in 7-12, 2012 （implementing continuous quality promotion） and 1-6,2011（not implementing continuous quality promotion） was compared andthe formeris sufficiently decreased （P〈0.01） .