PDCA循环法应用于临床检验危急值的管理

Application of PDCA circulation to manage critical values of clinical laboratory

目的应用PDCA循环法管理临床检验危急值。方法随机选择临床检验危急值的患者分成应用常规危急值管理的对照组和PDCA循环法管理的观察组各100例,在检验结果回报时间、医疗干预开始时间以及危重患者抢救成功率等方面进行统计学比较。结果对照组和观察组检验结果回报时间、医疗干预开始时间以及危重患者抢救成功率进行比较,差异有统计学意义(P<0.01),观察组检验结果回报时间、医疗干预开始时间短于对照组,危重患者抢救成功率高于对照组。结论 PDCA循环法管理临床检验危急值,明显提高了医疗干预开始时间及危重患者抢救成功率,使有危急值患者得到及时正确的治疗,有利于保证医疗质量和安全。

Objective To explore the effect of PDCA circulation to the critical value management of clinical la- boratory. Methods 200 cases were equally divided into treatment group and control group. Treatment group applied PDCA circulation. The results return time, the doctors intervention time and the percentage of successful rescue of severe patients in treatment group and control group were compared. Results The results return time and the doctors intervention time in treatment group were significantly lower than those in control group（P〈0.01）. The percentage of successful rescue of severe patients in treatment group was significantly higher than that in control group（P〈 0.01）. Conclusion Applying of PDCA circulation for the management of critical values could improve medical quality and be useful to make patients be treated timely and correctly.