运用品管圈活动干预肿瘤患者大小便标本的留检率

A study on the effect of QCC in enhancing the specimens sending rate of stool/urine from cancer patients

目的探讨品管圈活动干预肿瘤患者大小便标本的留检率效果。方法科室成立"齐齐圈"品管圈,通过品管圈活动步骤,运用质量管理常用工具对肿瘤患者大小便标本留检率较低的问题加以改进[1]。实施品管圈前后,对我科连续某月收治病人的大小便标本留检率进行统计,分析入院后3 d及出院时留检率的改善情况。结果实施品管圈活动后,我科患者入院后3 d及出院时大便留检率分别从33.33%和62.86%提升到74.04%和96.15%,相应时间点的小便留检率分别从38.89%和64.81%升高至95.45%和100%,具有统计学意义(P<0.01)。结论通过QCC活动,住院患者大小便标本的留检率显著提高。

Objective To investigate the improvement by QCC on sending rate of stool /urine from cancer patients. Methods We carried out a process named ＆quot;the neat ring＆quot; quality circles. In the process we tried to enhance the pa-tients’ specimen sending rate of stool/urine by quality control. We internalized inpatients who were hospitalized in our department in a certain month before and after QCC had been implemented, analyzed their stool /urine sending rate on the third day after their admission and the day when they left the hospital. Results The stool sending rate on corre-sponding dates increased from 33.33% and 62.86% to 74.04% and 96.15%,as to urine, the sending rate augmented from 38.89%and 64.81%to 95.45%and 100%respectively. All differences were statically significant（P〈0.01）. Con-clusion The specimen sending rate of stool /urine from cancer inpatients were substantially enhanced through the im-plement of QCC.