摘要
目的合理优化急诊组岗位设置,降低急诊生化检测不及时率。方法成立解放军总医院生化科急诊组品管圈"微笑圈",回顾性分析急诊生化标本周转时间(turnaround time,TAT)时间,分析2小时内检测及时率不能达100%的主要原因,计算目标值,制定对策并实施。结果分析表明2小时急诊生化检测不及时的主要原因为标本送检过于集中、复查样本延迟、审核速度相对较慢、夜班人员业务流程不规范。执行相应改善措施后,急诊生化检测不及时率降低了12.02%,并有2天的及时率>95%,达到医院业务指南标准。结论品管圈模式有效地降低了急诊生化检测的不及时率。
Objective To reasonably optimize the post setting of emergency biochemical group and reduce the delay rate of emergency biochemical applications. Methods " Smile circle"-quality control circle of PLA General Hospital clinical biochemistry department was established for retrospectively investigating emergency biochemical specimen's TAT. The main reason for 2 hours detection of less than 100% in time rate was analyzed. Results The reasons of untimely detection were as follows: the specimen detection was centralized; specimen check was delay; the speed of affirming standardized. After improvement, the delay rate report was slow ; post responsibility of night shift had not been of emergency biochemistry specimen detection has reduced 12.02% and two day's rate in time were above 95% which got the goal of hospital service guide. Conclusion The management's method based on quality control circle has reduced the delay rate of emergency biochemical application significantly.
出处
《标记免疫分析与临床》
CAS
2015年第4期352-355,共4页
Labeled Immunoassays and Clinical Medicine
基金
军队中医药科研专项课题(10zyz245)
关键词
急诊生化
不及时率
品管圈
Emergency biochemistry
Untimely rate
Quality control circle