标准作业程序在静脉血标本实验室前质量管理中的应用

Application effects of Standard Operating Procedure on the management of venous blood specimens before laboratory

目的探讨标准作业程序在静脉血标本实验室前质量管理中的应用效果。方法将静脉血标本采集标准作业程序应用到静脉血标本实验室前质量管理中,比较实施前后护士静脉采血操作技能、采血并发症发生率、标本不合格率等方面的差异。结果标准作业程序实施前后护士静脉采血操作考核得分分别为(85.43 ± 5.07)、(91.28 ± 4.78)分,实施前后比较差异有统计学意义(t=-8.104,P=0.024)。实施前采血并发症发生例数、标本不合格例数、护理因素所致标本不合格例数分别为21、95、51例,实施后分别为9、63、21例,实施前后比较差异有统计学意义(χ^2=4.887、6.052、6.325,P<0.05)。结论标准作业程序可以提升护士静脉采血能力,降低采血并发症发生率,保障静脉血标本实验室前质量。

objective To explore the effect of Standard Operating Procedure on the management of venous blood specimens before laboratory. Methods Blood collection SOP was established and applied on the management of venous blood specimens before laboratory.Nursing capacity,complication rate,rate of unqualified blood specimens were compared between before and after the SOP applying. Results Before and after the applying of SOP, the blood collection capacity of nurses were 85.43±5.07,91.28±4.78,the differences were statistically significant(t=-8.104, P=0.024). Before the applying of SOP, amounts of complication about venous blood collection, unqualified blood specimens and unqualified blood specimens which lead by nursing factors were 21, 95, 51, while after the applying, the amounts were 9, 63, 21, the differences were statistically significant (χ2=4.887, 6.052, 6.325, P<0.05). Conclusion Application of Blood collection SOP can promote nursing capacity of blood collection and reduce the incidence of unqualified venous blood specimens,improve the quality of venous blood specimens.