期刊文献+

PDCA循环在缩短急诊检验全程样本周转时间中的应用 被引量:4

Application of PDCA cycle in shortening sample turnover time of emergency inspection
原文传递
导出
摘要 目的:建立并不断完善急诊检验标本的全程样本周转时间(TAT)评价方案,促进急诊标本TAT的内部监测,不断提高实验室的服务质量。方法:采用实验室信息系统(LIS)和医院信息系统回顾性统计分析,2017年4至6月实行PDCA管理前与2018年4至6月应用PDCA管理后急诊检验标本TAT相关数据。使用Excel电子表格计算全血细胞计数、急诊干生化标本、凝血常规项目的检验前TAT、检验中TAT、检验后TAT和总TAT。结果:经过PDCA管理后,全血细胞计数的检验前TAT、检验中TAT、检验后TAT和总TAT均明显低于实施之前,前后差异有统计学意义(P<0.05);急诊生化标本检验前TAT、检验中TAT、检验后TAT和总TAT均明显低于实施之前,差异有统计学意义(P<0.05)。凝血常规项目的检验前TAT、检验中TAT、检验后TAT和总TAT均明显低于实施之前,差异有统计学意义(P<0.05)。结论:通过使用PDCA质量管理工具缩短全程样本周转时间,减少临床医生的等待时间,为急诊患者抢救赢得时间,推动实验室质量管理的持续改进。 Objective:To establish and continuously improve the evaluation scheme of the whole-course sample turnover time(TAT)of emergency test specimens,promote the laboratory to carry out internal control of the whole-course TAT of test specimens,and continuously improve the quality of laboratory services.Method:The laboratory information system(LIS)and hospital information system were used to analyze retrospectively TAT data of emergency test specimens from April to June 2017 before PDCA management and from April to June 2018 after PDCA management.TAT before the test,TAT during the test,TAT after the test and total TAT of whole blood cell count,emergency dry biochemical tests and coagulation routine items were counted by Excel spread sheet.Result:After PDCA management,TAT before test,TAT during test,TAT after test and total TAT before and after test of whole blood cell count were significantly lower than those before implementation,and the difference was statistically significant(P<0.05).After PDCA management,TAT,TAT in the test,TAT after the test and total TAT of emergency dry biochemical test were significantly lower than before,and the difference was statistically significant(P<0.05).The TAT before test,TAT during test,TAT after test and total TAT after test of coagulation routine items were significantly lower than those before implementation.The difference was statistically significant(P<0.05).Conclusion:Use of PDCA quality management tools could shorten the whole sample TAT,reduce the waiting time of clinicians,win time for emergency patient rescue,and promote the continuous improvement of laboratory quality management.
作者 崔海涛 姜晓燕 毛从答 李修敏 CUI Haitao;JIANG Xiaoyan;MAO Congda;LI Xiumin(Department of Clinical Laboratory,Jiaozhou Central Hospital Of Qingdao,Qingdao,266300,China)
出处 《临床血液学杂志(输血与检验)》 CAS 2019年第3期446-450,共5页 Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)
关键词 戴明循环 全程样本周转时间 急诊检验 PDCA turnaround time emergency examination
  • 相关文献

参考文献7

二级参考文献45

  • 1吴治,郑丽君,王玫.条形码检验信息系统在临床检验工作中的应用[J].护理学杂志,2005,20(15):46-47. 被引量:11
  • 2Steindel SJ. Timeliness of clinical laboratory tests-A discussion based on five College of American Pathologists Q-Probe studies [ J 1. Arch Pathol Lab Meal,1995,119(10) :918-923.
  • 3Lundberg GD. Acting on significant laboratory results [ J ]. JAMA, 1981,245(17) :1762-1763.
  • 4Howanitz PJ, Cembrowski GS, Steindel SJ, et al. Physician goals and laboratory test turnaround times-A College of American Pathologists Q-Probes study of 2763 clinicians and 722 institutions [ J ]. Arch Pathol Lab Med,1993,117( 1 ) :22-28.
  • 5Steindel S J, Howanitz PJ. Physician satisfaction and emergency depart- ment laboratory test turnaround time [ J ]. Arch Pathol Lab Med, 2001,125 (7) : 863-871.
  • 6Valenstein PN, Emancipator K. Sensitivity, specificity and reproduc- ibility of four measures of laboratory turnaround time [ J ]. Am J Clin Pathol,1989 ,91 (4) :452-457.
  • 7Steiudel SJ, Novis DA. Using outlier events to monitor test turnaround time-A College of American Pathologists Q-Probes study in 496 labo- ratories [ J]. Arch Pathol Lab Med, 1999, 123 (6) :607-614.
  • 8Howanitz JH, Howanitz PJ. Laboratory results timeliness as a quality attribute and strategy [ J ]. Am J Clin Pathol,2001,116 ( 3 ) : 311-315.
  • 9卫生部临床检验中心.卫生部临床检验中心关于报告周转时间(TAT)的现状调查[EB/OL].(2011-3-1)[20114-29].http://www.clinet.com.cn/online/?type=detail&id=219.
  • 10Steindel S J, Jone BA. Routine outpatient laboratory test turnaround times and practice patterns-A College of American Pathologists Q- Probes study [ J ]. Arch Pathol Lab Med ,2002,126 (1) :11-18.

共引文献105

同被引文献49

引证文献4

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部