运用QCC降低血标本采集不合格率.docVIP

精品论文 参考文献 运用QCC降低血标本采集不合格率 (四川省人民医院耳鼻喉科 四川 成都 610072) 【摘要】目的 探讨QCC在降低血标本采集不合格率中的作用。方法 运用 QCC手法进行原因分析、现况把握、真因寻找、目标设立，寻找耳鼻喉科血标本采集不合格的真因，制定有针对性的措施，加强督促落实，将改进成果标准化、制度化。结果 耳鼻喉科住院患者血标本采集不合格率由活动前的3.32%降低到活动后的1.69%，目标达成率为98.8%。活动前后比较试管使用知晓率由 55.8%提高到93.3%、运送标本时间由 平均71分钟送达降低到36. 5分钟送达、病员未在病房错过采血时间由8人次降低到4人次、结论 运用QCC手法进行质量改进，能降低血标本采集不合格率，提高检查结果的准确性，及时为患者治疗提供准确依据。 【关键词】QCC ；血标本；不合格率；真因 【中图分类号】R472【文章标识码】A Using QCC reduce the failure rate of the blood samples collected [Abstract] Objective To explore the role of QCC in reducing the failure rate of blood collection. Method Using QCC to analyze reasons, grasp current, search for truth and set goals, to find the true cause of the failure of blood collection in department of ENT. So that to develop targeted measures and Strengthen supervision and Implementation. And then Improve the results into standardized and institutionalized. Result The failure rate of blood samples collected from patients in department of ENT was reduced from 3.32% to 1.69% after the activity, the target yield rate was 98.8%. Comparing the activity after and before, the test tube awareness rate was increased from 55.8% to 93.3%, the average time of delivery was reduced to 36.5 minutes from 71 minutes and the patients who were not in ward and missed the blood sampling was reduced to 4 from 8. Conclusion Using QCC for quality improvement can reduce the failure rate of the blood samples collected, improve the accuracy of the results, and provide accurate basis for the patients treatments in a timely manner. [key word ] QCC Blood specimen Failure rate Truth QCC，是指工作岗位上从事各种劳动的职工，围绕企业的经营战略、方针、目标和现场存在的问题，以改进质量，降低消耗，提高人的素质和经济效益为目的组织起来的，运用质量管理理论和方法开展活动的组织[1]。血标本采集的范围包括医嘱的查对，选择合适的采血管，执行采血操作，处理血标本，及标本运送[2]；血标本采集准确性直接影响检验质量， 甚至影响临床判断， 可导致误诊、误治， 加重患者经济负担， 增加医患矛盾。只有规范血标本采集，才能确保检验结果的可靠性［3］。 1研究对象与方法 1.1研究对象 2014年8月入住我科的186例住院患者的1114份血标本以及2014年9月入住我科的189例住院患者的1126份血标本作为研究对象。两组患者的年龄、性别、文化程度等无显著差异。 1.2研究方法 1.2.1以圈员投票形式从上级政策、重要性、迫切性