应用品管圈降低ICU出凝血功能检验非计划性复检率的-中国护理管理.PDF

ICU 专题 Topical Issues 应用品管圈降低ICU出凝血功能检验 非计划性复检率的实践 蒋凯 陈玲玲 宋樱桃 [ 摘 要] 目的：探讨品管圈管理工具在降低 ICU出凝血功能检验非计划性复检率中的应用。方法：成立品管圈小组，确立 “降低 ICU出凝血功能检验非计划性复检率”为活动主题，进行现况调查、目标设定、原因分析、对策拟定，应用PDCA循环 原则实施各项对策。结果：开展品管圈活动后，使 ICU出凝血功能检验非计划性复检率由8.93% 降至 2.24%，P0.05，差异有 统计学意义。结论：应用品管圈活动对采集出凝血标本进行管理控制，可以有效降低 ICU出凝血功能检验非计划性复检率，同 时也降低了 ICU非必要医疗成本的支出并减少了患者血液的浪费。 [ 关键词 ] 出凝血功能；非计划性；品管圈；复检率 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.05.017 The application of Quality Control Circle in reducing non-planning re-inspection rate of the blood coagulation function test in ICU / JIANG Kai, CHEN Lingling, SONG Yingtao // Intensive Care Unit, Zhejiang Province Zhoushan Hospital, Zhoushan, 316000 China /// Chinese Nursing Management-2015,15(5): 571-574 [Abstract] Objective: To explore the application effect of Quality Control Circle (QCC) management tool in reducing non- planning re-inspection rate of the blood coagulation function test in ICU. Methods: Under the principle of PDCA circulation, we set up QCC group, established the activity theme as reducing non-planning re-inspection rate of the blood coagulation function test in ICU , invested the present situation, set goals, analyzed the reason and selected countermeasures. Results: Non-planning re-inspection rate of the blood coagulation function test in ICU decreased from 8.93% to 2.24% (P0.05) after carrying out QCC activity, the difference was statistically significant. Conclusion: The management of the blood coagulation samples with QCC activity can not only effectively reduce non-planning re-inspection rate of the blood coagulati