运用品管圈活动干预肿瘤患者大小便标本留检率.docVIP

运用品管圈活动干预肿瘤患者大小便标本留检率 　　[摘要] 目的 探讨品管圈活动干预肿瘤患者大小便标本的留检率效果。 方法 科室成立“齐齐圈”品管圈，通过品管圈活动步骤,运用质量管理常用工具对肿瘤患者大小便标本留检率较低的问题加以改进[1]。实施品管圈前后，对我科连续某月收治病人的大小便标本留检率进行统计，分析入院后3 d及出院时留检率的改善情况。 结果 实施品管圈活动后，我科患者入院后3 d及出院时大便留检率分别从33.33%和62.86%提升到74.04%和96.15%，相应时间点的小便留检率分别从38.89%和64.81%升高至95.45%和100%， 具有统计学意义（P 0.01）。结论 通过QCC活动，住院患者大小便标本的留检率显著提高。 　　[关键词] 品管圈活动；肿瘤患者；大小便留取率 　　[中图分类号] R197.323[文献标识码] C[文章编号] 1673-9701（2014）18-0106-04 　　 　　A study on the effect of QCC in enhancing the specimens sending rate of stool /urine from cancer patients 　　SUN Xiaojun1 MAO Aiyu1WANG Yanling1 YU Jianchun2 　　1.Chemoradio-therapy Center of Yinzhou People’ Hospital of Ningbo, Ningbo 315040 , China; 2.Peking Union Medical College,Beijing 100730,China 　　[Abstract] Objective To investigate the improvement by QCC on sending rate of stool /urine from cancer patients. Methods We carried out a process named the neat ring quality circles. In the process we tried to enhance the patients’ specimen sending rate of stool/urine by quality control. We internalizedinpatientswho were hospitalized in our department in a certain month before and after QCC had been implemented, analyzed their stool /urine sending rate on the third day after their admission and the day when they left the hospital. Results The stool sending rate on corresponding dates increased from 33.33% and 62.86% to 74.04% and 96.15%,as to urine, the sending rate augmented from 38.89% and 64.81% to 95.45% and 100% respectively. All differences were statically significant（P 0.01）. Conclusion The specimen sending rate of stool /urine from cancer inpatients were substantially enhanced through the implement of QCC. 　　[Key words] QCC;Cancer patients; The stool urine specimens remain rate 　　 品管圈（QCC）是指同一单位或工作性质关联的人员，自发组成一个小团体，通过轻松愉快的现场管理与全员参与方法，科学运用品管工具，持续地进行效率提升、降低成本、提高产品质量等活动的小组[2]。QCC是持续质量改进的运作方式，已不断融入医院细节管理中[3]。我科于2011年10月起在科室层面成立了品管圈-齐齐圈。运用品管圈的管理工具对科室内存在的质量问题进行持续质量改进。大小便标本送检是住院患者的常规检查之一，是反映患者病情最基本的试验指标之一，也是病历质量管理的要求。但是临床上由于各种原因导致患者大小便标本不能及时留取、送检