临床标本的缺陷分析与流程再造的效果观察

Abstract

目的 对临床标本送检流程进行改进,规范标本的储存和运送流程,以降低临床标本的不合格率。方法 成立标本流程再造团队,统计2014年1—12月及2015年1—12月的不合格的检验标本,绘制标本采集运送流程,分析临床标本送检的流程,对存在的缺陷环节进行分析,进而制定改进措施,对标本的采集、标本的存储、交接及运送进行流程优化再造。对比再造流程前后标本送检的不合格率。结果 标本不合格率由2014年的2.73‰下降至2015年的2.12‰（P〈0.01）。结论 对临床标本运送流程进行分析改进,有效降低标本不合格率,提高标本管理的有效性,确保医疗护理安全。

Objective To improve the procedure of clinical specimen delivery, standardize the storage and delivery of specimens, so as to reduce the disqualification rate of clinical specimens. Methods Specimen reengineering team was established, and unqualified specimens from January to December 2014 and January to December 2015 were collected. Drawing specimen collection and transportation process, and the existing defects were analyzed, then the improvement measures are made. The process of specimen collection, specimen storage, hand over and delivery was optimized. The unqualified rate of the sample before and after the reconstruction process was compared. Results The rate of unqualified specimens declined from 2.73%0 in 2014 to 2.12‰ in 2015 （P 〈 0.01）. Conclusion The analysis and improvement of clinical specimen delivery process can effectively reduce the rate of specimen failure, improve the effectiveness of specimen management, and ensure the safety of medical care.