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題名:降低送檢檢體錯誤率之方案
書刊名:護理雜誌
作者:廖淑櫻高麗雀柯惠芳陳俞琪
作者(外文):Liao, Shu-yingKao, Li-chuehKo, Heui-fangChen, Yu-chi
出版日期:2005
卷期:52:4
頁次:頁31-39
主題關鍵詞:送檢檢體錯誤率SpecimensMistaken rate
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:7
  • 點閱點閱:22
     檢體的收集送檢是護理工作中重要的一項,其過程中任何一個步驟的失誤將影響到病患的診斷與治療,增加工作人員的負擔及醫療成本之浪費。本單位自民國91年4月至7月間,送檢檢體的總件數為3,382件,檢體錯誤共43件,錯誤率為1.27%。分析其主要要因有:(1)護理人員對檢體收集程序及注意事項之相關知識不足、(2)檢驗單之處理程序步驟不合宜、(3)血液檢體置放盒不適用、(4)檢體收集一覽表查詢不易。本專案係運用持續性品質改進之PDCA過程執行改善,針對問題從人員、設備、程序三方面制定策略。此方案實行之後,發現送檢檢體之錯誤率由1.27%下際為0.49%,進步率為61.4%,目標達成率為101.3%。這個改善方案不僅降低了送檢檢體之錯誤率,設備上的改善更提高了工作人員之方便性與滿意度。
     Specimen collection is an important task of nursing care. Any failure to collect the whole missing of a specimen may affect diagnosis and treatment. It will also increase the workloads of staff and the cost of medicines. From April to July 2002, a total of 3,382 specimens were collected in Al 12 ward in Taipei Veterans General hospital. There were 43 wrong specimens, 1.27% of the total. Analysis showed that the reasons for the error were as follows: (1) The level of knowledge about the test tubes and about the volume of specimens was low. (2) The procedure for dealing with application from was not appropriate. (3) The box in which specimens were kept was not appropriate. (4) The checklist was bad. The PDCA process used in this project reduced the rate of wrong specimens. The strategy was designed with three dimensions: stall, facilities, and procedure. After it was implemented, the rate of wrong specimens dropped from 1.27% to 0.49%, the improvement rate was 61.4%, and the rate of achievement was 101.3%. This project not only reduced the rate of wrong specimens, but also made the process easier and more safisfying for stall.
期刊論文
1.林慧玲、魯英屏、郭瑞燕(20010600)。急診檢體退件率改進方案。榮總護理,18(2),186-192。new window  延伸查詢new window
2.李智隆(19950400)。細菌性檢體之採集及運送。衛生報導,5(4)=50,18-23。  延伸查詢new window
3.徐南麗(19961200)。病人分類系統與護理費用。護理雜誌,43(4),23-33。new window  延伸查詢new window
4.曾倫崇(20000400)。淺談醫院全面品質管理。品質管制月刊,36(4),64-67。  延伸查詢new window
5.鄒海月(19981200)。全面品質管理於護理服務之應用。領導護理,2(2),1-10。  延伸查詢new window
6.戴佛香(19940400)。臨床微生物學檢驗之標本收集法。國防醫學,18(4),314-319。  延伸查詢new window
7.謝國珍、李珮瑜、林長安、蕭玉卿、李舜基、陳再晉(20021000)。衛生署所屬醫院檢驗品質提升策略--推動醫學測試認證。醫院,35(5),44-50。  延伸查詢new window
8.羅碧芬、張錦標、戚偉明、李偉華(19981000)。尿液常規分析:檢體收集與處理品質保證的探討。國防醫學,27(4),230-236。  延伸查詢new window
9.Frizzell, J.(1998)。Avoiding laboratory test pitfalls。American Journal of Nursing,98(2),34-37。  new window
10.Hug, G. P.(2001)。Literature search improvement project。Medical Reference Services Quarterly,20(4),39-46。  new window
11.Manfredi, S. R.、Canziani, M. E.、Draibe, S. A.、Dalboni, M. A.、Andreolli, M. C.、Watanabe, R.(2003)。A model for improving quality in nephrology settings。Journal of the American Nephrology Nurses' Association,30(3),295-299。  new window
12.Saxena, S.、Ramer, L.、Shulman, I. A.(2004)。A comprehensive assessment program to improve blood-administering practices using the FOCUS-PDCA model。Transfusion,44(9),1350-1356。  new window
13.Schortell, S. M.、O'Brien, J. L.、Carman, J. M.、Foster, R. W.、Huges, E. F.、Boerstler, H.(1995)。Assessing the impact of CQI/TQM: Concepts vs. implementation。Health Services Research,30(2),377-401。  new window
14.Weinheimer, C. F.(1993)。"Educate, advocate, and participate" says Weinheimer。Healthcare Financial Management,47(6),37-39+41-43。  new window
15.張錦標(19950200)。臨床尿液檢體收集與處理。國防醫學,20(2),130-137。  延伸查詢new window
會議論文
1.吳竹蘭(199710)。臨床檢驗品質。八十六年度會員大會暨學術活動--醫療品質之理想與實務,中華民國醫療品質協會主辦 。台北:萬芳醫院。  延伸查詢new window
 
 
 
 
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