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題名:某醫學中心綜合外科病房檢體溶血及凝固之改善方案
書刊名:長庚護理
作者:潘少陵陳淑卿李秀芳酆淑琴李昭儀莊佳玲
作者(外文):Pan, Shao-lingChen, Shu-chingLee, Hsiu-fangFeng, Shu-chinLee, Chao YiChuang, Chia Ling
出版日期:2005
卷期:16:2=50
頁次:頁190-201
主題關鍵詞:檢體溶血凝固改善方案SamplesHemolysisCoagulationImprovement approach
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:5
  • 點閱點閱:41
     抽血檢驗目的是為了解病患的身體狀況,根據病患的數據加以處置,但因檢體溶血及凝固的因素造成病患必須重新抽血送檢,延遲治療。現況中發現護理人員對抽血的認知達成率為57.5%,對抽血的技術行正確率為64.5%,主要缺乏抽血輔助指引及合適的送檢體容器,進而顯示檢體溶血及凝固仍有待改善,因此綜合以上缺失,進行本專案之改善方案,經過專案改善後,護理人員對抽血的認知達成率為95.9%,對抽血的技術行為91.8 %,且達統計上顯著差異,輔助容器於送檢過程能適當使用,檢體溶血件數由改善前的8件/月降為0件,血液凝固件數由改善前的2件/月降為0件,因此透過此專案的改善後,提升護理人員對正確抽血的認知及技術,進而降低檢體溶血及凝固之發生,讓病患可儘快得到最適當的治療。
     The purpose of blood testing was to evaluate physical status and provide appropriate treatment based on test results. Samples hemolysis and coagulation would inevitably cause re-drawing and consequently delay treatment. Before the improvement program was executed, the knowledge about blood drawing was 57.5% and procedure for blood drawing was 64.5% correct, indicating potential for improvement. After implementing the improvement program, the knowledge level increased from 57.5% to 95.9% and the procedure of blood drawing improved from 64.5% to 91.8% correct. After adequately using the assisting tools, the incidence of samples hemolysis and coagulation decreased from 8 and 2 incidences per month to zero. The program has been shown to be effictive not only in improving the nurses' knowledge but also improving skill of blood drawing.
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.Burns, E. R.、Yoshikawa, N.(2002)。Your lab focus: Hemolysis in serum samples drawn by emergency department personnel versus laboratory phlebotomists。Laboratory Medicine,33(5),378-380。  new window
3.Gayler, M.(1999)。Haemolysis of blood samples: What it is and how to avoid it。Nursing Times,95(21),54-55。  new window
4.Grant, M. S.(2003)。The effect of blood drawing techniques and equipment on the hemolysis of ED laboratory blood samples。Journal of Emergency Nursing,29(2),116-121。  new window
5.Kennedy, C.、Angermuller, S.、King, R.、Noviello, S.、Walker, J.、Warden, J.、Vang, S.(1996)。A comparison of hemolysis rates using intravenous catheters versus venipuncture tubes for obtaining blood samples。Journal of Emergency Nursing,22(6),566-569。  new window
6.Savory, J.、Bill, J. G.(1996)。Hemolysis of specimens drawn in the ER。Laboratory Medicine,27(12),802。  new window
圖書
1.長庚醫院(2000)。採血法工作規範(N13001)。桃園:長庚紀念醫院。  延伸查詢new window
2.Smith, S. F.、Duell, D. J.、Martin, B. C.(1996)。Clinical nursing skills basic to advance skills。Stamford Connecticut:Applecton & Lange。  new window
 
 
 
 
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