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題名:建立組織切片檢體運送處置流程方案
書刊名:榮總護理
作者:楊明菊王慧儒陳小萍楊慧珍
作者(外文):Yang, Ming-chuWang, Huei-ruChen, Hsiao-pingYang, Huei-chen
出版日期:2009
卷期:26:3
頁次:頁228-236
主題關鍵詞:檢體流程改造SpecimenProcess reengineering
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(2) 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:2
  • 共同引用共同引用:0
  • 點閱點閱:3
放射線介入檢查後檢體的收集與運送是一項很重要的工作,任何錯誤都會影響病患診斷、治療與健保給付。統計本單位2006/9~2007/8有1153件檢體送出10件組織切片檢體遺失,遺失率為0.87%,遺失檢體必需重新安排檢查,造成病人重複曝露檢查風險,且對本院醫療品質失去信心;也造成工作時數、技術醫材費之損耗。分析其原因包括在政策面、執行的程序步驟、軟硬體設備、工作人員等,都需改進。因此著手進行改善方案,針對過程面制定病患切片檢體運送標準流程、檢體收集之範本及安排同仁教育訓練、加強宣導。於2007年12月17日~21日及2008年1月28日~2月1日,共收集52件切片檢查案例,檢體遺失率降為0%,檢體標示包裝正確率98.12%;檢體運送流程完整性提升至98.08%,同仁對專案滿意度達96.3%。
The collection and delivery of the specimen after tissue biopsy is an important work in the department of radiology. For the duration of 2006/9~2007/8, we found 0.87% of specimens lost during collection and delivery, which resulted in repeating examinations and the waste of medical resources. Three leading causes of specimen loss were: (1) non-standardarized packaging, (2) poor marking on the specimens, (3) lack of standardized specimen delivery flow path. A project was developed to improve these problems during 2007/11~2008/1.We established the standards for tissue biopsy specimen delivery process including how to collect and wrap the specimen correctly. We carried out staff education programs of these standard procedures and communicated these changes with every related coworker. Finally, the rate of specimen loss was 0%and the correct rate of collected and wrapped specimen was 98.12%; the complete rate of specimen delivery process was 98.08%; and the satisfactory rate of this project was 96.3%.
期刊論文
1.郭英調(20050500)。醫療品質概論。臺灣醫學,9(3),392-394。  延伸查詢new window
2.Rodriguez, L. V.、Terris, M. K.(1998)。Risk and complications of transrectal ultrasound guided prostate needle biopsy a prospective study and review of the literature。Journal of Urology,160(1),2115-2120。  new window
3.Kakehi, Y.、Naito, S.、Japanese Urological Association(2008)。Complication rates of ultrasound-guided prostate biopsy: A nation-wide survey in Japan。International Journal of Urology,15(4),319-321。  new window
4.Weinheimer, C. F.(1993)。Educate, advocate, and participate。Healthcare Financial Management,47(6),37-39+41-43。  new window
5.Sheikh, M.、Hussein, A. Y.、Kehinde, E. O.、Al-Saeed, O.、Rad, A. B.、Ali, Y. M.(2005)。Patients tolerance and early complications of transrectal sonographically guided prostate biopsy: Prospective study of 300 patients。Journal of Clinical Ultrasound,33(9),452-456。  new window
圖書
1.Hammer, M.、Champy, J.、楊幼蘭(1997)。改造企業:再生策略的藍本。台北:牛頓。  延伸查詢new window
其他
1.Joint Commission on Accreditation of Healthcare Organization(20060601)。2006 National Patient Safety Goals,http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/06_npsgs.htm。  new window
圖書論文
1.Talwar, R.(1994)。Re-engineering: A wonder drug for the 90s?。Business process re-engineering: myth and reality。London:Kogan Page。  new window
 
 
 
 
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