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題名:降低病房檢體異常之改善專案
書刊名:長庚護理
作者:林金蓮康秀雲楊君菁
作者(外文):Lin, Chin-lienKang, Hsiu-yunYang, Jiun-jing
出版日期:2011
卷期:22:1=73
頁次:頁73-83
主題關鍵詞:檢體異常ISO品質管理標準作業流程Abnormal specimenInternational standard organization quality controlSOPStandard operation procedure
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(5) 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:5
  • 共同引用共同引用:7
  • 點閱點閱:47
為迅速確實、執行檢體採集與送檢,將檢體退件數降到最低,減少醫療資源浪費,避免延誤病情,故以「病房檢體異常登錄表」為工具,統計2006年1月到12月檢體異常件數共380件,每月異常件數最多35件,最少27件。依柏拉圖80/20法則分析其主要異常原因有檢體不足、未標示姓名、容器錯誤、檢體未簽名、缺檢體、檢體與檢驗單姓名不符、開錯單或缺單。經由文獻查證運用ISO品質管理系統原則及特性,建立標準作業流程,制定病房檢體採集與送檢流程圖、製作檢體採集指引本;並加強宣導及舉辦在職教育訓練等改善措施後,持續監測2007年7月到2007年12月,除8月份異常件數6件外,其他檢體異常件數均降為每月5件以下,已達本專案改善檢體異常及提供完善服務之目的。
In order to accurately and promptly collect and submit specimens, reduce the number of returned specimens, and avoid the waste of medical resources and delay of medical treatment, we used an “Abnormal Specimens Entry Sheet” as a tool to calculate the number of abnormal specimens from January 2006 to December 2006. A total of 380 abnormal specimen cases were identified during that period. The number abnormal specimens per month ranged from 27 to 35 cases. According to the 80/20 rule of Plato, the most common abnormalities were insufficient specimens, unlabelled specimens, container error, unsigned specimens, missing specimens, incorrect match between a specimen and a test, and missing or incorrect forms being used. Using the ISO quality control technique, a standard operation procedure was developed. A submission-for-inspection flowchart guidelines were developed. We advocated and provided training programs. After the improvement measure, continuous monitoring from July 2007 to December 2007 showed that the number of the abnormal specimens was less than 5 per month with 1 exception of 6 cases in August 2007. The projects reached the goal of reducing the number of abnormal specimens.
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.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
3.方莉、明勇、李台民、方淑慧(20050900)。影響病患血液檢體溶血之收集流程因素探討。長庚護理,16(3)=51,301-307。new window  延伸查詢new window
其他
1.史文龍(1997)。ISO國際標準組織、沿革、領域 與制定程序。  延伸查詢new window
2.石曜堂、張政國(2008)。醫療品質發展趨勢探討。  延伸查詢new window
3.范秀琴(2004)。建立檢驗室文件化之品質系統。  延伸查詢new window
4.戚威明(2004)。談檢驗醫學倫理。  延伸查詢new window
5.張錦標、祝年豐、董潔、顏瓊姿(2000)。台灣地區某系統醫院醫事檢驗人員工作壓力及其因應之研究。  延伸查詢new window
6.張顯洋、鎭明常、陳春琴、張勝立(2000)。標準作業程序於醫院品質改善之應用--以個案醫院檢驗部爲例。  延伸查詢new window
7.謝美玲(2002)。ISO 9002制度於護理管理之應用。  延伸查詢new window
8.蕭文(2002)。國際標準認證與ISO-9000。  延伸查詢new window
9.羅碧芬、張錦標、戚威明、李偉華(1998)。尿液常規分析:檢體收集與處理品質保證的探討。  延伸查詢new window
10.Carol, J. H.(2003)。Quality health care in an era of limited resources.。  new window
11.D’Onofrio, C. N.(2001)。Hospice quality improvement programs: An initial examination。  new window
 
 
 
 
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