- 期刊
- OpenAccess
用PDCA循環方法降低血液製品報廢的應用研究
Using the PDCA cycle to reduce blood component wastage
摘要
目的：用循環式質量管理（Plan-Do-Check-Act, PDCA）方法分析血液製品出庫後報廢的原因，探討合理、正確使用血液製品的管理措施，以減少血液製品的報廢。方法：收集2019年4月～2022年12月，出庫後各種血液制品未正常輸注的數據及狀況，以2019年4月～2019年12月為第一階段PDCA措施改進前、2020年1月～2022年12月為第二階段PDCA措施改進後，卡方檢驗分析兩階段血液製品報廢率的差異性。結果：第二階段每年的血液製品報廢總量均少於第一階段，報廢率統計P <0.05，差異有統計意義。結論：採用PDCA循環管理方法加強血液製品出庫後的管理，優化管理措施，能有效減少血液製品的報廢。
並列摘要
Objective: To use the PDCA (Plan Do Check Act) management cycle to establish a reasonable blood component management system for reducing component waste after it is released from the blood bank. Methods: Blood component waste data were collected from April to December 2019 to determine the basic conditions of the participants. After analyzing the underlying reasons, we applied several improvements in waste management and performed the second period of data collection, from January to December 2020, 2021 and 2022, annually. The chi-square distribution method was used to assess differences. Results: After improvement, a comparison of the blood component wastage, and the difference between the first and second periods by year was significant (P<0.05). Conclusion: The introduction of a PDCA management cycle is a useful tool for reinforcing blood component management after the blood component is released to the ward and effectively decreasing waste.