- 期刊
急診檢體退件率改進方案
A Project of Improving the Rejection Rate of Specimens in the Emergency Room
摘要
檢體的運送和收集是一項很重要的急診工作。不同檢體的收集方式及規定容易造成許多檢體的退件。任何一件檢體的失誤都將影響病患疾病的診斷與治療；但是在忙碌緊張的急診工作中，要精確的完成檢體的收集和運送並非易事。從86年7月至9月，本院急診室共有5372件檢體送出，卻有1.18%檢體遭退件，分析其原因包括：容器不符、標籤和申請單不符、檢體未貼標籤、檢體滲出、檢體量不足、檢體錯誤等。因此我們著手進行此方案，依據持續品質促進理念Continuous Quality Improvement (CQI)來改善問題，針對此問題我們制定出檢體送出的標準流程、檢體收集之範本、檢體退件評核表及安排在職教育加強宣導。實施至87年4月檢體的退件率已降至0.5以下。迄今，急診檢體被退件的情形已成爲稀有或偶發事件。
並列摘要
Specimen collection and delivery are important works in emergency department (ED). However, different collections and specifications of specimens have brought out many rejects so far. Any missing of a specimen may affect the diagnosis and the treatment of a patient’s disease. But it is not easy to collect specimens exactly while ED overcrowding.
From July to September in 1997, a total of 5372 specimens were collected in our ED. 1.18% (64/5372) of specimens were rejected by different departments. Six leading causes of rejections were as follows: 1) specimen is unsuited to container, 2) sticker mismatch, 3) no sticker to mark container 4) container leakage or package contamination 5) shortage of specimen and 6) wrong specimen .A program to reduce rejection of specimens with the method of Continuous Quality Improvement (CQI) was developed in October 1997. By CQI method, rejection rate of specimens dropped under 0.5% in April, 1998. Until now, the rejection of specimens has been rare and accidental.
被引用紀錄
延伸閱讀
- 蘇家禎、陳美芳、黃珊（2006）。某醫學中心急診室檢體退件率之改善專案。醫護科技學刊，8(1)，78-87。https://doi.org/10.6563/TJHS.2006.8(1).7
- 楊淑寬、楊欽堯（2005）。降低住院病房檢體退件率之改善方案。澄清醫護管理雜誌，1(1)，72-81。https://doi.org/10.30156/CCMJ.200501.0011
- 許美蘭、那愷庭、李靜怡、蔡瑛瑛（2008）。供應中心手術器械包滅菌效期改進方案。榮總護理，25(2)，188-195。https://doi.org/10.6142/VGHN.25.2.188
- 胡寶雪、胡曉珍、黃惠如、趙慧玲、雷宜芳（2014）。運用失效模式與效應分析改善手術室病理檢體採集送檢流程及退件率。護理雜誌，61(2)，50-59。https://doi.org/10.6224/JN.61.2S.50
- 葉玄麗、許莉宛、李昀蓁（2019）。Improve Rejection of Specimens in the Surgical Ward。高雄護理雜誌，36(2)，17-27。https://doi.org/10.6692/KJN.201908_36(2).0002