降低冰送檢體退件率之方案

A Project to Reduce the Rejection Rate of Refrigerated Specimens

丁淇平(Chi-Pine Ting) ； 陳香蘭(Hsiang-Lan Chen) ； 林靜君(Jin-Jun Lin) ； 柯幸芳(Hsing-Fang Ko)

《志為護理-慈濟護理雜誌》 13卷1期 (2014/02) Pp. 69-79

摘要

檢體採集後退件會造成病人診斷與治療時間延誤，影響醫院成本及增加人力負荷。檢體收集過程中可預防之人為因素，應被控制並降低。本單位自2010年1月至4月間，冰送檢體退件率為3.66%，高於全院之冰送檢體退件率0.38%。經分析問題為護理人員冰送檢檢體認知正確率僅62.1%、冰送檢體收集標準作業未落實執行、設備適用性不便等人為失誤所至，針對人為失誤經驗提出採檢範本製作、認知教育、裝置設備改善、檢體收集指引範本等方針。冰送檢檢體之退件率由3.66％降至0%，有效改善單位冰送檢體退件率，確保醫療診療時效及提昇醫療服務品質。

關鍵字

冰送檢體 ； 退件率 ； 人為因素

並列摘要

Any rejection to collected specimens may prolong diagnosis and treatment time, as well as an increase in hospital spending and personnel loading. Any human factors during specimen collection should be monitored and reduced. From Jan. to April 2010, the refrigerated specimen rejection rate of the ward was 3.66%, higher then hospital average of 0.38%. Cause analysis attributed the issues to the following human errors: The recognition rate of nursing staffs on refrigerated specimen was merely 62.1%; the standard procedure of refrigerated specimen collection was improperly executed, and the specimen equipment was inappropriate. To counter these human errors, the following solutions were proposed: design specimen collection procedure, education training plans, DIY refrigeration specimen bag, and specimen collection guidelines. Upon implementation, the consequent rejection rate dropped form 3.66% to 0%, effectively improved the refrigerated specimen rejection rate and ensured the efficiency of medical treatment and the quality of services.

並列關鍵字

human factors ； refrigerated specimen ； specimen rejection rate