運用跨團隊合作降低急診室檢體退件率之改善專案

An interdisciplinary Team Approach to Investigate and Decrease Rejection Rate of Specimens in the Emergency Rooms

洪加芳(Chia-Fang Hong) ； 邱美紅(Mei-Hung Chiu) ； 蘇素匹(Su-Pi Su)

《馬偕護理雜誌》 15卷1期 (2021/01) Pp. 23-34

https://doi.org/10.29415/JMKN.202101_15(1).0003

摘要

檢驗報告是醫師進行診斷、篩檢疾病與治療追蹤的重要依據，正確有效的採集與傳送檢體，是確保檢驗品質與病人安全之重要基石。本單位2015年1-6月檢體退件率高達1.2%，經調查分析確認問題為：缺乏急診檢體採集教育訓練、護理人員未落實執行檢體採集前、後之資料辨識、缺乏檢體傳送工具。因而結合檢驗及資訊室跨團隊擬定對策：舉辦教育訓練、制定採集作業標準、稽核制度、設計血液注入試管順序表、增設檢體放置盒及運送工具、建置電腦輔助資訊系統等。專案執行後，2016年1-6月檢體退件率降至0.48%，透過此專案之執行，不僅降低檢體退件率，增加跨團隊合作關係，同時提升診斷治療之時效性及照護品質，達專案目的及效益。

關鍵字

跨團隊合作 ； 檢體退件 ； 急診室

並列摘要

Laboratory reports constitute a reliable foundation for medical diagnosis, screenings of diseases, and monitoring of treatment on which the quality of specimen and the safety of patients depend. Specimen data analyzed from January to June 2015 in an emergency room setting has revealed a rejection rate of 1.2%. This high rejection was investigated and influencing factors were concluded as: a lack of educational training on specimen collection and signification, nurses failed of to identify and verify labels pre- and post-collection of the specimens, and improper equipment of specimen transportation. An interdisciplinary team approach was in place for rejection improvement; with collaborations among information technologists and laboratory specialists, strategies were made to: arrange staff educational training, establish standard procedure and regulation for specimen collection and system auditing, set sequence chats from blood drawing to specimen insertion, increase the number of containers and equipment for specimen transportation, build a computer-assisted information system and so on. After project implementation for six months, the rejection rate of ER specimens has decreased to 0.48%. In addition, the correctness of diagnosis and treatment has improved, as well as the quality of care, achieving the predetermined project goal.

並列關鍵字

interdisciplinary team ； specimen rejection rate ； emergency rooms

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