降低健康管理中心檢體退檢率

To Reduce The Specimen Rejection Rate in a Health Management Center

胡素儒(Su-Ju Hu) ； 吳麗娟(Li-Jiuan Wu) ； 韋岭岄(Lin-Yueh Wei) ； 陳瑞芳(Juei-Fang Chen) ； 王郁華(Yu-Hua Wang) ； 林佳慧(Chia-Huei Lin)

《源遠護理》 15卷1期 (2021/03) Pp. 30-39

https://doi.org/10.6530/YYN.202103_15(1).0005

摘要

檢體採檢結果乃協助醫師快速診斷及正確治療的重要依據。2016年10－12月本中心血液檢體退檢率高達1.41％，引發專案小組改善動機，目的在降低健康管理中心血液檢體退檢率。根據現況分析主要問題為：未落實血液檢體採檢作業流程、血液檢體採檢及溶血相關認知教育訓練不足、檢體條碼標籤未全面資訊化。經文獻查證及團隊討論後，擬定解決辦法，進行教育訓練、設計血液檢體採檢相關工具、血液檢體採檢流程光碟、建立檢體標籤條碼資訊化。專案實施結果發現血液檢體退檢率由1.41％降至0.08％；血液檢體採檢正確率由73.1％提升至98.1％，顯示此專案能強化護理師執行血液檢體採檢之正確性，有效降低血液檢體退檢率，以達到安全的就醫環境。

關鍵字

檢體 ； 退檢率 ； 護理

並列摘要

Accurate blood test results are imperative for physicians to make timely diagnosis and treatment decisions. The blood specimen rejection rate of the studied health management center was 1.41% during the 4th quarter 2016. A project improvement team formed aiming to lower the blood specimen rejection rate. Assessment of the practice situation revealed the causes of this high rejection rate included: lack of professional knowledge, inappropriate blood withdrawal procedures, hemolysis-related problems, and lack of barcode labeling on the specimen. After literature review and team discussions, the team developed a staff training programs, a blood withdrawal checklist, a multimedia disc to standardize blood withdrawal procedures, and a specimen barcode labeling system. After the implementation of the strategies, the blood specimen rejection rate reduced from 1.41% to 0.08% and the correct blood specimen collection rate increased from 73.1% to 98.1%. The project was effective in the improvement of patient safety in the medical facility.

並列關鍵字

specimen ； rejection rate of specimens ； nursing

參考文獻

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