某醫學中心綜合外科病房檢體溶血及凝固之改善方案

抽血檢驗目的是爲了解病忠的身體狀況，根據病患的數據加以處置，但因檢體溶血凝固的因素造成病患必須重新抽血送檢，延遲治療。現況中發現護理人員對抽血的認知達成率爲57.5%，對抽血的技術行正確率爲64.5%，主要缺乏抽血輔助指引反合適的送檢體容器，進而顯示檢髓溶血及凝固仍有待改善，因此綜合以上缺失，進行本專案之改善方案，經過專案改善後，護理人員對抽血的認知達成率爲95.9%，對抽血的技術行爲91.8%，且達統計上顯著差異，輔助容器於送檢過程能適當使用，檢體溶血件數由改善前的8件／月降爲爲0件，以液凝固件數由改善前的2件／月降爲爲0件，因此透過此專案的改善後，提升護理人員對正確抽血的認知及技術，進而降低檢體溶血及凝固之發生，讓病患可儘快得到最適當的治療。

關鍵字

檢體；溶血；凝固；改善方案

並列摘要

The purpose of blood testing was to evaluate physical status and provide appropriate treatment based on test results. Samples Hemolysis attn coagulation would inevitably cause re-drawing and consequently delay treatment. Before the improvement program was executed, the knowledge about blood drawing was 57.5% and procedure for blood drawing was 64.5% correct, indicating potential for improvement. After implementing the improvement program, the knowledge level increased from 57.5% to 95.9% and the procedure of blood drawing improved from 64.5% to 91.8% correct. After adequately using the assisting tools, the incidence of samples hemolysis and coagulation decreased from 8 and 2 incidences per month to zero. The program has been shown to be effective not only in improving the nurses' knowledge but also improving skill of blood drawing.

並列關鍵字

samples ； hemolysis ； coagulation ； improvement approach

國際替代計量

某醫學中心綜合外科病房檢體溶血及凝固之改善方案

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