摘要
目的观察PDCA循环在血吸虫病实验室样本管理中的应用效果。方法收集2014年6月~2015年5月血吸虫病免疫实验室不合格样本信息,针对样本不合格原因于2015年6月~2016年5月运用PDCA循环理论对样本采集前与受检者沟通、样本采集操作、信息标注、贮存与转运及样本接收中的各个环节实施循环式干预措施,观察PDCA循环实施后不合格样本信息,并与实施前不合格样本数据进行比较。结果 2014年6月~2015年5月PDCA循环实施前,实验室共收到免疫检测血样11 227份,其中脂浊、溶血、样本量少、误用抗凝管、血清分离不及时、样本污染变质、样本识别信息不清、识别信息错误、识别信息缺失、识别信息重复等10类不合格样本95份;2015年6月~2016年5月PDCA循环实施后,实验室共收到免疫检测血样11 742份,其中不合格样本51份,各类型不合格样本率较实施前均呈下降趋势,平均降幅为49.41%。PDCA循环实施前,实验室不合格样本数占样本总数的0.85%;PDCA循环实施后,实验室不合格样本数占样本总数的0.43%,二者比较,差异有统计学意义(χ2=15.25,P<0.01)。结论在血吸虫病诊断实验室引入PDCA循环管理样本,使不合格样本出现情况得到有效控制,样本质量管理水平明显提升。
Objective To observe the effect of the application of PDCA cycle in the sample management of schistosomi- asis laboratory.Methods The information of unqualified samples in schistosomiasis immunization laboratory from June 2014 to May 2015 was collected,and according to the reasons of the non-qualification of samples,cyclic intervention measures were carried out on each section in the communication with the subjects before sampling,sampling collection, information labeling,storage and transportation as well as sample reception with the PDCA cycle theory from June 2015 to May 2016;information of the unqualified samples after the implementation of PDCA cycle was observed and compare with the data of the unqualified samples before implementation.Results Before the implementation of the PDCA cycle from June 2014 to May 2015,there were altogether 11 227 immunodetection blood samples receiving by the laboratory. Among all the samples,there were ipo-turbid,hemolysis,small amount of samples,misuse of anticoagulant tube,non-prompt serum separation,sample contamination and deterioration,unclear information identification of samples,wrong information identification,missing identification information and duplicate identification information unqualified samples of 95;after the implementation of PDCA cycle from June 2015 to May 2016,there were altogether 11 742 immunodetection blood samples receiving by the laboratory,including 51 unqualified samples,and the rate of unqualified samples of each type had the reducing tendency compared with the rate before the implementation,with an average decrease rate of 49.41%. Before the implementation of PDCA cycle,the number of the unqualified samples in the laboratory accounted for 0.85% of the total number of the samples; and after it,the number of the unqualified samples in the laboratory accounted for 0.43% of the total number.Throuah the comparison between them.the difference was highly significant （x^2=15.25,P〈0.01）.Conclusion The introduction of PDCA cycle management samples in
出处
《中国当代医药》
2017年第11期158-161,共4页
China Modern Medicine
基金
湖北省卫生和计划生育委员会科研项目(WJ2015XB020)
