[1]朱婕 刘珊 高静 牛爱荣.提高血液组危急值通报及时率[J].中国卫生质量管理,2019,26(04):097-101.[doi:10.13912/j.cnki.chqm.2019.26.4.27]
点击复制

提高血液组危急值通报及时率
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第26卷
期数:
2019年04期
页码:
097-101
栏目:
QC小组平台
出版日期:
2019-07-28

文章信息/Info

作者:
朱婕 刘珊 高静 牛爱荣
青岛市中心医院
关键词:
血液; 危急值; 通报; 及时率; QC小组
Keywords:
Blood; Critical Value; Bulletin; Timeliness; QC Group
DOI:
10.13912/j.cnki.chqm.2019.26.4.27
摘要:
针对血液组危急值通报及时率低的问题，开展QC小组活动。认为血小板危急值通报不及时、D-Ⅱ聚体危急值通报不及时为主要症结，采用关联图进行原因分析，经要因确认，周日值班人员少、危急值未及时单个复检、缺少D-Ⅱ聚体自动稀释方法、无需镜检确认血小板危急值等待镜检确认为主要原因。对此，分别制定措施针对性改进，使血液组危急值通报及时率从86.3%提高到99.2%，规范了危急值复检与报告流程，提升了检验科血液组质量管理水平。
Abstract:
In view of the problem of low timeliness reporting rate of critical values in the blood group, QC group activities were carried out for improvement. The platelet critical values and D-Ⅱ dimer critical value not in time reporting was the main sticking point. The correlation figure was used for reason analysis. The less staff on duty on Sunday, double check of critical values not in time, the lack of D-Ⅱ dimer automatic dilution method, no need for microscopic confirmation of critical platelet values were confirmed as the main reasons. In this regard, specific measures were formulated to improve the timely reporting rate of critical values in the blood group from 86.3% to 99.2%, standardize the procedures of recheck and reporting of critical values, and improve the quality management level of the blood group in the laboratory department.

参考文献/References:

［1］Lundberg G D.When to panic over abnormal values［J］.Med Lab Obs，1972，4（1）：47-54.

相似文献/References:

[1]夏成凤 吴允琦 董军.危急值闭环管理的实践研究[J].中国卫生质量管理,2017,24(03):004.[doi:10.13912/j.cnki.chqm.2017.24.3.02]
[2]潘晨麟 是俊凤 邹姮 姚革 陆秉 王慧玲 邵红 许健 潘曙明.危急值报告系统优化设计与实践[J].中国卫生质量管理,2018,25(02):035.[doi:10.13912/j.cnki.chqm.2018.25.2.11]
[3]王婧 胡慧颖 朱明.血液管理机制设计研究[J].中国卫生质量管理,2018,25(02):105.[doi:10.13912/j.cnki.chqm.2018.25.2.32]
[4]伍启康 李炜煊 赵伟成 黄慧勇 曾勇 潘练华.应用PDCA降低检验科危急值漏报率[J].中国卫生质量管理,2018,25(03):015.[doi:10.13912/j.cnki.chqm.2018.25.3.06]
[5]杨正 张敏 李鹏 傅文.血液冷链管理问题分析与应对策略[J].中国卫生质量管理,2019,26(01):121.[doi:10.13912/j.cnki.chqm.2019.26.1.34]
[6]杨佳芳胡龙军黄灿灿王金琪夏洪斌周靓甘寅张戟侯冷晨.应用移动管理平台提高危急值管理水平[J].中国卫生质量管理,2021,28(01):036.[doi:10.13912/j.cnki.chqm.2021.28.1.10 ]
　YANG Jiafang,HU Longjun,HUANG Cancan.Application of Mobile Management Platform to Improve Critical Value Management Level[J].Chinese Health Quality Management,2021,28(04):036.[doi:10.13912/j.cnki.chqm.2021.28.1.10 ]
[7]李凌哈斯朝鲁任颖张耀武.缩短危急值首次出现到临床接收平均周转时间[J].中国卫生质量管理,2021,28(01):072.[doi:10.13912/j.cnki.chqm.2021.28.1.19 ]
　LI Ling,HA Sichaolu,REN Ying.Shortening the Average Turnaround Time from the First Critical Value to Clinical Reception[J].Chinese Health Quality Management,2021,28(04):072.[doi:10.13912/j.cnki.chqm.2021.28.1.19 ]
[8]周春南敏王静叶小凡.血液采集前质量管理的信息化探讨[J].中国卫生质量管理,2021,28(10):080.[doi:10.13912/j.cnki.chqm.2021.28.10.21 ]
　ZHOU Chun,NAN Min,WANG Jing.Informatization of Quality Management before Blood Collection[J].Chinese Health Quality Management,2021,28(04):080.[doi:10.13912/j.cnki.chqm.2021.28.10.21 ]
[9]郭逸李恒新郭康社张雅莉曹晓莉刘清肖利涛景媛媛.陕西省血液调配机制建立与运行[J].中国卫生质量管理,2021,28(12):080.[doi:10.13912/j.cnki.chqm.2021.28.12.21 ]
　GUO Yi,LI Hengxin,GUO Kangshe.The Development and Operation of Blood Distribution Mechanism in Shaanxi Province[J].Chinese Health Quality Management,2021,28(04):080.[doi:10.13912/j.cnki.chqm.2021.28.12.21 ]
[10]王田田周泽华王建霞程聪范方志阎萍.基于无线射频识别技术的医院血液库存智慧化管理模式探索[J].中国卫生质量管理,2023,30(04):004.[doi:10.13912/j.cnki.chqm.2023.30.4.02 ]
　WANG Tiantian,ZHOU Zehua,WANG Jianxia.Exploration of Intelligent Management Mode of Hospital Blood Inventory Based on Radio Frequency Identification Technology[J].Chinese Health Quality Management,2023,30(04):004.[doi:10.13912/j.cnki.chqm.2023.30.4.02 ]

更新日期/Last Update: 2019-07-28