PDCA循环法缩短急诊检验报告回报时间的研究

目的应用PDCA循环法提高急诊检验报告回报时间的合格率。方法统计2014年9-12月472例急诊检验报告(血常规、血生化、凝血、尿液分析、脑脊液)回报时间的不合格率,分析原因并采取措施降低急诊检验报告回报时间的不合格率,同时统计改善后2015年7-11月654例急诊检验报告的回报时间的不合格率,并比较改进措施前后的变化。结果通过采取相应的措施,急诊检验报告的回报时间总的不合格率由13.9%下降到4.9%;凝血、血生化、尿液分析、血常规、尿液分析、脑脊液的不合格率分别由18.2%、16.2%、10.3%、9.1%、6.7%下降到5.2%、5.0%、6.4%、3.9%、5.0%。结论应用PDCA循环法对急诊检验报告时间符合率进行了质量管理,尽可能在在最短时间内高质量、高效率地完成急诊检测并报告检测结果。

Application of PDCA circulation method to shorten the time of emergency inspection report in return

Objective Application of PDCA method to improve the coincidence rate of emergency inspection report time.Methods 472 cases of emergency inspection report returns the fraction defective of the time from September to December 2014 (blood routine,blood biochemistry,blood coagulation,cerebrospinal fluid,urine analysis).Analyzing the reason and take measures to improve the emergency inspection report time coincidence rate.At the same time,counted 654 cases of emergency inspection report returns the fraction defective of the time after the improvement from July to November 2015,and compared and analyzed the coincidence rate before and after the improvement measures.Results Emergency inspection report of the total fraction defective return time decreased from 13.9 ％ to 4.9 ％ by taking measures.Blood coagulation,blood biochemistry,urine analysis,routine blood,cerebrospinal fluid and urine analysis of emergency return time unqualified rate decreased from 18.2 ％,16.2 ％,10.3 ％,6.75 ％ and 9.1％ to 5.2 ％,5.0 ％,6.4％,5.0 ％ and 3.9 ％ respectively.Conclusion The application of PDCA could improve the time coincidence rate of emergency department,and to finish the emergency detection and report detection results in the shortest possible time.