Jeon Byung Ryul, Seo Miyeon, Lee Yong Wha, Shin Hee Bong, Lee Seon Ho, Lee You Kyoung
Department of Laboratory Medicine and Genetics, Soonchunhyang University Bucheon Hospital, Gyeonggi, Korea.
Clin Lab. 2011;57(1-2):21-7.
Because the number of patients requiring phlebotomy varies significantly at different times throughout the day, it is difficult to control wait times during peak times. We tried to solve this problem by changing from the conventional fixed-phlebotomist phlebotomy system (CFPPS), in which the phlebotomist waits for patients at a fixed location to the active-phlebotomist phlebotomy system (APPS), in which a phlebotomist goes to patients actively. We compared the productivity of these two systems.
After changing the system at our hospital, we measured the waiting time before seeing phlebotomy staff and compared it to a comparable hospital that uses CFPPS. We reviewed the phlebotomy count recorded in the laboratory information system before and after the system change.
After the system change, the average waiting time for phlebotomy was 2.34 min (median 1 min) and the waiting time was less than 5 min in all time slots, except 7:00 to 7:30 a.m. The new system significantly decreased the waiting time. In addition, the maximum number of patients seen by a phlebotomist during the peak time was higher in the APPS.
The APPS enhanced the productivity of the phlebotomist and reduced waiting time with limited human resources in a Korean hospital.
由于一天中不同时间需要进行静脉穿刺的患者数量差异很大，因此在高峰时段很难控制等待时间。我们试图通过从传统的固定采血技师静脉穿刺系统（CFPPS，即采血技师在固定地点等待患者）转变为主动采血技师静脉穿刺系统（APPS，即采血技师主动去找患者）来解决这个问题。我们比较了这两种系统的工作效率。
在我院更换系统后，我们测量了患者见到采血工作人员之前的等待时间，并将其与使用CFPPS的对照医院进行比较。我们回顾了系统更换前后实验室信息系统中记录的静脉穿刺次数。
更换系统后，静脉穿刺的平均等待时间为2.34分钟（中位数为1分钟），除上午7:00至7:30外，所有时间段的等待时间均少于5分钟。新系统显著缩短了等待时间。此外，在高峰时段，APPS中一名采血技师接待的患者最大数量更多。
在韩国一家医院中，APPS提高了采血技师的工作效率，并在人力资源有限的情况下减少了等待时间。
