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某学术医院临床生物化学周转时间的监测与根本原因分析

Monitoring and root cause analysis of clinical biochemistry turn around time at an academic hospital.

作者信息

Chauhan Kiran P, Trivedi Amit P, Patel Dharmik, Gami Bhakti, Haridas N

机构信息

Department of Biochemistry, Shree Krishna Hospital & Pramukh Swami Medical College, At./Po. Karamsad, 388325 Gujarat India.

出版信息

Indian J Clin Biochem. 2014 Oct;29(4):505-9. doi: 10.1007/s12291-013-0397-x. Epub 2013 Nov 20.

DOI:10.1007/s12291-013-0397-x
PMID:25298634
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4175690/
Abstract

Quality can be defined as the ability of a product or service to satisfy the needs and expectations of the customer. Laboratories are more focusing on technical and analytical quality for reliability and accuracy of test results. Patients and clinicians however are interested in rapid, reliable and efficient service from laboratory. Turn around time (TAT), the timeliness with which laboratory personnel deliver test results, is one of the most noticeable signs of laboratory service and is often used as a key performance indicator of laboratory performance. This study is aims to provide clue for laboratory TAT monitoring and root cause analysis. In a 2 year period a total of 75,499 specimens of outdoor patient department were monitor, of this a total of 4,142 specimens exceeded TAT. With consistent efforts to monitor, root cause analysis and corrective measures, we are able to decreased the specimens exceeding TAT from 7-8 to 3.7 %. Though it is difficult task to monitor TAT with the help of laboratory information system, real time documentation and authentic data retrievable, along with identification of causes for delays and its remedial measures, improve laboratory TAT and thus patient satisfaction.

摘要

质量可以定义为产品或服务满足客户需求和期望的能力。实验室更注重技术和分析质量,以确保测试结果的可靠性和准确性。然而,患者和临床医生感兴趣的是实验室提供的快速、可靠且高效的服务。周转时间(TAT),即实验室人员提供测试结果的及时性,是实验室服务最显著的标志之一,并且经常被用作实验室绩效的关键指标。本研究旨在为实验室TAT监测和根本原因分析提供线索。在两年时间里,共监测了75499份门诊患者样本,其中共有4142份样本超出了TAT。通过持续努力进行监测、根本原因分析和采取纠正措施,我们能够将超出TAT的样本比例从7%-8%降至3.7%。尽管借助实验室信息系统监测TAT是一项艰巨的任务,但实时记录和可检索的真实数据,以及对延迟原因的识别及其补救措施,可改善实验室TAT,从而提高患者满意度。

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本文引用的文献

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Analysis of turnaround time by subdividing three phases for outpatient chemistry specimens.通过将门诊化学检验样本的三个阶段细分来分析周转时间。
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Computerised order entry systems: sustained impact on laboratory efficiency and mortality rates?计算机化医嘱录入系统:对实验室效率和死亡率有持续影响吗?
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Laboratory turnaround time.实验室周转时间。
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Determination of delay in turn around time (TAT) of stat tests and its causes: an AKUH experience.急诊检验周转时间(TAT)延迟情况及其原因的确定:阿迦汗大学医院的经验
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