Saathoff April M, MacDonald Ryan, Krenzischek Erundina
Author Affiliation: Mercy Medical Center, Baltimore, MD.
Comput Inform Nurs. 2018 Mar;36(3):133-139. doi: 10.1097/CIN.0000000000000402.
The objective of this study was to evaluate the impact of specimen collection technology implementation featuring computerized provider order entry, positive patient identification, bedside specimen label printing, and barcode scanning on the reduction of mislabeled specimens and collection turnaround times in the emergency, medical-surgical, critical care, and maternal child health departments at a community teaching hospital. A quantitative analysis of a nonrandomized, pre-post intervention study design evaluated the statistical significance of reduction of mislabeled specimen percentages and collection turnaround times affected by the implementation of specimen collection technology. Mislabeled specimen percentages in all areas decreased from an average of 0.020% preimplementation to an average of 0.003% postimplementation, with a P < .001. Collection turnaround times longer than 60 minutes decreased after the implementation of specimen collection technology by an average of 27%, with a P < .001. Specimen collection and identification errors are a significant problem in healthcare, contributing to incorrect diagnoses, delayed care, lack of essential treatments, and patient injury or death. Collection errors can also contribute to an increased length of stay, increased healthcare costs, and decreased patient satisfaction. Specimen collection technology has structures in place to prevent collection errors and improve the overall efficiency of the specimen collection process.
本研究的目的是评估在一家社区教学医院的急诊科、内科-外科、重症监护科和母婴健康科实施以计算机化医嘱录入、患者身份准确识别、床边标本标签打印和条形码扫描为特色的标本采集技术,对减少标本标识错误和缩短采集周转时间的影响。对一项非随机的干预前后研究设计进行定量分析,以评估实施标本采集技术对减少标本标识错误百分比和采集周转时间的统计学意义。所有区域的标本标识错误百分比从实施前的平均0.020%降至实施后的平均0.003%,P < 0.001。实施标本采集技术后,超过60分钟的采集周转时间平均减少了27%,P < 0.001。标本采集和识别错误是医疗保健中的一个重大问题,会导致诊断错误、护理延误、缺乏必要治疗以及患者受伤或死亡。采集错误还可能导致住院时间延长、医疗成本增加和患者满意度下降。标本采集技术已具备相应机制来防止采集错误并提高标本采集过程的整体效率。