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应用质量控制圈提高样本质量:一项符合SQUIRE标准的质量改进研究。

The application of quality control circle to improve the quality of samples: A SQUIRE-compliant quality-improving study.

作者信息

Liu Kangsheng, Xu Zhirong, Wang Xiangdong, Chen Yajun, Mao Xiao-Dong

机构信息

Department of Clinical Laboratory, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing.

Department of Clinical Laboratory, the First affiliated Hospital of Soochow University, Suzhou.

出版信息

Medicine (Baltimore). 2020 May 22;99(21):e20333. doi: 10.1097/MD.0000000000020333.

Abstract

Since its application in medical institutions in China, quality control circle (QCC) has gained achievements in medical care and thus earned more attention from the administrative department of health.In order to improve the quality of laboratory specimens, we launched a QCC activity to solve the problems and evaluate the effect of it. The data of 30,105 unqualified specimens in our hospital were collected from February to June 2017. After the QCC activity, the data of 43,125 specimens taken from July to December 2017 were collected.The defect rate of the specimens before the QCC activity was 0.98% (297/30105), and after the QCC activity, it was 0.45% (193/43125), showing a significant statistical difference (P < .05). The achievement rate and improvement rate were 108.2% and 54.1%, respectively.After the implementation of QCC, the defect rate of specimens in clinical laboratories was significantly decreased, and the intangible factors were also improved, which demonstrated the positive effects of QCC on the quality control of specimens.

摘要

自质量管理圈(QCC)在中国医疗机构应用以来,已在医疗护理方面取得成效,因此受到卫生行政部门更多关注。为提高检验标本质量,我们开展了QCC活动以解决问题并评估其效果。收集了我院2017年2月至6月期间30105份不合格标本的数据。QCC活动开展后,收集了2017年7月至12月期间43125份标本的数据。QCC活动开展前标本缺陷率为0.98%(297/30105),活动开展后为0.45%(193/43125),差异有统计学意义(P<0.05)。达标率和改善率分别为108.2%和54.1%。实施QCC后,临床实验室标本缺陷率显著降低,无形因素也得到改善,这证明了QCC对标本质量控制的积极作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1971/7249848/89388423a7ae/medi-99-e20333-g001.jpg

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