Breijo Stéphanie, Pelisse Christelle, Theveny Aline, Traigneau Florence, Schabad Caroline, Agbovon Olivier, Salmon Patricia, Arronis Ysabel, Goulas Elodie, Cassereau Catherine, Pressiat Claire, Challine Dominique, Bastard Jean-Philippe
Assistance publique-Hôpitaux de Paris, Hôpitaux universitaires Henri Mondor, DMU de biologie-pathologie, Département de biochimie-pharmacologie-biologie moléculaire-génétique médicale, Créteil, France.
Assistance publique-Hôpitaux de Paris, Hôpitaux universitaires Henri Mondor, Service de néphrologie, dialyse, aphérèse, DMU médecine, Créteil, France.
Ann Biol Clin (Paris). 2020 Dec 1;78(6):686-690. doi: 10.1684/abc.2020.1593.
The medical and university department of biology pathology at Henri Mondor hospital in Créteil has been engaged in an NF EN ISO 15189 accreditation process since 2014. One of the elements of this process concerns the quality of handling of samples and their transportation to laboratories, including the implementation place requires fighting against pre-examination non-conformities, which are the source of many dysfunctions. The pre-examination group has implemented several actions in a targeted care service. Thanks to these, the rate of non-conformities has halved in 18 months. In parallel, a work project targeting student nurses on internship was born to follow up on the results of a statistical study carried out by the pre-examination group on non-conformities. The objective of the project was to include nursing students on internship in a full support course on good sampling practices and pre-analytical non-conformities. This was based on the realization of two knowledge quizzes (before and after training), theoretical training, and visits to several laboratories. This study lasted 10 months with the participation of 37 students. The results showed a marked improvement in knowledge of pre-analytics as well as total satisfaction of all students. Our approach has helped to better understand the needs of laboratories and demonstrates the usefulness of training students in good sampling practices in order to ensure better patient care as well as an improvement in their comfort and well-being.
位于克雷泰伊的亨利·蒙多医院的医学与大学部生物学病理学自2014年起就参与了NF EN ISO 15189认证过程。该过程的其中一个要素涉及样本处理及其运输至实验室的质量，包括实施地点要求对抗预检不符合项，这些不符合项是许多功能失调的根源。预检小组在一项针对性护理服务中实施了多项行动。多亏了这些行动，不符合项发生率在18个月内减半。与此同时，一个针对实习护生的工作项目诞生了，以跟进预检小组就不符合项开展的一项统计研究的结果。该项目的目标是让实习护生参加一门关于良好采样规范和分析前不符合项的全面支持课程。这基于两次知识测验（培训前后）、理论培训以及对多个实验室的参观。这项研究持续了10个月，有37名学生参与。结果显示分析前知识有显著提高，所有学生也都非常满意。我们的方法有助于更好地理解实验室的需求，并证明培训学生良好采样规范以确保更好的患者护理以及改善他们的舒适度和幸福感是有用的。
