提升急診護理人員檢體採集正確率改善專案

Increasing the Correct Sample Labeling Rate in the Emergency Department

張雅雯(Ya-Wun Jhang)；陸家宜(Chia-Yi Lu)；周英芳(Ying-Fang Chou)；呂基燕(Ji-Yan Lyu)

檢體採集錯誤 ； 急診室 ； 條碼作業 ； barcode system ； emergency department ； sample labeling error

志為護理-慈濟護理雜誌

19卷2期（2020 / 04 / 01）

94 - 105

繁體中文

錯誤的檢體採集過程是影響檢驗品質重要因素之一，檢體若被退檢除了會延誤病人的診斷及治療時間，也會增加護理人員的護理工作負荷。本單位發現護理人員檢體採集正確率為66.7%，主要導因為護理人員未落實執行採檢作業。專案自2016年8月1日至12月31日。擬定改善措施包含：導入條碼作業於檢體採集作業、制定條碼檢驗作業規範、安排條碼檢驗採集教育訓練、稽核採檢作業流程等。專案實施後，檢體採正確率由66.7%提升至100.0%。本專案顯示運用條碼系統成功的改善檢體採集的錯誤，以及提升病人安全及照護品質。

Sample labeling error is a major concern, which results in declining patient care and a waste of resource due to repeated sampling. The rate of wrong sample labeling could also increase under stress. Data revealed that the correct sample labeling rate was only 67.1%. Analysis indicated that sample labeling errors were mainly caused by nursing staff who should not be implementing sample labeling. This project was conducted from August 1, 2016, to December 31, 2016. To address the aforementioned problem, the following solutions were implemented: using a barcode system, developing a bar code inspection standard, conducting staff training, and auditing of the inspection operation process. These measures led to an increase in the rate of correct sample labeling reported by peer nursing staff from 67.1% to 100.0%. The introduction of a barcode system caused a statistically significant reduction in sample labeling error. These suggests that the barcode system can minimize repeated blood sampling and thus promote the quality of patient care and save medical expenditures.

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