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1、护理学杂志2010年10月第25卷第20期(外科版)·7·TM爱惜康·手术室护理研究·ETHICON手术室病理标本处理流程的优化效果李秋明,吴小华摘要:目的改进手术室病理标本处理流程,确保病理标本在各处理流程中的安全、准确、及时。方法组建品质圈活动(QC)小组,通过对相关人员的调查与访谈,发现原标本处理流程存在的问题,对手术室护士及护工进行专业培训,制定病理标本处理流程图,应用信息系统代替手工书写,改进病理标本固定液取液装置,设计并使用病理标本车,安装监控摄像装置等。结果改进前后标本袋字迹不清、病检单字迹不清、病检单有污
2、迹和名称不一致发生率比较,差异有统计学意义(均P<0.01)。改进后病理标本的处理时间与核对时间显著短于改进前,标本固定液外漏发生率显著低于改进前(均P<0.01)。结论通过各项措施的落实,减少了病理标本处理流程中的安全隐患发生率,缩短了标本处理与核对时间,减少了固定液外漏率,在确保临床护理工作安全的同时,也有效地增强了对护理人员的职业安全防护。关键词:手术室;病理标本;品质圈活动;流程;优化;手术室护理中图分类号:R472.3文献标识码:A文章编号:100124152(2010)2020007203DOI:10.387
3、0/hlxzz.2010.20.007Improvementofbiopsytissueprocessinginoperatingroom∥LiQiuming,WuXiaohua∥(OperatingRoom,PekingUniversityShenzhenHospital,Shenzhen518036,China)Abstract:ObjectiveTomodifybiopsytissueprocessinginoperatingroom,andtoensurethebiopsytissuetobehandledsaf
4、ely,ac2curately,andtimely.MethodsThequalitycontrol(QC)groupwasbuiltupintheoperatingroom,andtheQCgroupcarriedoutaseriesofactivities:theyprobedintotheproblemslyingintheprevioustissuebiopsyprocessbyinvestigatingnursesandtechni2cians;theyprovidedtrainingprogramsfornu
5、rsesandnurseassistants;theymadeanewtissuebiopsyprocessanddevelopedapro2cedureflowchart;theyputcomputerizedinformationsystemintoclinicaluse,modifiedthetissuefixationmixturedevice,designedandusedbiopsytissuecart,installedcamerasandsoon.ResultsTheratesofillegibletis
6、suecontainers,illegiblebiopsyfilingsheet,stainedbiopsyfilingsheet,andinconsistentnamesofthesamplesbeforeandaftertheimprovementhadsignificantdifferences(P<0.01forall).Thetimetakenfortissuecheckingwassignificantlyshortened,andtherateoftissuefixationmix2tureleakagew
7、assignificantlydecreasedaftertheimprovement(P<0.01forall).ConclusionThroughtheconsolidationofthea2bove2mentionedmeasures,improvementofbiopsytissueprocessinginoperatingroomcanreducetherisksofmedicaldisputes,shortenthetimeneededforprocessingandchecking,reduceleakag
8、erateoffixationmixture.Theimprovementnotonlyensuresthesafetyofclinicalnursingwork,butalsoenhancesnursingstaff′ssafety.Keywords:operatingroom;biopsytissue;quali
