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目的:探讨基于JCI标准的质量改进法对降低病理标本重送率的作用。方法:以2015年医院普外科、神经外科、妇产科的90例的病理标本为研究对象,按照随机数字表法分为对照组与观察组,每组45例。对照组实施常规手术室病理标本管理,观察组在对照组的基础上采取JCI标准下的手术室病理标本安全管理,主要包括完善病理标本送检方案、完善信息记录系统、定制制作标本流程、强化病理标本管理制度及强化病理标本留置流程,比较两组病理标本不合格率、病理标本重送率、病理标本处理时间,以及患者和医生满意度。结果:观察组未发生不合格病理标本与重送现象,明显低于对照组(P<0.05);观察组病理标本处置时间明显少于对照组(P<0.05);观察组患者及医生对病理标本的管理满意度均为100%,明显高于对照组(P<0.05)。结论:JCI标准的质量改进法可以有效降低病理标本重送率,既可提高病理标本管理质量,又可有效提升医生和患者满意度。
Objective: To explore the role of quality improvement based on JCI standard in reducing the rate of heavy delivery in pathological specimens. Methods: The pathological specimens of 90 cases of general surgery, neurosurgery and obstetrics and gynecology in 2015 were divided into control group and observation group according to random number table method, with 45 cases in each group. In the control group, routine operation room pathological specimen management was carried out. The observation group took safety management of operation room pathology specimen under the JCI standard on the basis of the control group, which mainly included perfecting the inspection program of pathological specimens, improving the information recording system, customizing the procedure of making specimen, Pathological specimens management system and intensive pathological specimens indwelling flow, the two groups of pathological specimens failed rate, pathological specimen weight delivery rate, pathological specimens processing time, and patient and doctor satisfaction. Results: There were no unqualified pathological specimens and repeated puncturing in the observation group, which were significantly lower than those in the control group (P <0.05). The time of treatment in the observation group was less than that in the control group (P <0.05) The satisfaction of the specimens was 100%, which was significantly higher than that of the control group (P <0.05). Conclusion: JCI standard quality improvement method can effectively reduce the rate of pathological specimens double delivery, can improve the quality of pathological specimen management, but also effectively enhance the satisfaction of doctors and patients.