pdca循环在血吸虫病实验室样本管理中的应用.docVIP

PDCA循环在血吸虫病实验室样本管理中的应用 　　[摘要]目的 ?^察PDCA循环在血吸虫病实验室样本管理中的应用效果。方法 收集2014年6月～2015年5月血吸虫病免疫实验室不合格样本信息，针对样本不合格原因于2015年6月～2016年5月运用PDCA循环理论对样本采集前与受检者沟通、样本采集操作、信息标注、贮存与转运及样本接收中的各个环节实施循环式干预措施，观察PDCA循环实施后不合格样本信息，并与实施前不合格样本数据进行比较。结果 2014年6月～2015年5月PDCA循环实施前，实验室共收到免疫检测血样11 227份，其中脂浊、溶血、样本量少、误用抗凝管、血清分离不及时、样本污染变质、样本识别信息不清、识别信息错误、识别信息缺失、识别信息重复等10类不合格样本95份；2015年6月～2016年5月PDCA循环实施后，实验室共收到免疫检测血样11 742份，其中不合格样本51份，各类型不合格样本率较实施前均呈下降趋势，平均降幅为49.41%。PDCA循环实施前，实验室不合格样本数占样本总数的0.85%；PDCA循环实施后，实验室不合格样本数占样本总数的0.43%，二者比较，差异有统计学意义（χ2=15.25，P 　　[关键词]PDCA；血吸虫病；实验室；样本；管理 　　[中图分类号] R197.323 [文献标识码] A [文章编号] 1674-4721（2017）04（b）-0158-04 　　Application of PDCA cycle in the sample management of schistosomiasis laboratory 　　LIAO Shi-ye XIONG Li-juan▲ CHENG Ya-zhen 　　Department of Epidemic Prevention，Ezhou Municipal Institute for Schistosomiasis Control in Hubei Province，Ezhou 436000，China 　　[Abstract]Objective To observe the effect of the application of PDCA cycle in the sample management of schistosomiasis laboratory.Methods The information of unqualified samples in schistosomiasis immunization laboratory from June 2014 to May 2015 was collected，and according to the reasons of the non-qualification of samples，cyclic intervention measures were carried out on each section in the communication with the subjects before sampling，sampling collection，information labeling，storage and transportation as well as sample reception with the PDCA cycle theory from June 2015 to May 2016；information of the unqualified samples after the implementation of PDCA cycle was observed and compare with the data of the unqualified samples before implementation.Results Before the implementation of the PDCA cycle from June 2014 to May 2015，there were altogether 11 227 immunodetection blood samples receiving by the laboratory.Among all the samples，there were ipo-turbid，hemolysis，small amount of samples，misuse of anticoagulant tube，non-prompt serum separation，sample contamination and deterioration，unclear information identific