主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (9): 1315-1319.doi: 10.3969/j.issn.1672-1756.2022.09.009

• 一切为了人民健康——我们这十年 • 上一篇    下一篇

基于环节色块的手术室标本链式管理方案的构建及应用

张旭 喻晓芬 沈飞燕 洪敏   

  1. 浙江省人民医院手术室,杭州医学院附属人民医院护理部,310014 杭州市
  • 出版日期:2022-09-15 发布日期:2022-09-15
  • 通讯作者: 洪敏,本科,副主任护师,科护士长,E-mail:13600538496@163.com E-mail:E-mail:zxu2018@163.com
  • 作者简介:张旭,硕士,护师,E-mail:zxu2018@163.com

Construction and application on the surgical specimen chain management scheme based on the link color block in the operating room

ZHANG Xu, YU Xiaofen, SHEN Feiyan, HONG Min   

  1. Operation Room, Zhejiang Provincial People's Hospital (Nursing Department, People's Hospital of Hangzhou Medical College), Hangzhou, 310014, China
  • Online:2022-09-15 Published:2022-09-15
  • Contact: E-mail:13600538496@163.com E-mail:E-mail:zxu2018@163.com

摘要: 目的:构建基于环节色块的手术室标本链式管理方案并分析其临床应用效果。方法:采用便利抽样法,选取2020年1月至2021年12月浙江省某三级甲等医院手术室的9?470件病理标本为研究对象,其中2020年1月—12月的4?470件病理标本为对照组,2021年1月—12月的5?000件病理标本为实验组。对照组实施改进前的常规标本管理方法,实验组在对照组的基础上,实施基于环节色块的手术室标本链式管理方案。比较对照组和实验组标本处置合格率和外科医生、手术室护士的满意度。结果:常规病理标本中实验组标本放置位置、标本容器、标本固定液、标本放置方式和标本处置总计合格率均高于对照组(P<0.05)。实验组外科医生、手术室护士的满意度高于对照组(P<0.05)。结论:基于环节色块的链式管理方案将手术室标本管理环节具体化、精细化,可明显降低标本处置的不合格率,提高医护人员的满意度。

关键词: 环节色块;链式管理;手术标本;手术室

Abstract: Objective: To construct the surgical specimen chain management scheme based on the link color block in the operating room and analyze its clinical effects. Methods: A total of 9470 surgical specimens from the operating room were enrolled by convenience sampling from a tertiary grade A hospital in Hangzhou from January 2020 to December 2021. And 4470 surgical specimens from January to December 2020 were selected as the control group with routine specimens management, 5000 surgical specimens from January to December 2021 were selected as the intervention group with routine specimens management and chain management based on link color block. The qualification rate of the specimens and the satisfaction of surgeons and nurses were used to evaluate the effects of chain management scheme. Results: In experimental group, the correct rate of the placement, specimen containers, specimen fixative, placement method of routine pathological specimens and the qualification rate of total specimens were significantly higher than those of the control group (P<0.05). The surgeons and nurses satisfaction of the experimental group was higher than that of the control group (P<0.05). Conclusion: The chain management scheme based on link color block can make the specimen management of the operating room specific and refined, which can significantly reduce the failure rate of specimen handling and improve the satisfaction of surgeons and nurses.

Key words: link color block; chain management; surgical specimen; operation room

中图分类号:  R47;R197