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篇名 某醫學中心綜合外科病房檢體溶血及凝固之改善方案
卷期 16:2=50
並列篇名 Improvement Approach of Samples Hemolysis and Coagulation at a Surgical Ward in a Medical Center
作者 潘少陵陳淑卿李秀芳酆淑琴李昭儀莊佳玲
頁次 190-201
關鍵字 檢體溶血凝固改善方案SamplesHemolysisCoagulationImprovement approach
出刊日期 200506

中文摘要

     抽血檢驗目的是為了解病患的身體狀況,根據病患的數據加以處置,但因檢體溶血及凝固的因素造成病患必須重新抽血送檢,延遲治療。現況中發現護理人員對抽血的認知達成率為57.5%,對抽血的技術行正確率為64.5%,主要缺乏抽血輔助指引及合適的送檢體容器,進而顯示檢體溶血及凝固仍有待改善,因此綜合以上缺失,進行本專案之改善方案,經過專案改善後,護理人員對抽血的認知達成率為95.9%,對抽血的技術行為91.8 %,且達統計上顯著差異,輔助容器於送檢過程能適當使用,檢體溶血件數由改善前的8件/月降為0件,血液凝固件數由改善前的2件/月降為0件,因此透過此專案的改善後,提升護理人員對正確抽血的認知及技術,進而降低檢體溶血及凝固之發生,讓病患可儘快得到最適當的治療。

英文摘要

     The purpose of blood testing was to evaluate physical status and provide appropriate treatment based on test results. Samples hemolysis and coagulation would inevitably cause re-drawing and consequently delay treatment. Before the improvement program was executed, the knowledge about blood drawing was 57.5% and procedure for blood drawing was 64.5% correct, indicating potential for improvement. After implementing the improvement program, the knowledge level increased from 57.5% to 95.9% and the procedure of blood drawing improved from 64.5% to 91.8% correct. After adequately using the assisting tools, the incidence of samples hemolysis and coagulation decreased from 8 and 2 incidences per month to zero. The program has been shown to be effictive not only in improving the nurses' knowledge but also improving skill of blood drawing.

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