重症监护室患者血培养标本送检质量的持续改进  

Continuous Quality Improvement of Blood Culture Samples in ICU

作　　者：张友平[1] 钟华荪[1] 黎明[1] 徐敏丽[1] 白雪皎[1] 陈子龙[1] 

机构地区：[1]广东省人民医院广东省医学科学院,广东广州510080

出　　处：《护理学报》2011年第21期48-50,共3页Journal of Nursing（China）

摘　　要：目的探讨持续质量改进c(ontinuous quality improvement,CQI)在血培养标本送检中的应用成效。方法分析重症监护室i(ntensive care unit,ICU)594例次血培养标本送检情况及不规范送检环节,不规范表现有采血时间不佳,采血部位不对,采血量不足,血培养套数(常规为1瓶需氧瓶+1瓶厌氧瓶)及血培养瓶的分配不规范,无菌操作不严格,血培养瓶保存不当等。制定预期目标,实施质量改进方案,定期评价持续质量改进效果。结果实施CQI前后ICU患者血培养标本送检情况比较,血标本送检率由43.5%上升至96.6%,凝固酶阴性葡萄球菌检出率明显下降,病原菌检出率升高;血培养标本不规范送检情况显著减少(P<0.01)。结论实施CQI能有效提高血培养标本送检质量,提高血培养标本送检率。Objective To discuss the effect of continuous quality improvement（CQI） on blood culture sample in ICU.Methods After the analysis was carried out for non-standard steps in testing flow of blood culture sample such as without optimal time for blood sample collection,inappropriate blood sample collection site and insufficient blood volume in ICU,the expected aim was established and then quality improvement was conducted,the effect of which was evaluated regularly.Results There existed higher testing rate of blood culture samples and there was lower occurrence of non-standard steps in blood culture sample testing（P0.01）.Conclusion The implementation of CQI is beneficial to the quality improvement of blood culture sample.

关 键 词：重症监护室 血培养标本 持续质量改进 

分 类 号：C931.3[经济管理—管理学] R47[医药卫生—护理学]