基于JCI和HIMSS7级系统的病理标本交接环节优化研究  

Study on the optimization of pathological specimen handover process based on JCI and HIMSS 7 system

作　　者：郑海燕 方庆全[1] 高德宏[1] Zheng Haiyan, Fang Qingquan, Gao Dehong.(Department of Pathology, First Affiliated Hospital of Xiamen University, Xiamen 361003, Chin)

机构地区：[1]厦门大学附属第一医院病理科,361003

出　　处：《中华医院管理杂志》2018年第4期300-303,共4页Chinese Journal of Hospital Administration

摘　　要：目的探讨JCI标准和HIMSS7级“临床交接闭环系统”在病理标本交接环节的应用价值。方法厦门大学附属第一医院2014年采用传统方式进行病理标本交接，2015年在JCI标准指导下对病理标本交接环节进行改进，2017年在JCI标准指导的基础上将HIMSS7级“临床交接闭环系统”应用于病理标本交接环节。现对上述3年度的病理标本不合格率、病理标本平均交接时间、病理冷冻报告及时率等指标进行比较分析。计数资料率的比较采用，检验。结果病理标本不合格率比较，2015年显著低于2014年（P〈0．05），2017年1—9月显著低于2015年（P〈0．01）；消化内镜标本交接平均时间和单次冷冻标本交接时间比较，2015年显著短于2014年，2017年1—9月显著短于2015年（P〈0．05）；病理冷冻报告及时率比较，2015年显著优于2014年（P〈0．05），2017年1-9月显著优于2015年（P〈0．01）。结论在JCI理念指导下，可降低病理标本不合格率，缩短病理标本平均交接时问，提高病理冷冻报告及时率；在JCI标准指导的基础上，将HIMSS7级“临床交接闭环系统”应用于病理标本交接环节，能显著降低病理标本不合格率，显著提高病理标本交接效率，有利于病理标本的全程跟踪和动态管理。Objective To explore the application value of JCI standard and HIMSS 7 grade clinical closed loop system in pathological specimen handover. Methods The First Affiliated Hospital of Xiamen University adopted the traditional way to transfer pathological specimen in 2014, and improved the process under guidance of JCI standard in 2015. Then HIMSS 7 level clinical closed-loop system was applied to pathological handover on the basis of JCI standard guidance in 2017. Comparative analysis was made on the failure rate of the pathological specimen, the average handover time of pathological specimen and the timely rate of pathological frozen reports in the above 3 years. Results A comparison of the failure rate of pathological specimens found the following： That of 2015 was significantly lower than that of 2014 （P 〈 0. 05 ） ; and that of 2017 （Jan. - Sept. ） was significantly lower than that of 2015 （ P 〈 0.01 ）. A comparison of the handovcr timeliness of frozen digestive endoscopy specimens and a single frozen specimen handover duration found the following： That of 2015 was significantly shorter than that of 2014 （P 〈 0.01 ） , and that of 2017 （Jan. - Sept. ） was significantly shorter than that of 2015 （P 〈 0.01 ）. A comparison of the timeliness of frozen specimen pathological reports found the following： that of 2015 was significantly better than that of 2014 （P 〈 0.05） , and that of 2017 （Jan. - Sept. ） was significantly better than that of 2015 （P 〈 0.05）. Conclusions The guidance of JCI concept has reduced the failure rate of pathological specimen, shortened the average handover during, and improved the timeliness of pathological frozen specimen reports. Under the JCI standard guidance, the HIMSS 7 level clinical closed-loop system was applied to the pathological specimen handover process. This practice could significantly reduce the failure rate of pathological specimen and improve the pathological specimen handover efficiency. Furthermore, it is conducive to full

关 键 词：JCI HIMSS 7 病理标本 交接 优化 

分 类 号：R197.32[医药卫生—卫生事业管理]