品管圈在提高芯针穿刺淋巴结组织病理诊断优质率中的应用  

The Application of Quality Control Circle in Improving the Quality Rate of Pathological Diagnosis of Lymph Node by Percutaneous Needle Core Biopsy

作　　者：陈薇 李金龙 马亚琪 刘鹏 孙璐 宋欣 CHEN Wei;LI Jinlong;MA Yaqi;LIU Peng;SUN Lu;SONG Xin(Department of Pathology,the First Medical Center of Chinese PLA General Hospital, Beijing 100853, China)

机构地区：[1]中国人民解放军总医院第一医学中心病理科,北京100853

出　　处：《标记免疫分析与临床》2020年第5期860-864,891,共6页Labeled Immunoassays and Clinical Medicine

基　　金：解放军总医院临床科研扶持基金(编号:2015FC-TSYS-1026)。

摘　　要：目的探讨品管圈在提高芯针穿刺淋巴结组织病理诊断优质率中的应用效果。方法以我院病理科2017年4月至7月3个月时间的淋巴结穿刺组织小标本为研究对象,成立品管圈、选定主题、拟定计划、分析得出导致芯针穿刺淋巴结组织病理诊断优质率差异的主要原因,并予以改善。结果实施品管圈后,常规HE切片优质率提升12.64%,免疫组化切片优质率提升24.84%,总体提升16.05%。结果品管圈活动可以持续提高芯针穿刺淋巴结组织病理诊断的优质率,我们可以借助品管圈这个活动模式,持续改善医疗服务流程,提升工作效率,提高医疗质量,从而更好的为临床和患者服务。Objective To explore the effect of quality control circle(QCC)in improving the quality rate of pathological diagnosis of lymph node by Percutaneous Needle Core Biopsy.Methods The lymph node biopsy specimens of small specimens from April to July of 2017 in the Department of Pathology of our hospital were taken as the research object,and the QCC was established along with the research activity themes and activity schedules.The main reasons leading to a poor-quality rate of pathological diagnosis of core needle puncture lymph nodes were analyzed and used for the further improvement.Results After the implementation of QCC,the quality rate of routine histochemical(HE staining)sections increased by 12.64%.The high-quality rate of immunohistochemical(IHC staining)sections increased by 24.84%.The overall increase was 16.05%.Conclusion QCC activity can continuously improve the quality rate of pathological diagnosis of lymph node by Percutaneous Needle Core Biopsy.With the help of QCC,we can continuously improve the medical service process,the work efficiency and medical quality,so as to better serve the clinic and patients.

关 键 词：品管圈 芯针穿刺 淋巴结 病理诊断 优质率 

分 类 号：R446.8[医药卫生—诊断学]