危害分析关键控制点体系在手术标本管理中的实证研究  

Empirical Research on Effect of Hazard Analysis and Critical Control Point System in Management of Surgical Specimens

作　　者：徐昌霞[1] 朱新宇[1] 孙志岭[2] 陈斌 杨婷 XU Chang-xia;ZHU Xin-yu;SUN Zhi-ling;CHEN Bin;YANG Ting(Operating Room,Jiangsu Provincial Hospital of Chinese Medicine,Nanjing 210029,China;School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]江苏省中医院手术室,江苏南京210029 [2]南京中医药大学护理学院,江苏南京210023

出　　处：《护理学报》2021年第3期1-6,共6页Journal of Nursing（China）

基　　金：国家自然科学基金面上项目(81774383)。

摘　　要：目的探讨危害分析关键控制点体系在手术标本管理中的应用效果。方法采用非同期前后对照设计,选取中心手术室2020年3—6月2560例手术标本作为对照组,实施常规管理方法;2020年7—10月2987例为观察组,采用基于护士主导的危害分析与关键控制点管理方法,包括潜在危害分析、确定关键点、确定关键限值、建立监控程序、纠偏行动、自我验证和记录程序。通过比较2组手术标本管理合格率、护理质量管理评分、医护人员满意度来验证基于护士主导的危害分析与关键控制点管理效果。结果观察组手术标本管理合格率显著优于对照组,观察组手术标本送检时间少于对照组,观察组医护人员满意度优于对照组,2组比较均具有统计学意义(P<0.05)。结论基于护士主导的危害分析与关键控制点体系应用手术标本管理,将预防和控制重点前移,对过程进行危害分析,找出控制关键环节并采取有效措施加以控制,保证手术标本正确有效、及时送检,减少安全隐患,提高工作满意度,实现手术标本精准管理。危害分析与关键控制点体系管理方法能有效提高手术标本管理合格率,降低了标本管理缺陷,手术标本的管理质量明显提高,实现了手术标本安全、高效管理的目标。Objective To explore the application effect of hazard analysis and critical control point(HACCP)system in the management of surgical specimens.Methods A nonsynchronous pre and post control design was adopted,and 2,560 surgical specimens from the central operating room from March to June 2020 were selected as the control group with routine management;2,987 surgical specimens from July to October 2020 as the experimental group managed by nurse-led HACCP system,which covered hazard factor analysis;critical control point and critical value identification;development of process monitoring system for corrective measures,self-verification and recording.The effect of HACCP system was verified by comparing qualified rate of surgical specimen management,nursing quality management score and satisfaction of medical staff between the two groups.Results The qualified rate of operation specimen management in the experimental group was significantly higher than that in the control group,and the submitting time of operation specimen in the experimental group was shorter than that in the control group.The satisfaction of the medical staff in the experimental group was statistically significant(P<0.05).Conclusion Nurse-led HACCP system is effective in surgical specimen management.With the focus on prevention and critical control point,effective measures are taken for timely and efficient submitting of surgical specimen,less safety risks and accurate management of surgical specimens.HACCP system is conducive to improving qualified rate of surgical specimen management and reducing the deficiency in specimen management.

关 键 词：危害分析与关键控制点 护士主导 手术标本 护理管理 

分 类 号：R473[医药卫生—护理学] C931.3[医药卫生—临床医学]