基于闭环理论的病理标本管理流程优化与实践  

Optimization and practice of pathology specimen management processes based on closed-loop theory

作　　者：徐肖楠 陈水红[1] XU Xiaonan;CHEN Shuihong(Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,Zhejiang Province,310000,PRC)

机构地区：[1]浙江大学医学院附属第二医院,浙江省杭州市310000

出　　处：《中国医院》2025年第1期102-104,共3页Chinese Hospitals

摘　　要：本研究依托闭环理论构建大型三级甲等医院病理标本管理流程,以保障病理标本准确、有效、及时送检,减少医疗安全隐患。案例医院通过完善组织管理、健全管理制度、应用闭环模式提供流程优化组织保障,结合基础质控、环节质控、终末质控构建全流程闭环追溯机制。闭环管理实施后,案例医院手术病理标本及时送检率提升至99.28%,病理标本相关不良事件发生率降低至0.003‰,异常病理报告通知率达到100%(P<0.01)。案例医院构建的病理标本管理流程有利于标本的全程追踪和动态管理,有效保障医疗质量和患者安全。Objective:This study applied closed-loop theory to construct pathology specimen management processes in a large Grade III Level A Hospital,ensuring accurate,effective,and timely specimen submission while reducing medical safety risks.The case hospital enhanced organizational management,established robust management systems,and used the closed-loop model to provide organizational support for process optimization.A comprehensive closed-loop traceability mechanism was implemented,combining foundational quality control,procedural quality control,and final quality control.Following the implementation of closed-loop management,the on-time submission rate of surgical pathology specimens increased to 99.28%,the incidence of adverse events related to pathology specimens decreased to 0.003‰,and the notification rate for abnormal pathology reports reached 100%(P<0.01).The pathology specimen management process developed by the case hospital facilitates comprehensive traceability and dynamic management of specimens,effectively ensuring medical quality and patient safety.

关 键 词：医院病理 病理标本 标本送检 管理流程 闭环理论 

分 类 号：R197.3[医药卫生—卫生事业管理]