提高血液组危急值通报及时率

Chinese Health Quality Management(2019)

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Abstract
针对血液组危急值通报及时率低的问题,开展QC小组活动.认为血小板危急值通报不及时、D-Ⅱ聚体危急值通报不及时为主要症结,采用关联图进行原因分析,经要因确认,周日值班人员少、危急值未及时单个复检、缺少D-Ⅱ聚体自动稀释方法、无需镜检确认血小板危急值等待镜检确认为主要原因.对此,分别制定措施针对性改进,使血液组危急值通报及时率从86.3%提高到99.2%,规范了危急值复检与报告流程,提升了检验科血液组质量管理水平.
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