中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2015年
4期
471-474
,共4页
黄婷婷%李艳双%焦明丽%李思文%张婧婧%黄照权%石武祥%张晓琳%吴群红
黃婷婷%李豔雙%焦明麗%李思文%張婧婧%黃照權%石武祥%張曉琳%吳群紅
황정정%리염쌍%초명려%리사문%장청청%황조권%석무상%장효림%오군홍
根因分析法%手术室%病理标本送检%患者安全
根因分析法%手術室%病理標本送檢%患者安全
근인분석법%수술실%병리표본송검%환자안전
Root Cause Analysis%operating room%pathological specimen delivery%patients' safety
目的：探讨根因分析（RCA）法在降低手术患者病理标本送检差错率中的作用。方法：成立RCA小组，运用RCA法剖析导致病理标本送检差错事件的近端原因和根本原因，制定并执行改进措施。结果：运用RCA法管理前病理标本送检差错率为1.03%，运用后病理标本送检差错率为0.26%，差错率明显降低；护士的各项能力得到提升。结论：RCA法是管理手术室病理标本送检差错事件的有效方法，有利于护士的综合素质的提升和手术室患者安全目标的实现。
目的：探討根因分析（RCA）法在降低手術患者病理標本送檢差錯率中的作用。方法：成立RCA小組，運用RCA法剖析導緻病理標本送檢差錯事件的近耑原因和根本原因，製定併執行改進措施。結果：運用RCA法管理前病理標本送檢差錯率為1.03%，運用後病理標本送檢差錯率為0.26%，差錯率明顯降低；護士的各項能力得到提升。結論：RCA法是管理手術室病理標本送檢差錯事件的有效方法，有利于護士的綜閤素質的提升和手術室患者安全目標的實現。
목적：탐토근인분석（RCA）법재강저수술환자병리표본송검차착솔중적작용。방법：성립RCA소조，운용RCA법부석도치병리표본송검차착사건적근단원인화근본원인，제정병집행개진조시。결과：운용RCA법관리전병리표본송검차착솔위1.03%，운용후병리표본송검차착솔위0.26%，차착솔명현강저；호사적각항능력득도제승。결론：RCA법시관리수술실병리표본송검차착사건적유효방법，유리우호사적종합소질적제승화수술실환자안전목표적실현。
Objective:To check out the function of Root Cause Analysis in analyzing the pathological specimen delivery errors in operating room. Methods:An RCA team was set up to analyze the proximate cause and the ultimate cause of error by using the method of RCA, and then the improved measures were proposed and carried out. Results:Before using the method of RCA, the average error rate was 1.03%. After using RCA, the average error rate dropped to 0.26%;Nurse had a positive self-assessment. Conclusion:RCA is a scientiifc method in the management of pathological specimen delivery lfow. RCA method can not only improve the comprehensive ability of nurses ,but also can realize the goal of patient safety in operation room.
