在预分析阶段评估样本排斥率和护士的经验:混合设计研究研究
Yasemin Güner1, Elif Kılıç Güner2, Melek Üçüncüoğlu3
1Faculty of Nursing, Karadeniz Technical University, Farabi Caddesi, No:42A, Trabzon, 61080, Turkey. yasemin-kul@hotmail.com.
BMC nursing
|July 2, 2025
概括
实验室测试中的分析前错误导致样品被拒绝,影响患者的安全并增加成本. 解决机构,人际关系和环境因素对于改善实验室性能和支持护士至关重要.
科学领域:
- 临床实验室科学 临床实验室科学
- 改善医疗保健质量 改善医疗保健质量
- 护理研究 护理研究
背景情况:
- 实验室测试的分析前阶段非常容易出现错误,导致医疗错误和医疗费用增加.
- 在分析前阶段的样本排斥可以显著延迟诊断,危及患者安全,并膨胀医疗保健支出.
- 了解预分析样本拒绝的根本原因对于实施有效的质量改进策略至关重要.
研究的目的:
- 在分析前阶段量化样本排斥率.
- 调查护士关于预分析样本拒绝的经验和看法.
主要方法:
- 一种混合方法的方法,结合了定量追溯数据分析和定性深度访谈.
- 从大学医院的微生物学和生物化学实验室收集了一年多的定量数据.
- 使用专题分析分析高排斥诊所的护士采访的定性数据.
主要成果:
- 观察到高样本排斥率:14,290在生物化学和4,220在微生物学.
- 主要的拒绝原因包括样品体积不足,血液溶解和凝血.
- 护士报告说,在机构支持,培训,患者合作,沟通和压力的工作环境方面存在挑战,导致丧,疲劳和焦虑.
结论:
- 预分析错误源于机构,人际关系和环境因素的复杂相互作用.
- 这些错误会对实验室效率和护士的心理健康产生负面影响.
- 建议专注于工作流程优化,增强培训和情感支持的干预措施,以减少拒绝率和提高患者安全.
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