運用品管方式降低病理檢體送檢流程不完整率

Implementing a Quality Control Approach to Reduce Error Rates in Pathological Specimen Examination

病理檢體在臨床上，可提供醫師作為疾病診斷、正確治療及追蹤的重要依據，更可作為基礎醫學與臨床醫學研究及治療的橋樑。病理檢體從取得至完成報告之過程中，只要其中任何細項環節有所疏失，都將影響病人安全。因此，降低病理檢體送檢流程之不完整率，實為提升醫療品質之重要課題。本研究以品管方法，探討及分析原因並擬定改善方法，分析可能影響送檢不完整率進行異常原因，對策改善成果分別為病理檢體送檢流程不完整率由70.2％降至7.5％、降低病理檢體送檢流程不完整率之進步率為89.6％ 。期望本研究結果可提供相關單位改善檢體送檢程序，提升病人服務品質與確保病人安全，避免醫療爭議之發生，進而提供更為完善之醫療照護品質。

 

Clinically, pathological specimens constitute a crucial basis for physicians to perform disease diagnosis procedures, administer correct treatment, and conduct follow-up assessments. Such specimens can also serve as a bridge between basic medicine and clinical medical research and treatment. Throughout the examination period of pathological specimens, including the period spanning from specimen acquisition to report completion, neglecting any details would affect patient safety. Therefore, reducing error rates in pathological specimen examinations is crucial for improving medical quality.

This study implemented a quality control approach to analyze the causes of erroneous pathological examinations and developed countermeasures for improvement. The analysis may affect the incomplete rate of the inspection for abnormal causes. The proposed countermeasures reduced pathological examination error rates from 70.2% to 7.5%. The rate of improvement of inadequate pathological examination delivery processes was 89.6%.

The results of this study can serve as a reference for relevant units in improving sample inspection procedures, improving patient service quality, and ensuring patient safety. Such improvements can prevent medical disputes and provide relatively high medical care quality.