基于医疗失效模式与效应分析标本采集质量监测闭环系统的构建及应用

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中图分类号：R47 文献标志码：A 文章编号：1674-490X（2025）04-0056-09

Application and construction of closed-loop system for specimen collection quality monitoring based on healthcare failure mode and effect analysis

ZHU Fei¹，CHEN Xi²，LI Yanling³，LIU Haiyan4，BI Zhaoyu² （1.Department of Cardiology，Afiliated Hospital of Hebei University，Baoding O710oO， China; 2.Nursing Department， AfiliatedHospital ofHebeiUniversity， Baoding O71O0o， China; 3.Department of Respiratory Medicine，Affiliated Hospital of Hebei University，Baoding O71000，China; 4.Department of Neurology and Critical Care Medicine，Afiliated Hospital of Hebei University， Baoding 071000，China）

Abstract： Objective To establish a closed-loop system for monitoring the quality of specimen collction and explore its application efectiveness. Methods Five potential failure links were predicted by healthcare failure mode and effect analysis，and a closed-loop system for specimen collction quality monitoring was constructed and optimized with the cooperation of interdisciplinary teams. The qualified rate of specimen collction and inspection before and after the application of the system were compared.Results After comparison，the error rates for patient identification during specimen collection， specimen collection methods，specimen tube selection，missed issuance，and late delivery all decreased. Conclusion The closed-loop system of specimen collection quality monitoring based on medical failure mode and effect analysis can effectively improve the quality of specimen collection，standardize the nursing workflow， reduce the occurrence of adverse events.

Key words： specimen collection； closed loop management； healthcare failure mode and effect analysis；information management； nursing safety

标本采集是指采集人体少部分血液、排泄物、分泌物、呕吐物、体液等样本，通过物理、化学、生物的实验室技术和方法对样本进行检验分析，其结果是辅助临床诊断与治疗的重要依据[1]。（剩余7802字）