以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (3): 1-5.doi: 10.16460/j.issn1008-9969.2021.03.001

    Next Articles

Empirical Research on Effect of Hazard Analysis and Critical Control Point System in Management of Surgical Specimens

XU Chang-xia1, ZHU Xin-yu1, SUN Zhi-ling2, CHEN Bin1, YANG Ting1   

  1. 1. Operating Room, Jiangsu Provincial Hospital of Chinese Medicine, Nanjing 210029, China;
    2. School of Nursing,Nanjing University of Chinese Medicine, Nanjing 210023, China
  • Received:2020-12-03 Online:2021-02-10 Published:2021-03-12

PDF (PC)

233

Like

Abstract: Objective To explore the application effect of hazard analysis and critical control point(HACCP) system in the management of surgical specimens. Methods A nonsynchronous pre and post control design was adopted, and 2,560 surgical specimens from the central operating room from March to June 2020 were selected as the control group with routine management; 2,987 surgical specimens from July to October 2020 as the experimental group managed by nurse-led HACCP system, which covered hazard factor analysis; critical control point and critical value identification;development of process monitoring system for corrective measures, self-verification and recording. The effect of HACCP system was verified by comparing qualified rate of surgical specimen management, nursing quality management score and satisfaction of medical staff between the two groups. Results The qualified rate of operation specimen management in the experimental group was significantly higher than that in the control group, and the submitting time of operation specimen in the experimental group was shorter than that in the control group. The satisfaction of the medical staff in the experimental group was statistically significant (P<0.05). Conclusion Nurse-led HACCP system is effective in surgical specimen management. With the focus on prevention and critical control point, effective measures are taken for timely and efficient submitting of surgical specimen, less safety risks and accurate management of surgical specimens. HACCP system is conducive to improving qualified rate of surgical specimen management and reducing the deficiency in specimen management.

Key words: hazard analysis critical control point system, nurse-led, surgical specimens, nursing management

CLC Number: 

  • R473
[1] 杜鹃. 经尿道手术标本收集器的设计与应用[J].中华护理杂志,2016,51(11):1366-1367.DOI:10.3761/j.issn.0254-1769.2016.11.019.
[2] 王敏霞,项海飞,王飞,等.应用精益管理方法提高日间手术管理能力的实践与探讨[J]. 医院管理论坛,2020,37(5):34-36. DOI:10.3969/j.issn.1671-9069.2020.05.010.
[3] 侯春晓,周向华,杨凡凡,等.品管圈活动在手术病理标本安全管理中的应用[J].中医药管理杂志,2020, 28(20):215-216. DOI:10.16690/j.cnki.1007-9203.2020.20.106.
[4] 吴玲玲,张琴.危害分析与关键控制点方法在我院药品调剂差错风险管理中的应用[J].中国药房,2017,28(34):4849-4852. DOI:10.6039/j.issn.1001-0408.2017.34.25.
[5] 张翠翠,唐一楠,李靖,等.危害分析和关键控制点法在新药引进后门诊药房调剂差错风险管理中的应用[J]. 中国医院用药评价与分析,2020,20(6):719-722. DOI:10.14009/j.issn.1672-2124.2020.06.021.
[6] 张聪. 采用HACCP体系有助于提升供应链食品安全管理的效率[J].食品安全导刊,2020(34):26-27. DOI:10.16043/j.cnki.cfs.2020.34.015.
[7] Croke L.Guideline for Specimen Management[J]. AORN J. 2020,112(5):8-10. DOI:10.1002/aorn.13258.
[8] Steelman VM, Williams TL, Szekendi MK, et al.Surgical Specimen Management: A Descriptive Study of 648 Adverse Events and Near Misses[J]. Arch Pathol Lab Med, 2016,140(12):1390-1396. DOI:10.5858/arpa.2016-0021-OA.
[9] D'Angelo R, Mejabi O. Getting it Right for Patient Safety: Specimen Collection Process Improvement from Operating Room to Pathology[J]. Am J Clin Pathol, 2016,146(1):8-17. DOI:10.1093/ajcp/aqw057.
[10] Gohel M, Singh US, Bhanderi D, et al.Developing and Pilot Testing of a Tool for “Clinicosocial Case Study” Assessment of Community Medicine Residents[J]. Educ Health, 2016, 29(2):68-74. DOI:10.4103/1357-6283.188684.
[11] Brennan PA, Brands MT, Caldwell L, et al.Surgical Specimen Handover from the Operating Theatre to Laboratory-Can We Improve Patient Safety by Learning from Aviation and Other High-risk Organisations?[J]. J Oral Pathol Med, 2018, 47(2):117-120. DOI:10.1111/jop.12614.
[12] Brent MAZ.OR Specimen Labeling[J]. AORN J, 2016,103(2):164-176. DOI:10.1016/j.aorn.2015.12.018.
[13] 龚海,王华平,朱光辉,等.基于RFID技术及移动智能终端的手术标本送检系统设计与应用[J].中国卫生信息管理杂志,2017,14(5):737-739. DOI:10.3969/j.issn.1672-5166.2017.05.021.
[14] 白月英. 追踪方法学在手术病理标本交接中的应用[J].中国药物与临床,2017,17(8):1243-1245.DOI:10.11655/zgywylc2017.08.065.
[15] Tabitha S, Dawn W.Surgical Specimen Management in the Preanalytic Phase: Perioperative Nursing Implications[J]. AORN J, 2019, 110(3):237-250. DOI:10.1002/aorn.12782.
[16] 孙婷,沈国丽.患者安全目标在健康管理中心护理管理中的应用[J].中国实用护理杂志,2017,33(26):2056-2059. DOI:10.3760/cma.j.issn.1672-7088.2017.26.015.
[17] 叶晶,杨德亮,任香善,等.失效模式与效应分析在手术室病理标本管理中的应用与效果[J].中国卫生产业,2016,13(2):161-163.DOI:10.16659/j.cnki.1672-5654.2016.02.161.
[18] 李烨. 手术标本信息化管理的应用进展[J].中国卫生产业,2020,17(19):192-195. DOI:10.16659/j.cnki.1672-5654.2020.19.192.
[19] 黄红,陈萍萍.手术标本规范化管理的研究进展[J].中华现代护理杂志, 2019,25(10):1317-1320.DOI:10.3760/cma.j.issn.1674-2907.2019.10.031.
[20] 程维,程蕾,唐鹰,等.老年专科护士主导的吞咽障碍患者转介模式的建立与效果评价[J].护理学报,2020,27(9):48-51. DOI:10.16460/j.issn1008-9969.2020.09.048.
[21] 王随琴,关云,李小妹,等.社区护士主导多学科管理模式对糖尿病患者自我管理水平的影响[J].护理学报,2020,27(6):9-11. DOI:10.16460/j.issn1008-9969.2020.06.009.
[22] 陈海婷,岳利群,陈汝文,等.以专科服务小组为主导的“互联网+护理服务”模式构建与实践[J].护理学报,2020,27(4):7-10. DOI:10.16460/j.issn1008-9969.2020.04.007.
[23] 刘宝梅. 三维细化分类管理模式在手术病理标本管理中的应用[J].齐鲁护理杂志,2017,23(16):112-114. DOI:10.3969/j.issn.1006-7256.2017.16.056.
[1] CHEN Fang, YANG Min-fei, YAO Xiao-yue, ZHOU Shi-bo. Construction and practice of intra-hospital nursing security system in designated hospitals for Hangzhou Asian Games [J]. Journal of Nursing, 2024, 31(6): 35-38.
[2] WANG Ting-ting, SHEN Wen-bin, LI Wen-rong, CHEN Ying-ying, SHI Jia-jing, ZHANG Rui, WEI Ya-pei. Evaluation on the construction and operation effect of lymphatic rehabilitation nursing studio construction and practice of lymphatic rehabilitation nursing studio [J]. Journal of Nursing, 2024, 31(23): 45-48.
[3] GUAN Ya-ping, ZHENG Wei-liang, SUN Li-jun, CHEN Yuan, DING Jie-ying, XU Jia-jia. Construction of four-level nurse-led early mobilization program for patients after open heart surgery [J]. Journal of Nursing, 2024, 31(22): 67-72.
[4] HUANG Mei-hua, ZHANG Zhuan-yun, ZHUANG Shan-shan, WANG Qing, ZHANG Ruo-cui, HUA Wei. Construction of quality index system for nursing management in nerve block room [J]. Journal of Nursing, 2024, 31(15): 7-11.
[5] LIU Hong-fei, WANG Fang, LI Hui-feng, CHEN Xiao-he, TIAN Li, LI Wei-hua. Construction of nursing unit and management standard in chest pain center [J]. Journal of Nursing, 2023, 30(23): 23-28.
[6] HUANG Pan-pan, CHENG Hong, ZHANG Ying-hong, WANG Yan, ZHANG Lian-sheng. Construction of "Internet + Nursing Service" Risk Management Evaluation Index System Based on 4R-model Crisis Management Theory [J]. Journal of Nursing, 2022, 29(9): 16-20.
[7] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission [J]. Journal of Nursing, 2022, 29(6): 15-19.
[8] HUANG Xi, LIU Ming-xiu, XU Qiu-zhu, GAO Yan-fang, ZHANG Jia-li. Construction of Management Plan for Respiratory Infectious Disease Emergencies in CSSD [J]. Journal of Nursing, 2022, 29(22): 33-36.
[9] GUO Juan, LI Cai-li, JIANG Yan. Rank-sum Ratio-based Analysis on Nursing Human Resource Allocation in Sichuan Province in 2019 [J]. Journal of Nursing, 2021, 28(22): 64-69.
[10] LIANG Xiao, GAO Wen-hui, LI Si-jie. Green-channel Management of Stroke Patients in Emergency Department during Post-epidemic Period [J]. Journal of Nursing, 2021, 28(19): 26-29.
[11] HE Hong-yan, YANG Qi, LI Jin-lian, XU Guang-yuan, KUANG Ya-ying. Organization and Nursing Management of Mass Nucleic Acid Testing of COVID-19 [J]. Journal of Nursing, 2021, 28(14): 52-54.
[12] LV Yong-li, WANG Huan-huan, LI Sha-sha, WAN Cheng, WU Pei. Evidence-based Nursing Practice for Prevention and Management of Urinary Retention after Laparoscopic Radical Resection of Cervical Cancer [J]. Journal of Nursing, 2021, 28(13): 29-33.
[13] FU Xiao-zhen, LI Zhi-fei, CHEN Li-jun, CHEN Qian. Practice of Consultation-guidance- segmentation Target Management in Department of Pediatrics [J]. Journal of Nursing, 2021, 28(10): 24-27.
[14] CHEN Meng-yun, LIN Dan-zhu, XU Jin-wei, XIE Man. Triage and Epidemic Prevention of COVID-19 at Fever Clinic [J]. Journal of Nursing, 2020, 27(6): 39-43.
[15] MING Yao-hui, MI Yuan-yuan, NIE Tao, XIANG Cheng-lin, HUANG Hai-yan, YUAN Shi-ying. Establishment of Management System for COVID-19 Prevention in Intensive Care Unit and Its Effect [J]. Journal of Nursing, 2020, 27(5): 55-59.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!