医院检验标本采集的质量控制措施与效果评价耿亚菲

往期阅览 · All Issues-> 2026年 · 2026

临床用药研究，2026年，第2卷，第1期，第1-3页，pISSN 3105-6741、eISSN 3105-675X

发布者：Quest Press

发布日期：2026/4/17

doi 10.66106/lyyaa3.20260101

Open Access

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医院检验标本采集的质量控制措施与效果评价

耿亚菲

河南中医药大学第五临床医学院（郑州人民医院），河南郑州，450003

摘要：目的：对医院检验科标本采集流程进行质量控制，并探讨错误不良事件发生原因，采取相应整改措施并进行质量评价。方法：调查和汇总我院检验科2024全年采集的标本质量进行监控，针对上半年标本采集错误不良事件进行深入分析。分析标本采集错误不良事件发生原因，并探讨相应的整改措施。经过科室原因分析进行汇总评分，得到标本采集错误不良事件发生原因包含四个要素：（1）护士：①未落实查对制度；②与收送护士交接未落实；③未双人核对；④对采血管分类不知晓；⑤无责任心；⑥对留置标本容器不知晓。（2）护工：对标本类型不知晓。（3）环境环节：收送标本未落实交接。（4）管理：①无相关操作流程；②对查对制度未落实督导；③耗材管理未落实。对此，我院从人员、环境、管理制度等多个方面进行整改。结果：我院2024年上半年共发生标本采集错误事件13例，包含条码粘贴错误4例、患者身份错误4例、标本采集错误3例、同一标本两名患者信息2例、未粘贴条码1例。下半年纳入质量控制体系干预后，各科室收集的检验标本未出现标本采集错误不良事件。结论：引发标本采集错误不良事件发生原因较多，涉及到人员处理不当、环境不良、管理不当等，医院应从人员、环境、管理制度等多个方面进行整改，才能降低标本采集错误不良事件发生率。

关健词：标本采集错误；不良事件；原因；整改措施

Quality control measures and effect evaluation for hospital laboratory specimen collection

Yafei Geng

The Fifth Clinical Medical College of Henan University of Chinese Medicine（Zhengzhou People's Hospital），450003

Abstract：Objective: To conduct quality control on the specimen collection process in the hospital's laboratory department，explore the causes of erroneous adverse events，take corresponding rectification measures and carry out quality evaluation. Method: Investigate and summarize the quality of specimens collected by the laboratory Department of our hospital throughout 2024 for monitoring，and conduct in-depth analysis of adverse events caused by specimen collection errors in the first half of the year. Analyze the causes of adverse events resulting from incorrect specimen collection and explore corresponding rectification measures. After the departmental cause analysis and summary scoring，it was found that the causes of adverse events due to incorrect specimen collection include four elements:（1）Nurses: ① Failure to implement the verification system；② The handover with the receiving and sending nurses was not implemented properly. ③ Not double-checked by two people；④ Lack of knowledge about the classification of blood collection tubes；⑤ Lack of responsibility；⑥ Be unaware of the container for the indwelling specimen.（2）Caregiver: Not knowing the type of specimen.（3）Environmental aspect: The handover of specimens received and sent was not properly implemented.（4）Management: ① No relevant operation procedures；② Supervision over the failure to implement the verification system；③ The management of consumables has not been implemented. In response to this，our hospital has made rectifications from multiple aspects such as personnel，environment，and management systems. Result: In the first half of 2024，a total of 13 cases of specimen collection errors occurred in our hospital，including 4 cases of incorrectbarcode pasting，4 cases of incorrect patient identity，3 cases of incorrect specimen collection，2 cases of information of two patients with the same specimen，and 1 case of no barcode pasting. After being included in the quality control system intervention in the second half of the year，the result was that no adverse events of specimen collection errors occurred in the test specimens collected by each department. Conclusion: There are many causes of adverse events resulting from incorrect specimen collection，involving improper personnel handling，poor environment，and improper management. Hospitals should make rectifications from multiple aspects such as personnel，environment，and management systems in order to reduce the incidence of adverse events caused by incorrect specimen collection.

Keywords : Specimen collection error；Adverse events；Reason；Rectification measures

参考文献
[1] 谢大玲，李君慧，肖代梅，等.1 例晨间集中静脉血标本采集错误的根因分析与改进[J].中国卫生质量管理，2021，28（02）:47-49+53.
[2] 黄淑蓉，黄梅，何慧.血液标本采集错误的预防与管理[J].人人健康，2019，（08）:287-288.
[3] 胡冰.浅析采血室护理风险脆弱性分析及防控措施体会[J].临床医药文献电子杂志，2019，6（17）:136.
[4] 熊永萍，余孝梅，黄韬，等.品管圈在输血科血型鉴定管理中应用效果分析[J].实验与检验医学，2018，36（05）:796-798+806.
[5] 何志川，梁英，李雪斌，等.PDA 条形码扫描核对技术在儿科血液标本采集的应用[J].医学理论与实践，2017，30（22）:3444-3446.
[6] 王冬梅，范改萍.血标本采集错误的原因分析与对策[J].护理研究，2014，28（18）:2277-2278.
[7] 刘畅，李慧敏，封海霞，等.移动护理信息系统在住院患者护理安全中的应用[J].现代医学，2017，45（11）:1679-1681.
[8] 付伊.25 例血标本采集错误的原因分析及对策[J].当代护士（下旬刊），2017，（11）:185-186.
[9] 李红梅，王远杰，冯宁，等.临床血液标本采集错误原因分析[J].当代医学，2015，21（27）:13-14.

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