Application of the FOCUS-PDCA model in improving the timely delivery rate of urine specimens
FOCUS-PDCA模式在提高尿标本及时送检率中的应用

摘要

目的 探讨FOCUS-PDCA模式在提高尿标本及时送检率中的应用效果。方法 选取2024年2月甲状腺科、泌尿外科尿标本送检数据为基线，通过FOCUS-PDCA循环管理工具分析送检率低的原因，针对根本原因实施四项对策：①二维码可视化宣教；②修订送检流程并明确分工；③个性化护理措施；④低年资护士专项培训。以2024年7月尿标本及时送检率为项目实施改进后数据，对比项目实施改进前后数据变化。结果 尿标本及时送检率从63.72%（216/339）提升至96.16%（351/365），进步率达54.77%。具有显著统计学意义（P<0.001）。结论 FOCUS-PDCA模式能显著提高尿标本及时送检率，其核心措施（流程标准化、二维码宣教等）对保障检验质量、提升护理管理效能具有重要价值，值得临床推广。

Abstract

Objective To explore the application effect of the FOCUS - PDCA model in improving the timely submission rate of urine specimens.
Methods Take the submission data of urine specimens from the Department of Thyroid and Urology in February 2024 as the baseline. Analyze the reasons for the low submission rate using the FOCUS - PDCA cycle management tool. Implement four countermeasures for the root causes: ① Visualized publicity and education via QR codes; ② Revise the submission process and clarify the division of labor; ③ Personalized nursing measures; ④ Special training for junior nurses. Use the timely submission rate of urine specimens in July 2024 as the data after the project implementation and improvement, and compare the data changes before and after the project implementation.
Results The timely submission rate of urine specimens increased from 63.72% (216/339) to 96.16% (351/365), with a progress rate of 54.77%. The difference was statistically significant (P < 0.001).
Conclusion   The FOCUS - PDCA model can significantly improve the timely submission rate of urine specimens. Its core measures (such as process standardization and QR code publicity and education) are of great value for ensuring the quality of inspection and improving the efficiency of nursing management, and are worthy of clinical promotion.