Effect of standardized outpatient blood drawing room operation procedures on the quality of blood sample collection
规范化门诊抽血室操作流程对血样采集质量的提升作用

摘要

目的 探究规范化门诊抽血室操作流程对血样采集质量的提升作用，为提高临床检验准确性提供依据。方法 选取2024年10月1日至31日期间在门诊抽血室进行抽血的8464名患者作为研究对象。将该时间段内前15天（4232名患者）的抽血操作设为对照组，采用常规操作流程；后15天（4232名患者）设为实验组，实施规范化操作流程。结果 实验组血样溶血发生率为1.2%，显著低于对照组的3.5%（P<0.05）；实验组凝血标本比例为0.8%，低于对照组的2.1%（P<0.05）；实验组标本采集量不准确比例为1.5%，低于对照组的3.2%（P<0.05）。结论 规范化门诊抽血室操作流程能够显著降低血样溶血发生率、凝血标本比例以及标本采集量不准确比例，有效提升血样采集质量，对提高临床检验准确性具有重要意义。

Abstract

Objective To explore the effect of standardized outpatient blood drawing room operation procedures on the quality of blood sample collection, and provide a basis for improving the accuracy of clinical tests.
Methods A total of 8464 patients who underwent blood drawing in the outpatient blood drawing room from October 1 to 31, 2024 were selected as the research subjects. The blood drawing operation in the first 15 days (4232 patients) during this period was set as the control group, and the conventional operation procedures were adopted; the last 15 days (4232 patients) were set as the experimental group, and the standardized operation procedures were implemented.
Results The incidence of hemolysis in the experimental group was 1.2%, which was significantly lower than that in the control group (3.5%) (P<0.05); the proportion of coagulation specimens in the experimental group was 0.8%, which was lower than that in the control group (2.1%) (P<0.05); the proportion of inaccurate specimen collection in the experimental group was 1.5%, which was lower than that in the control group (3.2%) (P<0.05).
Conclusion   Standardized outpatient blood drawing room operation procedures can significantly reduce the incidence of blood sample hemolysis, the proportion of coagulation specimens, and the proportion of inaccurate specimen collection, effectively improve the quality of blood sample collection, and have important significance for improving the accuracy of clinical tests.