Observation on the effect of common blood sample collection guidance manuals in improving the qualification rate of blood sample collection in ICU
常见血标本采集指引手册在提高ICU血标本采集合格率中的效果观察

摘要

目的 探讨常见血标本采集指引手册在提高重症监护室（ICU）血标本采集合格率中的应用效果。方法 选取2024年2月至2024年8月在某三级甲等医院ICU采集血标本的病例，分为常规组（n=2258）和干预组（n=3377）。常规组按照常规采集流程操作，干预组采用优化后的《常见血标本采集指引手册》。比较两组血标本采集合格率、不合格原因。结果 干预组血标本采集合格率显著高于常规组（97.3% vs 85.3%，P<0.05）；采集不合格率主要原因如抗凝标本凝集、溶血等明显减少（P<0.05）。护理人员操作规范性显著提升（P<0.05）。结论 《常见血标本采集指引手册》的实施显著提高了ICU血标本采集合格率，优化了采集流程，具有推广价值。

Abstract

Objective To explore the application effect of common blood sample collection guidelines in improving the qualification rate of blood sample collection in intensive care units (ICUs).
Methods Blood samples were collected from patients in the ICU of a tertiary hospital from February 2024 to August 2024, and divided into a routine group (n=2258) and a intervention group (n=3377). The pre intervention group followed the conventional collection process, while the post intervention group used the optimized "Guidelines for Common Blood Sample Collection". Compare the qualified rate and reasons for unqualified blood sample collection between two groups.
Results The qualified rate of blood sample collection in the intervention group was significantly higher than that in the routine group (97.3% vs 85.3%, P<0.05); The main reason for the unqualified collection rate is the significant reduction in coagulation and hemolysis of anticoagulant specimens (P<0.05). The standardization of nursing staff operation was significantly improved (P<0.05).
Conclusion   The implementation of the "Guidelines for Common Blood Sample Collection" has significantly improved the qualification rate of ICU blood sample collection, optimized the collection process, and has promotional value.