Academic Journal of Medicine & Health Sciences, 2025, 6(4); doi: 10.25236/AJMHS.2025.060403.
Ji Fangying1, Tang Le2, Luo Liqun2, Hao Pei3, Qiao Yuan1
1Emergency Department of Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, Shaanxi, 710100, China
2Nursing Department of Xi'an People's Hospital (Xi 'an Fourth Hospital), Xi'an, 710100, China
3Xi 'an People's Hospital (Xi 'an Fourth Hospital), Xi'an, 710100, China
To investigate the effect of root cause analysis in reducing the time and error of emergency specimen delivery, in this study, the blood samples of 560 patients in the emergency department of a tertiary hospital from June 1, 2024 to December 31, 2024 were selected by convenience sampling method, and they were divided into control group and observation group according to the time of consultation. The incidence of adverse events and hidden events in the observation group was lower than that in the control group (P<0.001), the time of submission for testing was less than that in the control group (P<0.001), and the patient satisfaction was better than that in the control group (P<0.001). The root cause analysis method can reduce the incidence of errors in the submission of emergency specimens, improve the standard rate of submission, reduce the adverse events in the submission process, and shorten the delivery time.
Emergency Department; Specimen submission; root cause analysis; adverse events; Process optimization
Ji Fangying, Tang Le, Luo Liqun, Hao Pei, Qiao Yuan. Optimization of the specimen delivery process in the emergency department based on root cause analysis and evaluation of its effectiveness. Academic Journal of Medicine & Health Sciences(2025), Vol. 6, Issue 4: 14-20. https://doi.org/10.25236/AJMHS.2025.060403.
[1] Chinese Society of Laboratory Medicine, Emergency Physicians Branch of China Medical Association, All-Army Emergency Medicine Committee. Chinese expert consensus on capacity building and standardization of emergency testing[J]. Chinese Journal of Emergency Medicine, 2020, 29(1):12-35.
[2] TANG Lijiao,LIU Xiaoliu,MO Hongmei. Application of PDCA cycle method to improve the TAT compliance rate throughout the emergency testing program[J]. Laboratory Medicine and Clinics,2020,17(1):31-34.
[3] LOU Fangfang,SUN Jianchao,ZHOU Xianghong. TAT time monitoring and improvement of outpatient blood specimens[J]. Laboratory Medicine and Clinics,2019,16(3):382-384.
[4] DAWANDE P P, WANKHADE R S, AKHTAR F I, et al. Turnaround time:an efficacy measure for medical laboratories[J]. Cureus, 2022,14(9):e28824.
[5] PAULSEN M. Root cause analysis[J].JAMA,2021,325(3):225-226.
[6] CHEN Dan,ZHANG Minrui,YE Yuqin,et al. Application of a nurse-led nutritional support intervention program in patients with severe craniocerebral injury under root cause analysis[J]. Journal of Nurse Advancement,2024,39(19):2048-2054.
[7] ZHAO Hongmei,LIU Hongsheng. Chinese expert consensus on capacity building and standardization of emergency testing[J]. PLA Medical Journal,2020,45(01):21-42.
[8] ZHAO Dan,HUANG Huijin,WU Wenrong. Application of PDCA to improve the compliance rate of time limit of emergency report in laboratory department[J]. Experimental and Laboratory Medicine, 2021,39(2):309-312.
[9] YAN Cunling,PAN Shiyang,WANG Chengbin,et al. Research report on the status quo and development needs of emergency testing in China[J]. Chinese Journal of Laboratory Medicine, 2022,45(6):623-636.
[10] XU Xiaonan,CHEN Shuihong. Optimization and practice of pathology specimen management process based on closed-loop theory[J]. China Hospital,2025,29(01):102-104.
[11] MAO Suping,ZHU Yujing,MO Qing. Observation on the effect of root cause analysis in reducing specimen delivery error events in the operating room[J]. Qilu Nursing Journal,2022,28(06):160-162.
[12] Chu ZH, Lu GH, Liu GS, et al. A study of PDCA cycle method to shorten the return time of emergency test report[J]. International Journal of Laboratory Medicine,2017,38(1):49-50,53.
[13] WANG Yawei,YUAN Chang. Hot spot analysis of medical quality and safety complaints of outpatients in a hospital[J]. Chinese Journal of Hospital Management,2022,38(2):134-138.
[14] YU Li,GAO Yongcui,WU Jianping,et al. New progress in nursing culture construction and humanistic nursing education research[J]. China Health Standard Management,2024,15(04):184-189.