手术标本管理的问题与解析

目的：探讨手术标本管理存在的问题，以完善手术标本管理的规章制度。方法：回顾性分析南京医科大学第一附属医院2010年至今的手术标本资料并进行总结。结果：2010年需行病理检查的手术标本共10547例．发现有缺陷的标本78例，占0．74％。其中6例标本保存不当占7．69％（6／78），57例病理申请单资料填写不全或申请单严重污染、资料模糊占73．08％（57／78），14例病理申请单缺失占17．95％（14／78），1例标本遗失占1．28％（1／78）。2011年实施新的标本规章制度后至今手术标本1867例，无一例有缺陷。结论：加强标本的正确处理与交接等薄弱环节的监控，可以防止与手术标本有关的医疗纠纷和差错事故的发生。

Discussion on surgical specimen management

Objective:To summarize and improve the surgical specimen management.Methods:A retrospective analysis of operation specimens from 2010 to the present in the First Affiliated Hospital of Nanjing Medical University was made.Results:A total of 10 547 cases of surgical specimens were performed pathological examination in 2010,and 78 cases of defective specimens were found which accounted for 0.74%.There were 6 cases of improper preserved specimens accounting for 7.69%(6/78),57 cases with incomplete pathological ...