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目的:分析探讨个检彩超漏检的原因,提出有效对策,减少彩超漏检人数,降低漏检率,提高顾客的满意度。方法:选择2016年1月至2016年12月我院所有个检人数约78090人,对个检中彩超漏检的人数和漏检率做统计,并调查其漏检的原因进行分析。结果:研究显示78090份体检指引单中,彩超漏检达985份,漏检率1.26%。其中体检者对健康体检注意事项的了解情况总体程度较低、恐惧阴道彩超、体检环境不满意、人多彩超诊室少排队等待时间过长、赶时间、体检指引标识不清晰、指引单未能明确彩超诊室具体位置、医护人员原因导致的体检者被动漏检、本中心在管理制度方面存在必然的缺陷等方面是彩超漏检的主要原因。结论:对个检彩超漏检的原因进行统计分析,找到关键点,对本中心加强硬件及软件建设、及时了解体检者的心理情况并做好疏导工作,体检环境设置温馨舒适、干净明亮,严密保护体检者的隐私、为提供清晰易懂的体检指引单、做好检前健康教育、加强工作人员的专科培训,提高综合素质、严格执行核对制度、加强体检中心质控管理工作等措施防止各个环节导致彩超漏检。
OBJECTIVE: To analyze and explore the causes of ultra-leak detection of color inspection, propose effective countermeasures to reduce the number of missed inspection, reduce the missed inspection rate and improve customer satisfaction. Methods: From January, 2016 to December, 2016, all the seizures in our hospital were estimated to be 78,090. Statistics were made on the number of people who missed the color screening and the number of missing seizure in each seizure and the reasons for the missed seizure were investigated. Results: The study showed that of the 78,090 physical examination guidebooks, 985 cases were missed by color ultrasonography and the missed detection rate was 1.26%. Among them, physical examination for health checkups to understand the situation is generally low, fear of vaginal ultrasound, the physical examination environment is not satisfied, people colorful super-line less waiting time is too long, in time, the physical examination guidelines are not clearly identified, the guide is not clear Color ultrasound clinic specific location, medical staff due to passive screening of the physical examination, the center in the management system there is a flaw, and so is the main reason missed the Doppler ultrasound. Conclusion: The reasons for a missed color inspection were statistically analyzed to find the key points of the center to strengthen the hardware and software construction, timely understanding of the physical condition of the examinee and good counseling, the physical examination environment is warm and comfortable, clean and bright, tight protection Physical examination for privacy, in order to provide a clear and easy to understand physical examination guide, health examination before doing a good job, to strengthen staff training, improve the overall quality, strict implementation of the checkup system, to strengthen the physical examination center quality control management measures to prevent all aspects Lead to missed color ultrasound.