摘要：
目的 观察健康体检中护理查对方法的改进效果.方法 建立、培训、考核“四查十对”制度,“四查”是在三查的基础上增加被检者参与查;“十对”是在七对的基础上修改为核对:体检编号、姓名、性别、身份证号(或体检通知单上的相片)、体检项目、部位、是否空腹、采样管、条形码、录入的数据.①选择实施“四查十对”制度后(2016年)46 846例被检者与实施前(2015年)45 852例被检者的护理差错数进行对照.②选择实施“四查十对”制度后(2016年)随机调查的720名被检者和实施前(2015年)的692名被检者进行对比,对比被检者满意度及因差错造成的投诉情况.采用x2检验分析实施“四查十对”制度前后差错率、被检者满意度及因差错造成的投诉情况.结果 查对方法改进前(2015年)发生差错67例(0.15％),被检者满意631例(91.18％),投诉7人次;查对方法改进后(2016年)发生差错39例(0.08％),被检者满意708例(98.33％),无投诉发生;改进前后比较,差错发生率差异有统计学意义(x2=8.02,P＜ 0.05);被检者满意度差异有统计学意义(x2=36.78,P＜0.01);投诉人次差异有统计学意义(x2=7.32,P＜0.05).结论查对方法改进后,护士自觉执行查对制度的依从性明显提高,差错发生率和投诉率明显降低,被检者满意度明显提高,值得各级体检机构借鉴.%Objective To observe the improvement effect of nursing checkup method in physical examination.Methods Established,trained,assessed the "Four Check Ten Comparison" system." Four Check" increased the subjects involved in the investigation based on "Three Check";"Ten Comparison" included the check of physical examination number,name,gender,ID number (or photos on letter of physical examination notice),physical examination items,part,whether fasting,sampling tube,bar codes,data entry based on "Seven Comparison".(①) The number of nursing mistakes was recorded in 46,846 subjects after the implementation of "Four Check Ten Comparison" system (2016) and compared with that in 45,852 subjects before the implementation (2015).(②) The subjects' satisfaction and nursing mistakes related complaints were recorded in 720 subjects randomly selected after the implementation of "Four Check Ten Comparison" system (2016) and compared with those in 692 subjects randomly selected before the implementation (2015).The x2 test was used to analyze the rate of nursing mistakes,the subjects' satisfaction degree,and nursing mistakes related complaints before and after the implementation of "Four Check Ten Comparison" system.Results 67 cases (0.15％) of nursing mistakes were found before the nursing checking method improvement (2015),631 cases (91.18％) of subjects were satisfied,and 7 complaints were made;39 cases (0.08％) of nursing mistakes were found after the nursing checking method improvement (2016),708 cases (98.33％) of subjects were satisfied,without complaints;there were statistically significant differences in the rate of nursing mistakes,the subjects' satisfaction degree,and the rate of complaints before and after the improvement (x2 =8.02,36.78,7.32;P＜0.05).Conclusion After improving the method,nurses' compliance with the system is obviously improved,the incidences of errors and complaints are significantly reduced,and the satisfaction degree of the subjects is obviously improved,which is worth learning by the medical institutions at all levels.
