目的探讨ELISA检测室内质控失控的原因分析及处理措施。方法统计和分析ELISA检测2010~2012年室内质控失控原因及处理结果。结果在9658次试验中,共发生室内质控失控80次,比例为0.83%,失控原因分别为院试剂原因18次；质控品原因20次；人为原因15次；仪器原因18；环境原因4次；其他原因5次。结论通过分析,ELISA检测室内质控失控的原因以试剂、质控品、仪器设备、人为因素为主,为减少失控的发生应提高工作人员的责任心,加强人员培训,严格执行SOP文件,增强关键点的控制，同时加强实验室的硬件建设,使检测结果更加稳定可靠。

Objective To investigate the reasons and treatment measures of ELISA detection for internal quality control. Methods Statistics and analysis of ELISA detection of 2010 ~ indoor quality control 2012 years out of control and treatment results. Results In the 9658 experiment, a total of 80 indoor and out of control, the ratio was 0.83%, out of control causes are: reagent causes 18 times; quality control reason 20 times 15 times; human factors; instrument reason 18 reason 4 times;environment; other causes 5 times. Conclusion Through the analysis of the reason of ELISA detection, internal quality control to quality control, equipment, reagents, human factors, in order to reduce the occurrence of out of control should improve the staf ''s sense of responsibility, strengthen personnel training, strict implementation of SOP files, strengthen the key points of the control, while strengthening the hardware construction of laboratory, making the results more stable and reliable.

目的：分析血液检验标本误差原因。方法搜集2013年5月～2014年5月我院血液检验322份标本，其中误差标本55份，对误差原因进行总结性分析。结果误差标本55份中，采集原因（41.82%）、检验原因（29.09%）、受检者原因（14.55%）和送检原因（14.55%）为主要的误差原因，结果有统计学意义（P＜0.05）。结论标本采集、检验、送检和受检者自身因素均可引起血液检验标本误差，应引起重视，加强应对，提高标本质量。

Objective The cause for error in blood test specimens is to be analyzed. Methods Select 322 blood specimens tested in hospital from May 2013 to May 2014, including 55 cases of error specimens, and then summarize and analyze the cause for error. Results Of al 55 cases of error specimens, the main causes for the error include selection reason (41.82%), testing reason (29.09%), test subjects reason (14.55%) and censorship reason (14.55%), such a result has the statistic value(P<0.05). Conclusion The specimen col ection,testing, inspection,and the subjects,al of these factors can cause the error in blood test specimens, therefore, it is suggested to pay attention to these factors, find out solutions and improve the specimen quality.

本文通过对10例腹部切口裂开的原因分析并采取针对性的措施，分析腹部切口裂开的原因，并探讨其处理方法。

The causes of 10 cases of abdominal incision dehiscence of the article analysis and take targeted measures, analysis of the causes of dehiscence of abdominal incision, and to explore its treatment method.

目的：分析肾内科护理纠纷原因，积极寻找对策解决纠纷问题。方法根据我院肾内科的护理纠纷来进行探讨分析，总结护理纠纷的原因，提供解决对策。结果总结分析原因后，对肾内科护理工作改善起到了较大的帮助，肾内科临床护理质量提升显著，纠纷问题得到了解决。结论肾内科的临床护理有时会有纠纷产生，及时分析这些纠纷的原因，提供解决对策，可以有效的避免纠纷的再次发生，提升护理质量。

ObjectiveTo find out the cause of nursing disputes in nephrology department, actively seeking countermeasures to solve disputes. MethodsAccording to the nursing dispute in nephrology department in our hospital, summarize the reasons of nursing disputes, provide solutions. ResultsAccording to the summary and analysis of causes, provide great help to the improvement of nursing in nephrology department, nursing quality improved significantly, dispute problems had been solved. Conclusion The clinical nursing in nephrology department sometimes has disputes, find the reason and provide solutions can effectively avoid disputes from happening again and improve the quality of nursing.

目的采用根原因分析法对我院3年来护理不良事件进行分析,以便找出根本原因,确立防范措施。方法成立护理风险管理委员会,对委员会成员进行根原因分析法相关知识的培训,应用该方法对2010年1月-2012年12月三年来我院发生的57起护理不良事件进行分析,找出并确立根原因。结果通过采用该方法对3年来发生的护理不良事件进行分析,57起中31起是由系统原因造成的,占总数的54.4%;26起是由个人原因造成的,占总数的45.6%。结论应用根原因分析法对护理不良事件进行分析,制订相应的改进计划并落实,能有效规避类似不良事件的发生,从而确保护理安全。

Objective To conduct root cause analysis on nursing adverse events of our hospital in the past 3 years to identify root causes and develop preventive measures. Methods The hospital set up a nursing risk management committee and provided training on root cause analysis among committee members to analyze and identify root causes of 57 cases of nursing adverse events that happened in our hospital from January 2010 to December 2012. Results Root cause analysis on nursing adverse events of the past 3 years indicated that 54.4%(31) of 57 cases were caused by the system while 45.6%(26) were caused by medical workers. Conclusion Development and implementation of improvement plan based on root cause analysis of nursing adverse events is effective in preventing occurrence of similar adverse events and ensuring nursing safety.