Contemporary Nursing

Objective To explore the application effect of the FOCUS - PDCA model in improving the timely submission rate of urine specimens. Methods Take the submission data of urine specimens from the Department of Thyroid and Urology in February 2024 as the baseline. Analyze the reasons for the low submission rate using the FOCUS - PDCA cycle management tool. Implement four countermeasures for the root causes: ① Visualized publicity and education via QR codes; ② Revise the submission process and clarify the division of labor; ③ Personalized nursing measures; ④ Special training for junior nurses. Use the timely submission rate of urine specimens in July 2024 as the data after the project implementation and improvement, and compare the data changes before and after the project implementation. Results The timely submission rate of urine specimens increased from 63.72% (216/339) to 96.16% (351/365), with a progress rate of 54.77%. The difference was statistically significant (P < 0.001). Conclusion The FOCUS - PDCA model can significantly improve the timely submission rate of urine specimens. Its core measures (such as process standardization and QR code publicity and education) are of great value for ensuring the quality of inspection and improving the efficiency of nursing management, and are worthy of clinical promotion.

Urine specimens; Timely delivery rate of urine specimens; Pareto chart; PDCA