ArticleJournal of multidisciplinary healthcare2025
Application Effectiveness of a Pre-Analytical Quality Management Pathway Based on the Structure-Process-Outcome Model.
Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Closed loop full process management and application of body fluid specimens in hospitalised patients.BMJ open quality · 2026Article
- The dark side of nurse-manager leadership: toxic leadership behaviours, adverse-event reporting, and care quality-an interpretive descriptive study.BMC nursing · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This single-center, before-and-after study applied the structure-process-outcome (SPO) model to pre-analytical quality control to investigate its effect on laboratory testing quality, nursing practices, patient satisfaction, and clinician trust in test results. Methods: A before-and-after design was conducted in a provincial Class A tertiary hospital. The control group (April-September 2022) and observation group (April-September 2023) each included all laboratory specimens and 550 clinical nurses (from the same wards). The SPO-guided pre-analytical quality management pathway involved forming a multidisciplinary team, establishing a grid management system, implementing a non-punitive reporting system, standardizing specimen collection, and developing a quality management information system. Groups were compared on non-compliant test sample rates, nurses' knowledge, beliefs, and behaviors, operational standardization, patient satisfaction, and clinical doctors' trust. Data were analyzed using t-tests (with effect sizes) and Results: The observation group showed significantly lower rates of non-compliance in sample type, collection container, volume, contaminated blood cultures, and coagulated samples (all p < 0.01, with 95% confidence intervals). Nurses' knowledge (Cohen's d = 0.44) and behaviors (Cohen's d = 1.56) improved significantly. Operational standardization (92.5 ± 3.2 vs 85.7 ± 4.1), patient satisfaction (93.8% vs 87.2%), and clinical doctors' trust (91.2% vs 84.5%) also increased significantly (p < 0.01). Conclusion: The SPO-based pre-analytical quality management pathway significantly improved non-compliant sample rates, nurses' knowledge and behavior, operational standardization, patient satisfaction, and clinical trust in test results. This approach may serve as a reference for other institutions aiming to enhance pre-analytical quality management.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.