检验危急值应用的评估与持续改进  

Evaluation and continuous improvement of the application of critical values

作　　者：兰海丽[1] 张秀明[1] 余元龙[1] 杨有业[1] 杨勇[1] 韩志安[1] 李钰燕[1] 欧阳能良[1] 解鸿翔[1] 

机构地区：[1]中山大学附属中山医院,广东省中山市528403

出　　处：《中华医院管理杂志》2009年第4期235-238,共4页Chinese Journal of Hospital Administration

摘　　要：目的挖掘检验危急值数据中隐藏的规律，通过临床联系和评估为危急值报告制度的完善提供科学依据。方法统计、分析、探索、评估适合医院特点的危急值项目和范围。结果危急值的发生率为0．14％；经过临床评估查实、统计分析，结合文献报道和咨询临床专家，检验科修改了P02、GLU、Frr、APTT的危急值范围；新增了新生儿K^＋、GLU、BiLi和ALT、MYO、CTnl，同时删除了AMY等危急项目，并报医务科批准和执行。结论定期分析评估、不断总结、持续改进，使检验危急值报告工作规范化、制度化，这样有助于挽救患者的生命，提高检验科的服务意识和临床医生的诊疗水平。Objective To discover regularities behind critical values in an effort to provide scientific evidences for a better critical value report system. Methods Collection, analysis and statistical assessments for critical value items and ranges appropriate for the hospital. Results The occurrence rate of critical values is found to be 0. 14%. By means of clinical evaluation, statistic analysis and reference to literature and clinical specialists, the clinical labs revised the ranges of POw, GLU, PT and APTT, and added ALT, MYO, CTnI and K^＋ , GLU, BILl for newborns, and canceled AMY. All of these changes were put in practice upon approval of the Medical Department of the hospital. Conclusion Regular evaluation and continuous improvement of the critical value report system may help with saving lives, improving quality of care of the labs and doctors＇ diagnosis as well.

关 键 词：检验危急值 数据挖掘 医疗质量 

分 类 号：R446[医药卫生—诊断学]