住院患者急诊生化检验报告时间分析  

Analysis of the lab report time for in-patient emergency biochemistry

作　　者：张玉洪[1] 柏灵灵[1] 张莉萍[1] 

机构地区：[1]重庆医科大学附属第一医院检验科,400016

出　　处：《重庆医学》2010年第24期3344-3345,3347,共3页Chongqing medicine

摘　　要：目的统计住院急诊生化样本的周转时间(TAT),分析影响TAT的主要因素,提出解决方案,改进服务质量。方法利用医院信息管理系统对2009年住院急诊生化标本进行抽样统计,分析从医嘱到报告发布的各阶段所用时间,着重分析实验室内各时间段的TAT。结果实验室内TAT在每天的T1(7∶00～8∶00)、T2(8∶00～12∶00)和T3(12∶00～14∶30)时间段的不合格率(TAT>1 h)较高,分别为12.69%、11.36%和12.86%。全天总的不合格率为10.14%。结论实验室内TAT不合格率基本达到质量管理体系要求,影响TAT的主要因素在实验室外的环节。加强对急诊标本采集、送检等环节的管理和优化实验室内工作流程,是缩短TAT的关键。Objective To investigate the turn-around time（TAT） of the in-patient emergency biochemistry samples,and to analyze the main factors influencing the TAT in order to propose resolution schemes and to improve the service quality.Methods The hospital information management system was employed for sampling statistics of the one-year in-patient emergency biochemistry samples in 2009;the time durations between medical orders to reports were investigated,laying emphasis on the TAT of different time quantum in the laboratory.Results Higher unqualified rates of in-laboratory TAT were found during T1（7∶00～8∶00）,T2（8∶00～12∶00） and T3（12∶00～14∶30） each day,with an unqualified rate of 12.69%,11.36% and 12.86%,respectively.The total unqualified rate of the whole day was 10.14%.Conclusion The unqualified rates of the in-laboratory TAT basically meet the requirements of the quality control system.The main factors influencing the TAT of our hospital lie in the out-of-laboratory links.Strengthening management on both the sampling and transportation of the emergency samples,and the optimization of the work flow in the laboratory are keys to shortening TAT.

关 键 词：住院 急诊 生化检验 周转时间 

分 类 号：R446.112[医药卫生—诊断学]