医学检验危急值设置的分析  

Survey and Investigation of Laboratory Critical Values

作　　者：魏源华[1] 陈云峰[1] 杨学文[1] 郭长青[1] 

机构地区：[1]江苏省中医院检验科,南京210029

出　　处：《现代检验医学杂志》2010年第6期141-143,共3页Journal of Modern Laboratory Medicine

摘　　要：目的 分析国内17家大中型医院的危急值设定,探讨检验危急值的正确设定.方法 依据16篇国内已报道的文献和江苏省中医院危急值设置,并结合国外报道,统计分析危急值的项目设置和均值.结果 17家医院设置有51种危急值项目,共有265个危急值.危急值的项目和范围差异均很大.设立最多的三种项目为GLU（16/17）,K＋（16/17）, Na＋（16/17）,项目Ca2＋,Cl-,Hb,PLT,WBC,APTT和PT在一半以上的医院设立有危急值,其余41种项目设立的医院不足50%.结论 各家医院危急值项目的设置有较大的随意性;＜患者安全目标＞的要求项目在各家医院开展尚可,可再增加项目Hb,Cl-,Urea,Cr,HCO3,血培养和脑脊液培养阳性;标准化的设定危急值是迫切的.Objective To analyse critical values lists in 17 hospitals,and to provide reference evidence for standardization of critical values systems. Methods Critical values data of 16 papers reported and Jiangsu Province Hospital of TCM institution were analysed for distribution,mean and range. Results There were 51 critical value,including 265 critical values in 17 hospitals. In average,each hospital had 16 critical values. Critical values lists were found to vary widely among hospitals. The critical values of GLU（16/17）,K＋ （16/17） and Na＋（16/17） were set in most hospitals,Ca2＋,Cl-,Hb,PLT, WBC, APTT and PT were set in half of hospitals ,while other 41 analytes were set in less than half of hospitals. Conclusion Critical values systems were medically important ,but highly variable. Those critical value recommended by the Chinese Hospital Association were executed well. The police to standard critical values systems is extremely urgent.

关 键 词：危急值 实验室管理 信息学 患者安全 

分 类 号：R446[医药卫生—诊断学]