急诊科对检验危急值预警反馈系统的质量控制方法及效果分析  

Analysis the effect of test critical value warning-feedback system quality control in the emergency department

作　　者：严维力[1,2] 张玲[1,3] 杨大金[1,2] 

机构地区：[1]厦门大学附属成功医院 [2]解放军第174医院急诊科,福建厦门361003 [3]解放军第174医院检验科,福建厦门361003

出　　处：《临床和实验医学杂志》2013年第9期694-695,698,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨急诊科检验危急值预警反馈系统质量控制方法改进的效果。方法急诊科通过规范标本采集运送,监控危急值标本的反馈时效、报告接收制度等对检验危急值预警防控系统的质量进行控制,分析控制前后标本的不合格率、危急值与临床诊断吻合率、复查重复率、急诊抢救成功率。结果质量控制前、后检验标本的合格率分别为44.2%和94.2%,报告与临床诊断吻合率分别为45.4%和85.9%,标本复查重复率分别为25.8%和95.4%,急诊抢救成功率分别为76.5%和92.6%,差异均有统计学意义(P<0.05)。结论急诊科对于检验危急值预警防控系统的质量控制措施行之有效,可以极大地提高急诊科工作质量,满足患者的安全要求。Objective Analysis the effect of test critical value warning -feedback system quality control in the emergency department of our hospital. Methods Through the standard specimen collection delivery, monitoring critical specimen feedback aging , formulation of receiving report system to control system of quality control in the emergency department, we compared the disqualification specimen rate, critical value and clinical diagnosis coincidence rate, the repetition rate, emergency rescue success rate before the quality control with after the quality control. Resuits Before the quality control , the disqualification specimen rate was 55.8% ,the critical value and clinical diagnosis coincidence rate was 45. g% , the repetition rate was 25.8 % ,the emergency rescue success rate was 76.5 %. But after the quality control, the disqualification specimen rate was 5.6% ,the critical value and clinical diagnosis coincidence rate was 85.9% ,the repetition rate was 95.5% ,the emergency rescue success rate was 92.6%. The quality control decreased disqualification specimen rate and the repetition rate （ P 〈0.05 ）, improved the critical value and clinical diagnosis coincidence rate and the emergency rescue success rate （ P 〈 0.05 ）. Conclusion The critical value feedback system quality control in the emergency department could greatly improve the quality of emergency department.

关 键 词：急诊科 检验危急值 质量控制 效果 

分 类 号：R197.3[医药卫生—卫生事业管理]