第三方医学检验服务支撑平台模式的建立与探讨  

Establishment and exploration of the independent clinical laboratory service platform

作　　者：赵伟[1] 曹永彤[1] 湛玉良[1] 韩呈武[1] 王云亭[2] 

机构地区：[1]中日友好医院检验科,北京100029 [2]中日友好医院创伤骨科,北京100029

出　　处：《检验医学与临床》2015年第20期2979-2980,2983,共3页Laboratory Medicine and Clinic

基　　金：国家科技支撑计划资助项目(2012BAH24F05);中日友好医院青年英才计划资助项目(2014-QNYC-B-12)

摘　　要：目的实现不同医疗机构之间标本信息和检验数据的共享,解决标本在运输过程中的质量监控问题。方法以C/S和B/S体系结构技术、大型关系数据库技术等为支撑,建立第三方医学检验信息化平台;同时建立专门的物流系统及标本运输质量监控系统;分析该服务支撑平台对外送标本检验结果回报时间(TAT)的影响。结果建立了包括19家医院和1家医学独立实验室的第三方医学检验信息化平台;建立了专业的物流运输队伍,包括4名专业标本接收人员和物流接收车,以及带实时温度、湿度监控的标本箱。平台建成后TORCH、戊型肝炎病毒IgG/IgM抗体、甲状旁腺激素、抗结核抗体、血清铁蛋白、总铁结合力的平均TAT分别由之前的148.9、314.8、138.8、150.2、134.3、138.3h缩短至28.1、76.0、8.3、13.1、3.6、2.1h,差异均有统计学意义(P<0.01)。结论第三方医学检验服务支撑平台实现了区域内共享型医疗资源的横向联系,促进了各级医疗机构服务水平和能力的提升。Objective To share health information and laboratory data among hospitals,and to achieve quality control during clinical sample transportation.Methods C/S,B/S and large relational database technique were used to establish an independent clinical laboratory information platform.Meanwhile,to set up aprofessional logistic management system and sample quality monitoring system.The influence of the platform on sample turn-around time（TAT）was analyzed.Results The independent clinical laboratory information platform was successfully established,which contained 19 hospitals and 1independent clinical laboratory.In addition,a logistic system was also established,which composed of 4professional staffs,and equipped with vehicles and special sample boxes with temperature/humidity monitors.After the platform was set up,the average TATs for TORCH,HEV IgG/IgM,parathyroid hormone,antituberculosis antibody,serum ferritin,and total iron binding capacity were significantly decreased from 148.9,314.8,138.8,150.2,134.3,138.3hto 28.1,76.0,8.3,13.1,3.6,2.1hrespectively,with statistical difference（P〈0.01）.Conclusion The independent clinical laboratory service platform can strengthen medical resource sharing among medical institutions,and improve their service ability.

关 键 词：第三方医学检验 信息化 检验结果回报时间 

分 类 号：R1[医药卫生—公共卫生与预防医学]