检验危急值的回顾分析与评估  

Retrospective analysis and evaluation of test critical value

作　　者：潘建华[1] 罗丹[1] 

机构地区：[1]长沙市中心医院检验科,湖南长沙410004

出　　处：《中国医药科学》2016年第1期158-161,共4页China Medicine And Pharmacy

摘　　要：目的对检验危急值历史数据进行回顾分析,评估危急值报告制度的适宜性和执行效果。方法从实验室信息系统中筛选出2010-2014年的危急值数据,评估危急值项目发生率与分布、危急值数量和患者人次的关系、危急值的实验室周转时间。结果共报告危急值31615件,发生率为0.34%;其中住院患者占86.42%,病区分布主要集中在ICU、血液科、心内科、急诊科及呼吸科,占86.88%;2012年前后两次危急值周转时间调查结果有明显差异,抽查项目的平均TAT缩短了20min,有显著改善。结论定期回顾分析危急值项目数据,是临床实验室持续改进工作质量、提高临床诊疗水平、满足患者安全要求的必要手段。Objective To retrospectively analyze the critical value of historical data, and evaluate the suitability and implementation of the results of the reporting system of the critical value. Methods The critical value data were selected in the laboratory information system from 2010 to 2014,laboratory turnaround time,the value of the incidence and distribution projects,the relationship between patient visits and the number of critical values of critical values was critically assessed. Results It reported 31,615 cases in critical value,the rate was 0.34%;among hospitalized patients accounted for 86.42%,ward distributed mainly in ICU,hematology,cardiology,emergency department and respiratory,accounting for 86.88%;after 2012 twice turnaround time critical values were significantly different findings,the average TAT project shortened checks 20 min,had significantly improved. Conclusion The regular review of project data analysis critical value,is a necessary means to continually improve the quality of clinical laboratories to improve the clinical diagnosis and treatment,to meet the security requirements of the patient.

关 键 词：检验危急值 患者安全 实验室管理 实验室信息系统 

分 类 号：R446[医药卫生—诊断学]