医学检验所自动预警程序的建立和运营  

Construction and operation of automatic warning program in medical laboratory center

作　　者：陶然[1] 李博 倪路广 郑志山[1] 杨晋权 高红[1] 李娜 何君[1] 胡朝晖 

机构地区：[1]广州金域医学检验中心有限公司实验室管理中心,广州510330 [2]吉林金域医学检验所有限公司实验诊断部,长春130000 [3]石家庄金域医学检验所有限公司实验诊断部,石家庄050035 [4]武汉金域医学检验所有限公司实验诊断部,武汉430056 [5]济南金域医学检验中心有限公司实验诊断部,济南250000

出　　处：《临床检验杂志》2017年第6期423-426,共4页Chinese Journal of Clinical Laboratory Science

摘　　要：目的建立适合医学检验所检测流程的自动预警程序并运营。方法以实验室信息管理系统(LIS)为基础,建立以预警规则维护、规则漏洞反馈、反馈内容处理、规则效能评估4部分组成的预警程序,在广州医学检验所运营6个月后评估效果。结果成功建立包含13大类规则模板的预警程序,通过异步结构实现6个专业检测流程的多点预警,规则库中包含1 523条规则,平均每天根据规则判断24 000张报告,报告单平均通过率70.2%,单项测试平均通过率83.9%,审核时间较未开启预警减少10~40 min,工作效率提升25%。结论自动预警程序的建立保证了报告质量,缓解了人员压力,提升了工作效率。Objective To establish an automatic warning program which accommodates to the test procedures in medical laboratory centerand and to put into operation. Methods Based on laboratory information management system （ LIS）, automatic warning program was established, which composed of maintenance of warning rules, feedback of vulnerabilities in rules, solutions of feedback targets and evaluation of rule-effectiveness. The results of performance were assessed after operation for six months in Guangzhou Kingmed Medical Laboratory Center. Results An automatic warning program containing 13 kinds of rule templates was successfully established. The multi-point warning program via asynchronous structure for six specialized testing procedures was realized. A total of 1 523 warning rules were included in the rule bank and 24 000 reports were verified on average each day. The average passing rate of reports was 70.2% and the passing rate of single test was 83.9%. The approval time for reports was reduced by 10 to 40 minutes compared with that without using the automatic warning program. The efficiency for report approval was improved by 25 percent. Conclusion Automarie warning program may ensure the high quality of test reports, ease pressure on staff and improve work efficiency.

关 键 词：自动预警 实验室信息管理系统 审核规则 

分 类 号：R446[医药卫生—诊断学]