利用LIS系统样本时间流转功能保证时限性样本检测质量的探讨  

Investigation of using LIS system sample time flow function to guarantee the inspection quality of time limited samples

作　　者：周景鑫[1] 王雪霁[2] ZHOU Jing-xin;WANG Xue-ji(Department of Clinical Laboratory,the Second People＇s Hospital of Jilin City,Jilin Province,Jilin 132001,China;Department of Clinical Laboratory,People＇s Hospital of Jilin City,Jilin Province,Jilin 132001,China)

机构地区：[1]吉林省吉林市第二人民医院检验科,吉林吉林132001 [2]吉林省吉林市人民医院检验科,吉林吉林132001

出　　处：《中国当代医药》2018年第24期152-154,共3页China Modern Medicine

摘　　要：目的探讨利用LIS系统样本时间流转功能保证时限性样本检测质量的价值。方法选取2017年7~12月和2017年1~6月吉林市人民医院检验科住院部收集的尿常规、血氨和血气分析作为时限性样本,分别有25 679、912、5117例和24 313、867、4895例。2017年1~6月采用常规标准操作流程检测时限性样本,2017年7~12月在常规标准操作流程基础上增加预警时间设置:尿常规的预警时间为90 min,血氨为30 min,血气分析为10 min。比较不同时间段内时限性样本周转时间符合率、中位数和90%位数。结果 2017年7~12月,尿常规、血氨和血气分析的TAT符合率分别为98.7%、97.1%和98.3%,明显高于2017年1~6月的90.5%、80.5%和88.6%(P<0.05)。2017年7~12月,尿常规的TAT中位数、90%位数分别为32.6、62.5 min,血氨为20.6、45.8 min,血气分析为20.6、27.8 min均短于2017年1~6月的48.5、88.6 min,32.6、55.7 min,23.8、29.1 min(P<0.05)。结论 LIS系统样本时间流转功能可以保证时限性样本的时间检测需求和检测质量。Objective To explore the value of using LIS system sample time flow function to guarantee the inspectionquality of time limited samples. Methods The urine routine, blood ammonia and blood gas analysis collected by inpatient department of department of clinical laboratory in People＇s Hospital of Jilin City from July to December 2017 andfrom January to June 2017 were selected as time-limited samples, and there were 25 679, 912, 5117 cases, and 24313, 867, 4895 cases. From January to June 2017, the routine standard operation process was used to detect the timelimited samples while from July to December 2017, the setting of pre-warning time was added on the basis of routinestandard operation process： the pre-warning time of urine routine was 90 min, blood ammonia was 30 min, and bloodgas analysis was 10 min. The coincidence rate, median and 90% digits of turnaround time （TAT） for time limited samples in different time periods were compared. Results The coincidence rates of TAT in urine routine, blood ammoniaand blood gas analysis from July to December 2017 was 98.7%, 97.1% and 98.3% respectively, which was significantlyhigher than that from January to June 2017 （90.5%, 80.5% and 88.6%） respectively （P〈0.05）. From January to June2017, the median and 90% digits of TAT in urine was 32.6, 62.5 min rspectivley, blood ammonia was 20.6, 45.8 min,and blood gas analysis was 20.6, 27.8 min, which were shorter than those from January to June 2017 （48.5, 88.6 min;32.6, 55.7 min; 23.8, 29.1 min） （P〈0.05）. Conclusion The sample time flow function of the LIS system can guaranteethe time detection requirement and detection quality of time limited samples.

关 键 词：实验室信息管理系统 标本周转时间 时限性样本 质量监控 

分 类 号：R446[医药卫生—诊断学]