基于闭环管理的危急值信息系统的临床应用  

Clinical Application of Critical Value Information System Based on Closed-Loop Management

作　　者：徐柯 叶德力[2] 胡庆丰 洪宝建[2] 周永列[1,2] XU Ke;YE Deli;HU Qingfeng;HONG Baojian;ZHOU Yonglie(Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Clinical Laboratory,Zhejiang Province People's Hospital,Hangzhou 310014,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江省人民医院检验中心,浙江杭州310014

出　　处：《浙江医学教育》2019年第4期44-46,50,共4页Zhejiang Medical Education

摘　　要：目的:提升检验危急值报告的及时性和有效性.方法:在实验室信息系统中,嵌入危急值报告信息系统,对危急值产生、确认及报告等各环节实时监控,实现危急值信息系统闭环管理.结果:与2014年人工电话报告相比,2017年采用基于闭环管理的危急值信息系统后,检验危急值感知及时率从57.25%上升至85.5%,检验危急值的报告及时率从74.28%上升至89.11%,检验危急值临床回读及时率从84.17%上升至99.24%.结论:基于闭环管理的危急值实验室信息系统程序维护简单,在危急值管理中使用便捷,效果突出,具备较好的应用推广价值.[Objective]To enhance the inspection of critical value report timeliness and effectiveness.[Method]In the laboratory information system, the critical value report information system is embedded, and the critical value generation, confirmation and reporting are monitored in real time to realize the closed-loop management of the critical value information system.[Result]Compared with the manual telephone report in 2014, the perception timeliness rate of test critical value increased from 57. 25 % to 85.5 % in 2017. Timely-reporting rate increased from 74.28 % to 89.11 % in 2017, and clinical read-back rate creased from 84.17 % to 99.24% in 2017.[Conclusion]The closed-end management-based crisis value laboratory information system program is simple to maintain, easy to use in critical value management, and has outstanding effects, and has good application and promotion value.

关 键 词：实验室信息系统 医院信息系统 危急值 闭环管理 

分 类 号：R446[医药卫生—诊断学]