临床生化检验结果自动审核系统建立及应用  

Establishment and Application of an Autoverification System for Clinical Biochemical Test Results

作　　者：刘肖瑛 林佩娜 欧阳伟庆 隋洪 黄慧瑾 黄光日 LIU Xiao-ying;LIN Pei-na;OUYANG Wei-qing;SUI Hong;HUANG Hui-jin;HUANG Guang-ri(Department of Clinical Laboratory,Dongguan Kanghua Hospital,Guangdong Dongguan 523000,China)

机构地区：[1]东莞康华医院检验科,广东东莞523000

出　　处：《现代检验医学杂志》2021年第1期147-150,共4页Journal of Modern Laboratory Medicine

基　　金：东莞市社会科技发展(一般)项目:生化检验结果自动审核规则的制定及应用效果评价(2018507150591252)。

摘　　要：目的建立临床生化检验结果自动审核系统,通过审核流程的标准化与智能化改造,提高检验结果的准确性,提升检验科工作人员效率及满意度。方法依据中国合格评定国家认可委员会(CNAS)ISO15189指导原则,美国病理学会(CAP)核查表和美国临床实验室标准化协会(CLSI)AUTO15及WS/T616-2018等检验行业标准中有关自动审核的条款要求,依托西门子中间体管理软件Centralink为核心,联合实验室信息系统(LIS),医院信息系统(HIS)搭建自动审核平台。在保证质量的前提下,设置7大类别规则,包含有:临床信息判断规则(CS)、标本状态判断规则(SS)、室内质控判断规则(QS)、仪器状态判断规则(IS)、范围判断规则(NS)、差异判断规则(DS)及逻辑关系判断规则(LS),覆盖分析前、中、后全过程要素,分析自动审核前后质量指标的变化。结果统计同期人工审核、自动审核期数据,报告差错率由0.0025%降至0%,在工作量增长54.3%,未增加人力的情况下,样本周转时间(TAT)由98 min缩短至80 min,减少22.5%。结论自动审核系统可实现检验报告审核的标准化和智能化,优化了整个检验科的工作流程,提升了实验室效率,缩短TAT,减少员工工作量,提高员工及病患的满意度。Objective To establish an autoverification system for clinical biochemical tests,with standardlization and intellligence of test results verification workflow to elevate the accuracy of results report and operation efficiency of Lab,improve of the satisfication.Methods Under the CNAS ISO15189 Guideline,CAP Checklist,American Clinical Laboratory Standardization Association(CLSI)AUTO15,WS/T616-2018 and other industry standards related to automatic auditing requirements,An autoverification system was setup based on Siemens Middleware centralink,as well as cooperation with laboratory information system(LIS),hospital information system(HIS).The Pricinple of this autoverification system contain7 major categories of severity rules,including clinical information severity(CS),specimen status severity(SS),internal quality control severity(QS),instrument status severity(IS),norm severity(NS),delta check severity(DS)and logical relationship severity(LS).The system could cover Pre-Analytical,Analytical,Post-Analytical phase analyze the changes of the quality indicators before and after the implementation of autoverification system.Results Compare the working effiency of manual verification and autoverification during the same period.The error rate of the report was reduced from 0.0025%to 0%while workload was increase 54.3%and no headcounts increase during the same period,the TAT time was reduced from 98mins to 80mins,which was shortened by 22.5%.Conclusion The autoverification system validate the test results byvalidation process standardization and intelligence.The system can automatically validatetest results,optimize workflow,improve efficiency,shorten TAT time,reduce staff workload,and improve staff and patient satisfaction.

关 键 词：智能化 生化结果 自动审核 实验室信息化管理 

分 类 号：R446[医药卫生—诊断学]