2020年陕西省二级公立医院临床实验室室间质量评价参加率和合格率调查分析  

Investigation and Analysis of External Quality Assessment Participation and Acceptable Rates of Clinical Laboratories of Secondary Public Hospitals in Shaanxi Province in 2020

作　　者：谢小娟[1] 孙晶晶 樊港港 魏力强[1] 苏欣 XIE Xiao-juan;SUN Jing-jing;FAN Gang-gang;WEI Li-qiang;SU Xin(Shaanxi Center for Clinical Laboratory,Shaanxi Provincial People’s Hospital,Xi’an 710068,China)

机构地区：[1]陕西省人民医院陕西省临床检验中心,西安710068

出　　处：《现代检验医学杂志》2021年第4期167-170,共4页Journal of Modern Laboratory Medicine

摘　　要：目的调查分析陕西省二级公立医院绩效考核指标-室间质量评价(EQA)临床检验项目参加率和合格率,发现实验室质量管理方面存在的不足。方法2020年绩效考核通知以网站、微信和短信等方式通知实验室,实验室在线勾选开展的检验项目,EQA软件计算实验室参加率和合格率。采用Excel 2013和SPSS 17.0软件,对数据进行统计分析;两组数据比较采用Mann-Whitney检验,多组数据比较采用Kruskal-Wallis检验。结果①2020年参加二级公立医院绩效考核单位137家,EQA项目参加率12.0%~100.0%,平均86.7%;合格率75.6%~100.0%,平均93.6%。②114个EQA项目中,参加率≥60.0%的项目占比53.5%,合格率≥80.0%的项目占比81.6%。③综合医院和中医医院之间、全省10个地区医院之间比较,“开展检验项目数、已开展且参加EQA的项目数、合格项目数”之间有差异(Z=4.830,5.371,3.476,χ^(2)=25.098,20.482,19.903,均P<0.05);但参加率和合格率无差异(Z=1.104,0.655,χ^(2)=9.586,15.526,均P>0.05)。结论陕西省二级公立医院开展检验项目、参加EQA项目数差异较大;部分医院需要提高EQA参加率和合格率,从而加强检验项目的质量管理,推动实验室间检验结果互认。Objective To investigate and analyze external quality assessment(EQA)participation and acceptable rates of clinical test items for performance assessment indicators of secondary public hospitals in Shaanxi Province,and find out the shortcomings of laboratory quality management.Methods The performance assessment notice of 2020 was used to notify the laboratories through website,WeChat and SMS.The testing items were filled in on-line,and EQA software counted the participation and acceptable rates of the laboratories.The data were analyzed by Excel 2013 and SPSS 17.0 software.Mann-Whitney test was used for data comparison between two groups,and Kruskal-Wallis test was used for data comparison among multiple groups.Results①137 secondary public hospitals participated in performance assessment in 2020,and EQA participation rate was from 12.0%to 100.0%,with an average of 86.7%.The acceptable rate was from 75.6%to 100.0%,with an average of 93.6%.②Among 114 items of EQA,the items with participation rate≥60.0%accounted for 53.5%,and the items with acceptable rate≥80.0%accounted for 81.6%.③Compared with general hospitals and hospitals of traditional Chinese medicine,and compared with 10 regional hospitals,there were differences in the number of“test items carried out,items carried out and participated in EQA,and EQA acceptable items”(Z=4.830,5.371,3.476,χ^(2)=25.098,20.482,19.903,all P<0.05).However,there was no difference in the participation and acceptable rates(Z=1.104,0.655,χ^(2)=9.586,15.526,all P>0.05).Conclusion There was a big difference between the number of test items carried out and participated in EQA in secondary public hospitals in Shaanxi Province.Some hospitals need to improve EQA participation and acceptable rates,so as to strengthen the quality management of the testing items and promote mutual recognition of test results between laboratories.

关 键 词：室间质量评价 二级公立医院 绩效考核指标 

分 类 号：R446[医药卫生—诊断学]