临床微生物室全流程信息管理系统建设与应用  

Construction and application of whole process for information management system in clinical microbiology laboratory

作　　者：刘文静 陈浩 杨文航 尹相龙 徐英春 LIU Wenjing;CHEN Hao;YANG Wenhang;YIN Xianglong;XU Yingchun(Department of Laboratory Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College Hospital, Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Diseases, Beijing 100730;Clinical Laboratory, Jinghong First People-s Hospital, Jinghong 666100, Yunnan;Beijing Hao Chen Xing Yue Technology Co., Ltd, Beijing 102488, China)

机构地区：[1]中国医学科学院北京协和医院检验科,北京市侵袭性真菌病机制研究与精准诊断重点实验室,北京100730 [2]景洪市第一人民医院检验科,云南景洪666100 [3]北京浩辰星月科技有限公司,北京102488

出　　处：《临床检验杂志》2021年第8期621-626,共6页Chinese Journal of Clinical Laboratory Science

基　　金：北京市临床重点专科医学检验科卓越项目(ZK201000)。

摘　　要：目的建设并完善北京协和医院微生物实验室信息管理系统(LIMS)。方法根据实际工作需要,编写相应程序并不断升级,开发适合微生物工作流程的LIMS。结果LIMS拥有任务管理、鉴定管理、质控管理、统计管理和系统设置五大模块。显微镜、摄影成像系统、药敏测量仪、血培养仪、自动化鉴定及药敏系统等硬件设备均可与LIMS进行数据传输。实现了微生物每份标本的接收、接种、培养、药敏试验、报告、质控及数据统计分析等全程各个环节检验信息的记录、传递和无纸化办公,显著提升了工作效率,解放更多劳动力。记录各个环节点的操作者、操作内容和操作时间,可实现工作监督,降低工作差错率,有效保证工作质量。结论拥有一套满足实际工作需求并不断完善的微生物LIMS,可使微生物复杂的手工操作流程清晰化,并可实现微生物实验室全程监控标准化管理。Objective To develop and improve the microbiology laboratory information management system(LIMS)in Peking Union Medical College Hospital.Methods According to the requirements of practical operations,the corresponding program was compiled and continuously upgraded to develop a LIMS suitable for the workflow of microbiology laboratory.Results The LIMS for microbiology laboratory possessed five modules:the management for task,identification,quality,statistics and system setting.The hardware facilities,e.g.,microscope,photographic imaging system,automatic microbial identification and antimicrobial susceptibility analysis system and blood culture instrument could all be connected with the LIMS to realize data transmission.The record,delivery and paperless office work for every part in the whole process of microbiology laboratory were realized,including receiving,inoculating culturing,antimicrobial susceptibility testing and reporting of specimen,quality control and data statistical analysis.The efficiency of laboratory operations was significantly improved and more labor resources were released.The operators,the operation subjects and time of operation at each link point could be recorded and the supervision for all the operation were realized.The error rate in operations was reduced and the work quality was effectively ensured.Conclusion A set of constantly improved LIMS for microbiology laboratory that meets the needs of the actual operations may clarify the complex manual operation process in laboratory,and the monitoring for whole process and standardized management in microbiology laboratory may realize.

关 键 词：实验室信息管理系统 微生物实验室 质量控制 

分 类 号：R446.5[医药卫生—诊断学]