院内即时检测质量管理中常见问题及解决对策  

Common problems and solutions in hospital point-of-care testing quality management

作　　者：续薇[1] 单洪丽[1] 孙瑞营 曲林琳[1] 姚瀚鑫[1] 魏锋[2] 王雪[2] 曹红十[3] 丛悦[3] 王海峰[1] Xu Wei;Shan Hongli;Sun Ruiying;Qu Linlin;Yao Hanxin;Wei Feng;Wang Xue;Cao Hongshi;Cong Yue;Wang Haifeng(Clinical Laboratory of the First Hospital of Jilin University,Changchun 130021,China;Medical Department of the First Hospital of Jilin University,Changchun 130021,China;Department of Nursing of the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院检验科,长春130021 [2]吉林大学第一医院医务部,长春130021 [3]吉林大学第一医院护理部,长春130021

出　　处：《中华检验医学杂志》2021年第9期781-785,共5页Chinese Journal of Laboratory Medicine

摘　　要：临床实验室即时检测(POCT)的快速发展对院内统一管理提出了挑战,如何保证POCT操作人员能力水平及资质、如何提升临床实验室开展POCT过程中在人、机、料、法、环等方面质量管理意识、如何帮助全院临床实验室开展院内POCT项目比对以及如何加强院内POCT信息化建设等诸多问题亟待解决。为此,本文针对院内POCT统一管理、POCT质量保证以及临床科室开展POCT中存在的问题,结合本院在POCT管理中的做法与体会,提出加强院内临床实验室POCT项目的统一管理,建立POCT的质量管理文件及提升质量意识,确认POCT操作人员的能力与资质、对POCT设备进行备案与校准、开展POCT室内质量控制、POCT检测系统进行院内比对等方面的管理建议及解决对策,指出POCT的信息化建设的必要性。希望能够通过本文,为医院管理者、医务部、护理部、质控科等职能科室对院内POCT 的质量管理提供参考,为临床实验室在POCT工作中的困惑找到有帮助的答案,以共同努力规范院内POCT质量管理,保证检验检测结果准确。The rapid development of point-of-care testing(POCT)in clinical laboratories has brought challenges to the unified management in the hospital.There are many problems,such as how to ensure the ability and qualification of POCT operators,how to improve the quality management awareness of human,machines,materials,methods and environment in the process of POCT in clinical laboratories,how to help the clinical laboratories in the hospital to carry out POCT comparison,and how to strengthen the information construction of POCT in the hospital.Thus,this article reviews the practice and experience of POCT management in our hospital on POCT quality assurance and the problems existing in POCT in clinical departments,proposes suggestions and solutions to strengthen the unified management of POCT in clinical laboratories and establish POCT quality management documents and to improve quality awareness.We hope to provide references for hospital administrators,medical departments,nursing departments,quality control departments and other functional departments on the quality management of POCT in the hospital,and find helpful answers to the puzzles of clinical laboratory in POCT,so as to make joint efforts to standardize the quality management of POCT in the hospital to ensure the accuracy of testing results.

关 键 词：即时检测 质量管理 仪器校准 比较研究 信息管理 

分 类 号：R197.32[医药卫生—卫生事业管理]