检验分析前质量管理系统运用的效果分析  

Analysis on the Effect of the Pre-analysis Quality Management System

作　　者：梁淑馨 路瑞静 庾伟坚 陈献 陈尚良 王丰[1] LIANG Shuxin;LU Ruijing;YU Weijian;CHEN Xian;CHEN Shangliang;WANG Feng(Department of Laboratory Medicine,Shenzhen Banan Women’s and Children’s Hospital,ShenzhenGuangdong 518000,China)

机构地区：[1]广东省深圳市宝安区妇幼保健院检验科,广东深圳518000

出　　处：《中国卫生标准管理》2022年第2期26-29,共4页China Health Standard Management

摘　　要：目的分析妇幼体系标本不合格现状,建立科学的标本分析前质量控制方法。方法分析我院2018年7月—2019年12月标本不合格情况,以儿外耳鼻喉科为研究对象,自2019年7月起实施科学的标本分析前质量控制方法,直至2019年12月,并将该时间段设为研究组,2018年7—12月设为对照组,比较两组的标本不合格率。结果2018年7月—2019年12月全院标本总不合格率在5.7‰~8.0‰之间波动,前三的不合格原因依次为标本溶血(8.55‰)、抗凝标本凝集(1.42‰)和标本采集量不正确(0.33‰)。不合格标本主要集中在新生儿科、儿科,总占比为87.58%。实验对象儿外耳鼻喉科对照组及研究组标本不合格率分别为53.97‰和40.22‰,组间比较差异有统计学意义(P<0.05)。结论科学的标本分析前质量管理系统能有效控制标本不合格率,提高检验分析前质量,保障检验结果的准确性。Objective To analyze the current status of unqualified specimens in the Maternal and Children Hospital of Baoan District,establish a scientific quality control method for specimen pre-analysis.Methods The unqualified samples from July 2018 to December 2019 in our hospital were analyzed,the Department of Pediatric External ENT was selected as the research object,the scientific quality control method before sample analysis was implemented from July to December 2019,and the time period was implemented as the research group,and the period was implemented from July to December 2018 as the control group,and the unqualified rate of samples between the two groups were compared.Results From July 2018 to December 2019,the total unqualified rate of specimens fluctuated between 5.7‰and 8.0‰.The top three unqualified reasons were hemolysis(8.55‰),agglutination of anticoagulant specimens(1.42‰)and incorrect collection of specimens(0.33‰).Unqualified samples were mainly concentrated in Department of Neonatology and Pediatrics,accounting for 87.58%.The unqualified rates of the control group and the study group were 53.97‰and 40.22‰respectively.There was significant difference between the two groups(P<0.05).Conclusion The scientific quality management system for specimen pre-analysis can effectively control the unqualified rate of specimens,improve the quality of pre-analysis,and guarantee the accuracy of the test results.

关 键 词：标本不合格 分析前质量管理 效果分析 保障检验结果 耳鼻喉科 妇幼体系 

分 类 号：R446[医药卫生—诊断学]