新疆某医院检验中心检验前五项质量指标的监测及应用分析  

Monitoring and Application Analysis of the First Five Quality Indicators in the Inspection Center of a Hospital in Xinjiang

作　　者：毛磊 罗超 申珂 李美艳 席峰[1] 李智伟[1,2] 吴元元[1] 雷韦[1] MAO Lei;LUO Chao;SHEN Ke;LI Meiyan;XI Feng;LI Zhiwei;WU Yuanyuan;LEI Wei(Medical Department of People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang Uygur Autonomous Region,830001 China;Clinical Laboratory Center of People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang Uygur Autonomous Region,830001 China)

机构地区：[1]新疆维吾尔自治区人民医院医务部,新疆乌鲁木齐830001 [2]新疆维吾尔自治区人民医院临床检验中心,新疆乌鲁木齐830001

出　　处：《中国卫生产业》2021年第34期28-31,共4页China Health Industry

基　　金：新疆维吾尔自治区自然科学基金项目(2019 D01C136)。

摘　　要：目的通过对临床检验专业质控指标的监测,分析、探讨如何合理利用检验前五项质量指标来提高检验质量。方法于2018年1月—2020年12月通过实验室信息系统(LIS)实时监测并收集新疆某院临床检验中心的3816份不合格标本数,回顾性统计分析标本类型错误率、标本容器错误率、标本采集量错误率、血培养污染率、抗凝标本凝集率,对所发现的问题提出整改建议。结果检验前5项质量指标中,标本类型错误率和标本容器错误率2018年高于2019年和2020年,其余3项指标2019年高于2018年和2020年。标本质量相关的不合格标本中,血培养污染的情况较为多见,占36.164%。在不合格标本的科室分布中,标本类型错误率最高的是风湿免疫科(0.079%);标本容器错误率和抗凝标本凝集率最高的是急救中心二区(0.027%、0.080%);标本采集量错误率最高的是新生儿科(0.034%);血培养污染率最高的是新疆急救中心(0.098%)。结论通过信息化手段,应对检验前质量指标进行实时监测,并统计分析找出问题突出的临床科室进行沟通或培训,实施分层管理。Objective By monitoring and analyzing the professional quality control indicators of clinical inspection,discussing how to rationally use the first five quality indicators in the inspection to improve the inspection quality.Methods The laboratory information system(LIS)was used to monitor and collect the number of 3816 unqualified specimens from the clinical inspection center of a hospital in Xinjiang from January 2018 to December 2020.Retrospective statistical analysis was performed on the error rate of specimen type,specimen container error rate,specimen collection volume error rate,blood culture contamination rate,and anticoagulation specimen agglutination rate,and put forward rectification suggestions for the problems found.Results The specimen type error rate and specimen container error rate in the first five quality indicators were higher in 2018 than in 2019 and 2020,and the remaining three indicators in 2019 were higher than those in 2018 and 2020.Among the unqualified specimens related to specimen quality,blood culture contamination was more common,accounting for 36.164%.Among the departments of unqualified specimens,the department of rheumatology and immunology had the highest error rate of specimen type(0.079%);the highest error rate of specimen container and agglutination rate of anticoagulated specimens were in the second area of the emergency center(0.027%and 0.080%);the highest error rate of specimen collection was in the neonatology department(0.034%);the highest blood culture contamination rate was in Xinjiang Emergency Center(0.098%).Conclusion By means of information technology,real-time monitoring of pre-test quality indicators,and statistical analysis to identify clinical departments with prominent problems for communication or training,and implement hierarchical management.

关 键 词：临床检验 质量控制 质量指标 分析前阶段 

分 类 号：R19[医药卫生—卫生事业管理]