全国急诊检验现状与发展需求调研报告  

National survey report on the current situations and development requirements of emergency testing

作　　者：闫存玲[1] 潘世扬 王成彬[3] 王传新 全国急诊检验现状与发展需求调研协作组 Cunling Yan;Shiyang Pan;Chengbin Wang;Chuanxin Wang;Coordination Group for the National Survey of Current Situations and Development Requirement of Emergency Testing(Department of Clinical Laboratory,Peking University First Hospital,Beijing 100034,China;Department of Laboratory Medicine,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Clinical Laboratory,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Clinical Laboratory,the Second Hospital,Cheeloo College of Medicine,Shandong University,Jinan 250033,China;不详)

机构地区：[1]北京大学第一医院检验科,北京100034 [2]南京医科大学第一附属医院检验学部,南京210029 [3]解放军总医院第一医学中心检验科,北京100853 [4]山东大学第二医院检验医学中心,济南250033 [5]不详

出　　处：《中华检验医学杂志》2022年第6期623-636,共14页Chinese Journal of Laboratory Medicine

摘　　要：目的深入调研全国二级及三级医院急诊检验现状和发展需求。方法 2021年2月1日至3月1日, 采用网络问卷调研方法, 调研全国31个省、直辖市、自治区的二级及三级医院。调研内容涉及急诊检验的场地、人员与设备配置、开展的检测项目、检测周转时间(TAT)、试剂耗材管理、分析前质量管理、信息化管理、危急值管理、生物安全等各个方面。结果本次调研共收集到2 187份调研问卷, 剔除部分不合格问卷, 得到有效问卷1 503份, 其中二级医院755份, 三级医院748份。29.41%(220/748)的三级医院日均急诊患者量超过300人次, 而76.69%(579/755)的二级医院日均急诊患者量不足100人次;24.47%(183/748)的三级医院日均急诊检验测试量超过5 000个, 93.51%(706/755)的二级医院日均急诊测试量不足2 000个;在设置有独立急诊检验单元的医院中, 68.79%(238/346)的三级医院急诊检验单元面积在100 m2以下;总计56.02%(842/1 503)的医院急诊检验无固定工作人员;8.65%(130/1 503)的医院急诊检验生化免疫设备无加急通道;8.38%(126/1 503)的医院急诊检验无试剂耗材出入库记录;24.62%(370/1 503)的医院急诊检验未定期进行不合格标本统计工作;58.62%(881/1 503)的医院急诊检验未设置急诊检验标本的优先级;48.64%(731/1 503)的医院急诊检验没有监测标本全流程的功能;7.32%(110/1 503)的医院急诊检验未就危急值相关问题与临床进行沟通;50.23%(755/1 503)的急诊检验参研者表示目前实验室不存在生物安全风险。结论调研较客观地呈现了我国急诊检验现状和发展需求, 也反映出在临床沟通、场地和人员配置、急诊标本分级、试剂耗材管理、信息化建设、生物安全管理等方面尚有很多需重点改进的流程或理念, 应得到管理者较广泛的关注。Objective To investigate the current situations and development requirements of emergency testing among secondary and tertiary hospitals in China.Methods The data were collected from secondary and tertiary hospitals via online questionnaire across 31 provinces in China from February 1 to March 1,2021.The questionnaire involves various aspects of emergency testing,including area of emergency laboratory,staffs and equipment configuration,inspection items,Turn-around time(TAT),reagents and consumables management,pre-analysis quality control,laboratory information system,critical values management and biosafety,etc.Results A total of 2187 questionnaires were obtained,and 1503 valid questionnaires from 755 secondary hospitals and 748 tertiary hospitals were finally analyzed.The research data showed that daily average number of patients visiting emergency department exceeding 300 person-time in 29.41%(220/748)tertiary hospitals,but that number was less than 100 person-time in 76.69%(579/755)secondary hospitals;daily average emergency tests exceeding 5000 was reported in 24.47%(183/748)tertiary hospitals,and less than 2000 was reported in 93.51%(706/755)secondary hospitals;the area of emergency laboratory was less than 100 m2 in 68.79%(238/346)tertiary hospitals with independent emergency testing laboratory;there were no fixed staffs of emergency testing in 56.02%(842/1503)hospitals;the biochemical/immunoassay analyzer in 8.65%(130/1503)hospitals did not have STAT position;one hundred and twenty-six hospitals(8.38%)did not have stock in and stock out record for reagents and consumes materials;the conventional statistical analysis of unqualified specimen was not carried out in 24.62%(370/1503)hospitals;priority on emergent specimen was not set in 58.62%(881/1503)hospitals;whole process monitoring function was not equipped in 48.64%(731/1503)hospitals;there was no conventional communication working mechanism with clinicians on critical value in 7.32%(110/1503)hospitals;overall,50.23%(755/1503)participants did not consider

关 键 词：急诊室 医院 临床实验室技术 临床实验室信息系统 问卷调查 

分 类 号：R197.323[医药卫生—卫生事业管理]