凝血检验报告自动审核系统的建立与应用评价  

Establishment and Application Evaluation of Automatic Verification System for Coagulation Test Reports

作　　者：杨冬梅[1] 夏春燕 骆亭君 王艺晓 晋臻[2] Dongmei YANG;Chunyan XIA;Tingjun LUO;Yixiao WANG;Zhen JIN(Dept.of Clinical Laboratory,Yao’an County People’s Hospital,Yao’an Yunnan 675300;Dept.of Clinical Laboratory,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]姚安县人民医院检验科,云南姚安675300 [2]昆明医科大学第一附属医院医学检验科,云南昆明650032

出　　处：《昆明医科大学学报》2022年第11期58-62,共5页Journal of Kunming Medical University

基　　金：云南省科技厅重大科技专项基金资助项目(202102AA100063);云南省科技厅重点实验室专项科技人才与平台计划(202205AG070074)。

摘　　要：目的建立凝血检验报告自动审核系统并进行应用效果评价。方法制定凝血检验报告审核规则写入LIS程序。抽取试运行期间自动审核的6281份报告人工验证,评价规则的可行性。结果凝血检验报告自动审核通过率71.34%,假阳性率4.49%,假阴性率0.032%,阳性符合率24.14%,阴性符合率71.34%,一致率95.48%,通过正确率99.96%。结论23条拦截规则,APTT项目的Delta Check规则需进一步完善,其余22条拦截规则通过正确率达100%。Objective To establish an automatic review system for blood coagulation test report and evaluate its application effect. Methods The rules for the examination of coagulation test reports were written into Lis Procedure. A total of 6 281 reports that were automatically audited during the commissioning period were selected for manual verification,to evaluate the feasibility of the rules. Results The passing rate of automatic verification was 71.34%,False positive rate(4.49%),False negative rate(0.032%),Positive coincidence rate(24.14%),Negative coincidence rate( 71.34%), Consistent rate( 95.48%) and correct passing rate( 99.96%).Conclusion There are 23 intercepting rules,the Delta Check rule of APTT needs to be improved,and the rest of22 intercepting rules’ correct passing rate is 100%.

关 键 词：凝血检验报告 自动审核系统 建立与应用评价 

分 类 号：R446.1[医药卫生—诊断学]