临床实验室基于功效函数图评价Westgard西格玛规则中统计质量控制程序性能  

Evaluate the Performance of Statistical Quality Control Procedures in Westgard Sigma Rules Based on Power Function Graphs in Clinical Laboratories

作　　者：刘佳丽 王薇[1] 陈兵权 王治国[1] LIU Jiali;WANG Wei;CHEN Bingquan;WANG Zhiguo(Beijing Hospital,National Center of Gerontology,National Center for Clinical Laboratories/Beijing Engineering Research Center of Laboratory Medicine,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Beijing Clinet Information Technology Company,Beijing 100020,China)

机构地区：[1]北京医院国家老年医学中心,国家卫生健康委临床检验中心/北京市临床检验工程技术研究中心,中国医学科学院老年医学研究院,北京100730 [2]北京科临易检信息技术有限公司,北京100020

出　　处：《现代检验医学杂志》2024年第1期175-178,191,共5页Journal of Modern Laboratory Medicine

基　　金：国家自然科学基金委员会(项目编号:81871737):临床检验基于六西格玛和风险分析的质量控制研究与应用。

摘　　要：目的 使用功效函数图对Westgard西格玛规则中统计质量控制程序性能特征进行分析。方法 根据功效函数图绘制原理,开发了临床检验定量测定室内质量控制程序设计软件,使用功效函数图对Westgard西格玛规则中推荐的质量控制程序进行模拟,结合不同西格玛质量水平对Westgard西格玛推荐的质量控制程序进行性能分析。结果 Westgard西格玛规则推荐的质量控制程序,是能满足误差检出概率和假失控概率要求的前提下相对简单的规则。结论 临床检验定量测定室内质量控制程序设计软件验证了Westgard西格玛规则中推荐质量控制程序的性能,Westgard西格玛规则图直观便捷,临床实验室可以用来推荐室内质量控制的质量控制程序。Objective The performance characteristics of statistical quality control procedures in Westgard sigma rule are analyzed by using the power function graph.Methods According to the drawing principle of power function graph,the internal quality control program design software of clinical laboratory quantitative measurement was developed.and the Westgard sigma rule quality control procedures were simulated with power function graph.The performance of the quality control procedures recommended by Westgard sigma was analyzed by combining different sigma quality levels.Results The rules recommended by Westgard sigma were relatively simple rules that can meet the requirements of error detection probability and false rejection probability.Conclusion The internal quality control procedure design software for quantitative clinical testing has verified the performance of Westgard sigma recommendation rules.The Westgard sigma rule diagram is intuitive and convenient,the laboratory can use the Westgard sigma recommendation rules for internal quality control.

关 键 词：Westgard西格玛规则 功效函数图 室内质量控制 质控规则 

分 类 号：R446[医药卫生—诊断学]