贵州省2019~2023年基层医疗机构与二级以上医疗机构常规生化项目室间质量评价结果分析  

An Analysis of the Results of External Quality Evaluation of Routine Biochemical Tests in Primary Medical Institutions and Secondary and Above Medical Institutions in Guizhou Province from 2019 to 2023

作　　者：张淑俊 袁薇 孙建超 杨敬源[1] 陶永德[2] 张娜佳 ZHANG Shujun;YUAN Wei;SUN Jianchao;YANG Jingyuan;TAO Yongde;ZHANG Najia(School of Public Health,Guizhou Medical University,Guiyang 561113,China;Guizhou Provincial Clinical Laboratory Center,Guiyang 550002,China)

机构地区：[1]贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州贵阳561113 [2]贵州省临床检验中心质量管理科,贵州贵阳550002

出　　处：《标记免疫分析与临床》2024年第4期740-747,共8页Labeled Immunoassays and Clinical Medicine

基　　金：贵州省卫健委科技基金项目(编号:gzwjkj2020-1-198)。

摘　　要：目的通过分析贵州省2019~2023年基层医疗机构与二级以上医疗机构常规生化项目室间质量评价(external quality assessment,EQA)结果,了解影响各实验室检测准确度的因素,提高实验室检测能力。方法通过Clinet-EQA系统在线回报结果,收集2019~2023年参加贵州省常规生化23个项目EQA的基层医疗机构实验室的EQA数据,分析各实验室的参评率及EQA合格率,并与二级及以上医疗机构实验室进行比较,进一步分析基层医疗机构与二级及以上医疗机构实验室之间的差距,找出影响结测结果准确度的原因并改进。结果基层医疗机构和二级及以上医疗机构参评单位数逐年增多,基层医疗机构56.52%的项目合格率总体均呈上升趋势。2021年CK项目和2022年DBIL项目基层医疗机构合格率高于二级及以上医疗机构(χ^(2)=17.24,36.77,P值均<0.05),2019~2023年中69.57%以上的常规生化项目二级及以上医疗机构合格率均高于基层医疗机构(χ^(2)=3.91~114.62,P值均<0.05),基层医疗机构实验室检测能力相对较差。结论基层医疗机构实验室仍是质量管理的薄弱环节,加强基层医疗机构实验室的质量管理对于提升基层实验室检测能力具有重大意义。Objective By conducting a comprehensive analysis of the results obtained from the external quality assessment(EQA)conducted on routine biochemical projects between primary medical institutions and second level or above medical institutions in Guizhou Province during the period of 2019 to 2023,we aim to gain better insights into the various factors that influence the accuracy of laboratory testing and to subsequently enhance their laboratory testing capabilities.Methods We collected EQA data from primary medical institution laboratories participating in 23 routine biochemical projects EQA in Guizhou Province from 2019 to 2023 through the Clinet EQA system with online reporting results.We analyzed the participation rate and EQA qualification rate of each laboratory,and compared them with second level and above medical institution laboratories.We further analyzed the gap between primary medical institutions and second level and above medical institution laboratories,and identified potential reasons that affect the accuracy of final test results,and made improvements.Results The number of participating units in primary medical institutions and secondary and above medical institutions were increasing yearly,and the overall qualification rate of 56.52%of projects in primary medical institutions was on the rise.The qualification rates of primary medical institutions for CK projects in 2021 and DBIL projects in 2022 were higher than those of secondary and above medical institutions(χ^(2)=17.24,36.77,P<0.05).From 2019 to 2023,the qualification rates of secondary and above medical institutions for routine biochemical projects were higher than those of primary medical institutions(χ^(2)=3.91-114.62,P<0.05),and the laboratory testing capabilities of primary medical institutions were relatively poor.Conclusion The quality management of primary medical institution laboratories is still a weak component of the system,suggesting that strengthening the quality management of primary medical institution laboratories is of great s

关 键 词：室间质量评价 质量管理 质量控制 准确度 检测能力 

分 类 号：R-331[医药卫生]