急诊检验实验室血液标本周转时间优化与评价  

Optimization and evaluation of turnaround time for blood specimens in the emergency laboratory

作　　者：鲍新宙 李瑞荣 BAO Xinzhou;LI Ruirong(Department of Laboratory Medicine,Pingyang Traditional Chinese Medical Hospital,Zhejiang Chinese Medical University,Wenzhou,Zhejiang 325401,China)

机构地区：[1]浙江中医药大学平阳中医院检验科,浙江温州325401

出　　处：《医药前沿》2024年第18期27-29,共3页Journal of Frontiers of Medicine

摘　　要：目的:通过实验室信息系统(LIS)设置弹框提醒对临床急诊血液检验标本实验室内周转时间进行优化并评估效果。方法:采集2023年9—12月浙江中医药大学平阳中医院急诊检验实验室血液标本的相关数据,将2023年9—10月未增设提醒期间的数据作为对照组,2023年11—12月增设提醒后的数据作为试验组。以实验室接收标本到实验室审核标本的时间间隔作为实验室内周转时间,评价增设提醒前后周转时间的差异性。结果:共纳入16358份标本,其中对照组纳入8251份,试验组纳入8107份。对照组血常规、电解质(急)、心肌酶Ⅱ(急)和血凝五项的周转时间(TAT)分别为9.95(6.38,14.93)、17.55(15.33,21.34)、32.05(29.40,36.88)、43.77(34.28,54.83)min;试验组血常规、电解质(急)、心肌酶Ⅱ(急)和血凝五项的TAT分别为9.67(6.45,14.74)、17.52(15.20,21.82)、31.45(28.66,36.42)、38.58(31.17,49.33)min。两组开单项目为血常规和电解质(急)的标本TAT比较,差异无统计学意义(P>0.05);两组开单项目为心肌酶Ⅱ(急)和血凝五项的标本TAT比较,差异有统计学意义(P<0.05)。结论:LIS增设提醒对开单项目预计TAT超过30 min以上的标本,能显著加快TAT,而对于开单项目预计TAT较短,不足30 min的标本无明显作用。Objective To optimize and evaluate the turnaround time for blood specimens in the emergency laboratory by setting pop-up reminders through.Methods Collected relevant data on blood samples from the Emergency Laboratory of Pingyang Traditional Chinese Medicine Hospital,Zhejiang Chinese Medical University from September to december 2023.The data from September to October 2023 was used as the control group,and the data from November to December 2023 was used as the experimental group.Evaluated the differences in turnaround time(TAT)before and after adding reminders,using the time interval between receiving specimens in the laboratory and reviewing specimens in the laboratory as the turnover time within the laboratory.Results A total of 16358 specimens were included,of which 8251 were included in the control group and 8107 were included in the experimental group.The TAT of the control group's blood routine,electrolyte(urgent),myocardial enzymeⅡ(urgent),and blood coagulation were[9.95(6.38,14.93)]min,[17.55(15.33,21.34)]min,[32.05(29.40,36.88)]min,and[43.77(34.28,54.83)]min,respectively.The TAT of the experimental group's blood routine,electrolyte(urgent),myocardial enzymeⅡ(urgent),and blood coagulation were[9.67(6.45,14.74)]min,[17.52(15.20,21.82)]min,[31.45(28.66,36.42)]min,respectively.[38.58(31.17,49.33)]min.There was no statistical significance in TAT of blood routine and electrolyte(urgent)samples between two groups(P>0.05).The TAT of myocardial enzymeⅡ(urgent)and hemagglutination samples of the two groups was compared,and the difference was statistically significant(P<0.05).Conclusions The addition of reminders through LIS can significantly shorten the TAT for specimens expected to take longer than 30 minutes,but has no significant effect on specimens expected to take less than 30 minutes.

关 键 词：急诊医学 实验室检查 周转时间 增设提醒 

分 类 号：R605.97[医药卫生—急诊医学]