检验科急诊危急值报告的回顾性分析与探讨  

Retrospective Analysis and Discussion of Critical Value Reporting in the Emergency Laboratory

作　　者：郑华容 ZHENG Huarong(Fuqing Traditional Chinese Medicine Hospital Clinical Laboratory,Fuqing 350300,China)

机构地区：[1]福清市中医院检验科,福建福清350300

出　　处：《中华灾害救援医学》2024年第9期1038-1041,共4页Chinese Journal of Disaster Medicine

摘　　要：目的回顾性分析福清市中医院危急值报告数据,为进一步管理和提高危急值报告制度提供参考依据。方法统计2022年3月至2023年8月福清市中医院检验科急诊组危急值相关原始数据,分析危急值检验项目的发生率以及项目、科室、时间分布的具体情况。结果2022年3月至2023年8月共检测标本1632351份,危急值共上报6529份,危急值发生率为0.40%。住院患者危急值报告4701份(72.00%),急诊患者危急值报告1242份(19.02%),门诊患者危急值报告586份(8.98%),三种类型的患者危急值差异具有统计学意义(P<0.001)。分布前五的科室为血液内科(1502件,占23.01%)、肾内科(1373件,占21.03%)、重症监护室(1314件,占20.13%)、急诊科(1242件,占19.02%)、心脏重症监护室(667件,占10.22%)。分布前五的危急值项目分别为血尿素氮(2176份,占33.33%)、血小板计数(1062份,占16.27%)、血肌酐(842份,占12.90%)、白细胞计数(714份,占10.94%)和纤维蛋白原(361份,占5.53%)。不同月份危急值的发生率有差异,2022年9月至2022年11月的发生率最高,2022年12月至2023年2月的发生率最低。周一危急值发生率最高(1226件,占18.78%);其次是周四(1037件,占15.88%);周六(11.01%)和周日(10.34%)危急值发生率较低。结论通过回顾性分析检验科的急诊危急值报告数据,建立定期评估和分析危急值报告制度,不断完善且确保有效、快速地完成危急值报告,对减少医疗事故、保障患者安全具有重要意义。Objective To conduct a retrospective analysis of critical value report data at our hospital from March 2022 to August 2023,providing a reference for further management and improvement of the critical value reporting system.Methods Original data related to critical values from the Emergency Department laboratory at Fuqing Traditional Chinese Medicine Hospital from March 2022 to August 2023 were collected.The incidence and distribution of critical test values by project,department,and time were analyzed.Results From March 2022 to November 2023,a total of 1,632,351 samples were tested,with 6,529 critical values reported,resulting in an incidence rate of 0.40%.Among these,4,701(72.00%)were reported for inpatients,1,242(19.02%)for emergency patients,and 586(8.98%)for outpatients.The differences in critical values among the three types of patients were statistically significant(P<0.001).The top five departments with the highest number of critical values were Hematology(1502 cases,23.01%),Nephrology(1373 cases,21.03%),Intensive Care Unit(1,314 cases,20.13%),Emergency Department(1,242 cases,19.02%),and Cardiac Intensive Care Unit(667 cases,10.22%).The top five critical test items were blood urea nitrogen(2,176 cases,33.33%),platelet count(1062 cases,16.27%),serum creatinine(842 cases,12.90%),white blood cell count(714 cases,10.94%),and fibrinogen(361 cases,5.53%).There were variations in the monthly incidence of critical values,with the highest rates occurring from September 2022 to November 2022,and the lowest from December 2022 to February 2023.The incidence was highest on Mondays,accounting for 18.78%(1226 cases),followed by Thursdays at 15.88%(1037 cases),while Saturdays(11.01%)and Sundays(10.34%)had the lowest rates.Conclusion Retrospective analysis of emergency critical value report data in the laboratory and the establishment of a regular evaluation and analysis system for critical value reporting are crucial for continuously improving the process to ensure timely and effective completion.This approach is importan

关 键 词：急诊处理 白细胞计数 血小板计数 

分 类 号：R446[医药卫生—诊断学]