实验室信息管理系统对标本检验报告准确性的影响  

The influence of laboratory information management system on the accuracy of specimen examination report

作　　者：申哲 SHEN Zhe(Department of Laboratory,Tonghua Central Hospital,Tonghua 134001,China)

机构地区：[1]通化市中心医院检验科,通化134001

出　　处：《实验室检测》2024年第9期79-82,共4页Laboratory Testing

摘　　要：目的探究实验室信息管理系统应用于检验科质量管理中的效果及对标本检验报告准确性的影响。方法将2022年1月—2023年12月于本院检验科进行检验的1876份标本纳入研究,根据不同时间段选用不同管理模式分为两组,2022年1月—2022年12月检验科实施常规管理(n=938,纳入常规组),2023年1月—2023年12月检验科在常规管理措施基础上进行实验室信息管理系统(n=938,纳入观察组),观察不同管理模式下不良事件、检验报告情况及管理效果的影响。结果两组不良事件发生率(标识错误、标本丢失、检验不合格)比较,观察组(1.81%)更低(χ^(2)=7.627,P<0.05);比较两组标本检验报告情况,观察组危急值回报率、检验回报合格率、检验报告准确率、危急值报告及时率均更高(P<0.05);不同管理模式下两组管理效果评分比较,观察组管理期间检验人员管理效果评分均更高(P<0.05)。结论检验科质量管理中选择实验室信息管理系统,可降低不良事件发生率,检验报告准确性明显提高,管理效果显著。Objective To investigate the effect of laboratory information management system applied in the quality management of laboratory department and its impact on the accuracy of specimen test report.Methods The 1876 specimens that were tested in the laboratory department of our hospital from January 2022 to December 2023 were included in the study,and were divided into two teams according to the different management modes chosen for different time periods;the routine management was implemented in the laboratory department from January 2022 to December 2022(n=938,included in the routine team),and the routine management measures were carried out on the basis of the routine management measures in the laboratory department from January 2023 to December 2023(n=938,included in the surveyteam),to observe the impact of adverse events,test report situation and management effect under different management modes.Results Comparing the incidence of adverse events(mislabeling,specimen loss,test failure)between the two teams,the surveyteam(1.81%)was lower(χ^(2)=7.627,P<0.05);comparing the specimen test reports between the two teams,the surveyteam had a higher rate of return of critical values,qualified rate of test returns,accurate rate of test reports,and timely rate of critical value reports(P<0.05);Comparison of the management effect scores of the two teams under different management modes,the management effect scores of the inspection personnel during the management period were higher in the surveyteam(P<0.05).Conclusion The choice of laboratory information management system in the quality management of the laboratory department can reduce the incidence of adverse events,the accuracy of test reports is significantly improved,and the management effect is remarkable.

关 键 词：检验科 质量管理 实验室信息管理系统 标本检验 准确性 不良反应 管理效果 

分 类 号：R197.323[医药卫生—卫生事业管理]