中华临床实验室管理电子杂志 ›› 2019, Vol. 07 ›› Issue (04) : 238 -241. doi: 10.3877/cma.j.issn.2095-5820.2019.04.012 × 扫一扫
所属专题： 文献；
质量控制
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Daohui Chen1, Jie Zhang1, Honglun Tian1, Chenxi Zhang2, Jun He1,†()
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陈道慧, 张捷, 田洪伦, 张晨曦, 何军. 检验分析前4项质量指标在精神病住院患者标本管理中的应用价值[J]. 中华临床实验室管理电子杂志, 2019, 07(04): 238-241.
Daohui Chen, Jie Zhang, Honglun Tian, Chenxi Zhang, Jun He. The application value of the four quality indicators in the sample management of inpatients prior to clinical laboratory analyse with psychosis[J]. Chinese Journal of Clinical Laboratory Management(Electronic Edition), 2019, 07(04): 238-241.
探讨运用检验标本相关的4项质量指标(抗凝标本凝集率、标本容器错误率、标本采集量错误率、标本类型错误率)对本院住院精神病患者标本实时监测及管理，以提高分析前标本质量。
通过实验室信息管理系统(laboratory information management system，LIS)回顾性统计我院精神病患者2017年4个质量指标情况，针对存在的问题实施沟通、培训，观察2018年4项质量指标来评价整改情况。
2017年与2018年4项质量指标分别比较除标本容器错误率无统计差异外(P>0.05)，其余3项质量指标均有统计差异(P<0.05)。不合格标本的病区分布中，抗凝标本凝集率最高的为精神科妇女儿童病区占1.024%；标本容器错误率最高的为精神科老年病区占0.050%；标本采集量错误率及标本类型错误率最高的均为心身科病区，分别占比0.078%、0.068%。
运用检验标本相关4项质量指标对本院精神病住院患者标本进行实时监测、动态管理，统计分析找出问题，并进行针对性沟通培训，能有效提高分析前检验标本的质量。
To explore the real-time monitoring and managing specimens from mental patients in our hospital by using four quality indicators (agglutination rate of anticoagulant specimens, error rate of specimen containers, error rate of specimen collection, and error rate of specimen types) related to the test specimens to improve the quality of pre-analytical specimens.
The laboratory information management system (LIS) was used to make a retrospective statistics of the four quality indicators of psychiatric patients in our hospital in 2017. Communication and training were carried out for the existing problems, and four quality indicators in 2018 were observed to evaluate the rectification.
There were statistical differences between the four quality indicators in 2017 and 2018 except for the error rate of the specimen containers (P>0.05), and the other three quality indicators were statistically different (P<0.05). Among the ward distribution of unqualified specimens, the highest agglutination rate of anticoagulant specimens was 1.024% for psychiatric women and children; the highest error rate of specimen container was 0.050% for psychiatric geriatric wards; the highest error rate of specimen collection and specimen type was 0.078% and 0.068% in the psychosomatic wards, respectively.
Using four quality indicators related to the test specimens to real-time monitor and manage the specimens from in patients with psychiatric, finding out problems through statistical analysis, and carrying out targeted communication training can effectively improve the quality of pre-analytical specimens.