摘要
目的分析和评估重庆市沙坪坝区实行区域化检验结果互认的可行性,研究互认质量控制管理,为推进区域化检验结果互认奠定基础。方法通过问卷和现场调查的方式对沙坪坝区31家医疗机构检验科进行质量控制管理调研;2016-2017年连续2年对25个检验项目进行新鲜血标本比对,回报和统计分析检测结果。通过调研指导和分阶段新鲜血比对,评估沙坪坝区检验结果互认可行性,持续改进互认质量控制的问题和难点,总结互认经验。结果通过调研、比对、分析和改进,31家机构中项目总体通过率≥85%的医疗机构2016、2017年分别为19家、27家,占比分别为61.3%、87.1%,2017年比2016年提高25.8%。结论二、三级公立医院实验室检验质量控制较好,项目总体通过率较高;一级医院及民营医院实验室检验质量尚需进一步提高,沙坪坝区检验质控中心通过采取调研分析和新鲜血标本比对,牵头规范质量控制管理,加强人员培训等措施可以提高医院间检验结果的可比性和准确性,有力推进检验结果互认及分级诊疗工作。
Objective To analyze and evaluate the feasibility of implementing mutual recognition of regional inspection results in Shapingba District of Chongqing City,and to study the quality control management of mutual recognition,so as to lay a foundation for promoting mutual recognition of regional inspection results.Methods The quality control and management of laboratories in 31 medical institutions in Shapingba District were investigated by questionnaires and on-the-spot investigations,and the fresh blood samples of 25 laboratory items were compared for two consecutive years from 2016 to 2017.Through investigation and guidance,the feasibility of mutual acceptance of the test results in Shapingba District was evaluated,and the problems and difficulties in the quality control of mutual acceptance were continuously improved,and the experience of mutual acceptance was summarized.Results Through investigation,comparison,analysis and improvement,the overall project pass rate of the 31 institutions(≥85%)in 2016 and 2017 were 19 and 27 medical institutions,accounting for 61.3%and 87.1%respectively,and increased by 25.8%in 2017 compared with 2016.Conclusion The quality control management of laboratories in the second-class and third-class public hospitals is better,and the overall pass rate of the projects is higher.The quality of laboratory tests in primary hospitals and private hospitals still needs further improvement.The laboratory quality control center of Shapingba District can improve the comparability and accuracy of the results of laboratory tests among hospitals by taking measures such as investigation and analysis,comparison of fresh blood samples,taking the lead in standardizing quality control management and strengthening personnel training,and effectively promote the recognition of laboratory results and grading diagnosis and treatment.
作者
汤荣睿
李娟
刘张玲
蒲然
王丹枫
熊曼
易小翠
TANG Rongrui;LI Juan;LIU Zhangling;PU ran;WANG Danfeng;XIONG man;YI Xiaocui(Department of Clinical Laboratory,People′s Hospital of Shapingba District of Chongqing,Chongqing 400030,China)
出处
《国际检验医学杂志》
CAS
2018年第21期2637-2640,共4页
International Journal of Laboratory Medicine
基金
重庆市卫生和计划生育委员会2016年医学科研计划项目(2016MSXM135)
关键词
检验结果互认
质量控制
新鲜血标本比对
mutual recognition of test results
quality control
fresh blood index ratio
