血细胞分析危急值项目的5年统计与分析
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摘要
目的通过对血细胞分析危急值报告的各类监控指标的分析,提高检验科的危急值管理水平。方法收集2013年7月~2017年7月成都市妇女儿童中心医院危急值管理系统的血细胞分析项目危急值报告,回顾性分析平均接收时间、95%位数接收时间、通报及时率、通报率等监测指标。结果 2013~2017年危急值报告接收平均时间和95%位数接收时间逐年下降并达到要求,15 min内的通报及时率也从开始的60%~70%逐年提高到95%以上,危急值通报率维持稳定达100%。结论 95%位数接收时间与通报及时率、通报率一样可作为危急值监测指标,对各类指标的分析可提高工作效率,减轻工作量,提升检验科管理水平。
Objective To improve the management level of critical value in laboratory by analyzing various monitoring indexes of critical value reports of blood cell analysis. Methods The critical value reports of the critical value management system of Chengdu Women's & Children's Central Hospital from July 2013 to July 2017 were collected, and the average receiving time, the 95%-percentile receiving time, the rate of timely notification, the rate of notification and other monitoring indexes were analyzed retrospectively. Results The average receiving time and the 95%-percentile receiving time of critical value report during 2013-2017 decreased year by year and reached the requirements; the rate of timely notification within 15 min also increased from 60%-70% to more than 95% year by year, and the notification rate of critical value remained stable up to 100%. Conclusion Like the rate of timely notification and the rate of notification, the 95%-percentile receiving time can also be used as the monitoring index of the critical value, and the analysis of these indexes can improve the work efficiency, reduce the workload and improve the management level of the department of laboratory.
Objective To improve the management level of critical value in laboratory by analyzing various monitoring indexes of critical value reports of blood cell analysis. Methods The critical value reports of the critical value management system of Chengdu Women's & Children's Central Hospital from July 2013 to July 2017 were collected, and the average receiving time, the 95%-percentile receiving time, the rate of timely notification, the rate of notification and other monitoring indexes were analyzed retrospectively. Results The average receiving time and the 95%-percentile receiving time of critical value report during 2013-2017 decreased year by year and reached the requirements; the rate of timely notification within 15 min also increased from 60%-70% to more than 95% year by year, and the notification rate of critical value remained stable up to 100%. Conclusion Like the rate of timely notification and the rate of notification, the 95%-percentile receiving time can also be used as the monitoring index of the critical value, and the analysis of these indexes can improve the work efficiency, reduce the workload and improve the management level of the department of laboratory.
引文
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[2]中华医学会检验医学分会临床实验室管理学组.医学检验危急值报告程序规范化专家共识[J].中华检验医学杂志,2016,39(7):484-486.
[3]岳志红,贾玫.临床检验危急值监测平台的建立和应用[J].中华检验医学杂志,2016,39(1):7-9.
[4]杨轶.浅谈检验危急值的信息化管理[J].中国保健营养,2017,27(2):408.
[5]周炯,范靖,黄鹂,等.危急值管理与患者安全[J].中华医院管理杂志,2015,31(3):200-202.
[6]关小勇,杨兴兴,李雪丽,等.某妇幼保健院检验危急值检出项目、岗位及科室的构成情况分析[J].中国卫生统计,2015,32(3):425-426.
[7]Mcfarlane A,Aslan B,Raby A,et al.Critical values in hematology[J].Int Jnl Lab Hem,2015,37(1):36-43.
[8]方晓玲,陈君,钟春霞,等.新生儿科3年危急值数据纵向分析及护理人员的知晓情况调查[J].护士进修杂志,2016,31(19):1787-1790.
[2]中华医学会检验医学分会临床实验室管理学组.医学检验危急值报告程序规范化专家共识[J].中华检验医学杂志,2016,39(7):484-486.
[3]岳志红,贾玫.临床检验危急值监测平台的建立和应用[J].中华检验医学杂志,2016,39(1):7-9.
[4]杨轶.浅谈检验危急值的信息化管理[J].中国保健营养,2017,27(2):408.
[5]周炯,范靖,黄鹂,等.危急值管理与患者安全[J].中华医院管理杂志,2015,31(3):200-202.
[6]关小勇,杨兴兴,李雪丽,等.某妇幼保健院检验危急值检出项目、岗位及科室的构成情况分析[J].中国卫生统计,2015,32(3):425-426.
[7]Mcfarlane A,Aslan B,Raby A,et al.Critical values in hematology[J].Int Jnl Lab Hem,2015,37(1):36-43.
[8]方晓玲,陈君,钟春霞,等.新生儿科3年危急值数据纵向分析及护理人员的知晓情况调查[J].护士进修杂志,2016,31(19):1787-1790.