自动审核系统在微生物检验中的应用探讨
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摘要
目的建立适合微生物检验结果报告的自动审核系统。方法以实验室信息管理系统为基础,制定微生物检验相关结果报告自动审核规则。结果共设定与其他检测结果趋势矛盾、检测结果与相关资料相关性两大类质控规则,其中客户特殊需求总预警报告数103例,预警通过数56例,通过率54.36%;危急值预警报告数18例,通过数11例,通过率61.11%;检测结果与病人性别一致性,总报告数100例,预警通过数100例,通过率100%。结论微生物自动审核程序的建立大大提高了微生物检验人员工作效率,降低了人员审核差错率,保证了报告的准确性,优化了工作流程。
Objective To establish an automatic audit system for microbiological test resultsreport. Methods Set up the microbiological test results report automatic audit rule based on laboratoryinformation management system. Results There are two kinds of quality control rules: contradictionwith other test results and correlation between test results and relevant data. 103 cases of warning reportsof customers′ special needs have been reported and 56 cases have passed the warning, the passing rate is54.36%; 18 cases of critical value warning report have been reported and 11 cases have passed the warning,and the pass rate was 61.11%. The test results were consistent with the patient′s gender, and the total numberof reports was 100, with 100 cases have passed the warning; the pass rate is 100%. Conclusion Theestablishment of automatic microbial audit procedures can improve the efficiency of microbial inspectors,reduce the error rate of personnel auditing, ensure the accuracy of reports, and optimize the workflow.
Objective To establish an automatic audit system for microbiological test resultsreport. Methods Set up the microbiological test results report automatic audit rule based on laboratoryinformation management system. Results There are two kinds of quality control rules: contradictionwith other test results and correlation between test results and relevant data. 103 cases of warning reportsof customers′ special needs have been reported and 56 cases have passed the warning, the passing rate is54.36%; 18 cases of critical value warning report have been reported and 11 cases have passed the warning,and the pass rate was 61.11%. The test results were consistent with the patient′s gender, and the total numberof reports was 100, with 100 cases have passed the warning; the pass rate is 100%. Conclusion Theestablishment of automatic microbial audit procedures can improve the efficiency of microbial inspectors,reduce the error rate of personnel auditing, ensure the accuracy of reports, and optimize the workflow.
引文
1 Clinical and Laboratory Standards Institute.AUTO10-AAutoverification of clinical laboratory test results;approved guideline[S].Wayne,PA 19087 USA:CLSI,2006.
2陶然,李博,倪路广,等.医学检验所自动预警程序的建立和运营[J].临床检验杂志,2017,35(6):423-426.
3陆怡德,施新明,杨帆,等.临床化学审核规则的制定及计算机自动确认的应用[J].检验医学,2011(26)4:277-280.
4雷和月,王红旗,郭远瑜,等.免疫学检验结果自动审核程序的建立及其应用[J].临床检验杂志,2015(33)5:388-390.
5尚红,王毓三,申子瑜.全国临床检验操作规程[M].4版.北京:人民卫生出版社,2015:560-646.
6临床和实验室标准化委员会(CLSI).药敏试验执行标准CLSI-M100[S].28th:181-191
2陶然,李博,倪路广,等.医学检验所自动预警程序的建立和运营[J].临床检验杂志,2017,35(6):423-426.
3陆怡德,施新明,杨帆,等.临床化学审核规则的制定及计算机自动确认的应用[J].检验医学,2011(26)4:277-280.
4雷和月,王红旗,郭远瑜,等.免疫学检验结果自动审核程序的建立及其应用[J].临床检验杂志,2015(33)5:388-390.
5尚红,王毓三,申子瑜.全国临床检验操作规程[M].4版.北京:人民卫生出版社,2015:560-646.
6临床和实验室标准化委员会(CLSI).药敏试验执行标准CLSI-M100[S].28th:181-191