ISO15189 质量体系下主动干预对临床检验报告 阅读及时性的研究
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四川省科技厅重点研发项目(2021YFS0323);西南医科大学科技计划项目(2019ZQNO30)。


Study on the timeliness of reading clinical inspection reports than was actively intervened under the ISO 15189 quality system
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    摘要:目的 在实验室 ISO15189 质量体系运行下,通过主动干预,观察干预前后检验报告在临床的阅读情况与阅读及时性。 方法 提取我院 2020 年上半年(干预前)和 2021 年上半年(干预后)住院患者三大常规、肝功能、肾功能与电解质检验项目的 审核时间与临床第一阅读时间;统计未被阅读的报告,根据患者与项目分类计算未阅读数量的占比;有阅读记录的报告分类 计算检验后 TAT 四分位数。其中,2020 年 321 279 例标本,2021 年 436 082 例标本。结果 干预后存在未读报告的患者比例 明显下降,且随着患者的标本未读数量的增加,其在总体中的占比也在减少。未读标本在 3 项及以上的患者占比从干预前 31.74%下降到 3.54%。干预后未读报告数及占比均远低于干预前;同项目类别标本中,急诊标本未读的数量占比远低于平诊 标本的数量占比。同项目类别中,同一时期的急诊项目的第 25 百分位数、中位数、第 75 百分位数均小于平诊项目;干预后项 目的第 25 百分位数、中位数、第 75 百分位数均小于干预前项目。干预后急诊项目肝功能、肾功能与电解质检验后 TAT 中位 数均在 1 h 以内,血常规检验后 TAT 中位数接近 1 h。结论 干预后效果明显,但还需持续优化处理,未阅读标本数量与检验 后 TAT 还有很大提升空间。

    Abstract:

    Abstract:Objective Under the operation of the clinical laboratory ISO15189 quality system, using the active intervention to study the percentage of inspection reports that have never been read and to find the after inspection(TAT) median change. Methods We collect data for hospitalized inpatients in our hospital in the first half of 2020 and the first half of 2021, the data contain inspection reports author time and first reading time. And the inspection item contains blood cell analysis, urine analysis, stool analysis, hepatic function test, renal function tests, blood electrolytes tests. In the unread reports, we classify and calculate the proportion of total according to the patient and item. If the reports has already been read, we classify and calculate after inspection (TAT) quartiles. 321279 samples were from 2020 and 436082 were from 2021. Results After active intervention, whether by the number of reports that patients have not read or by the type of item, their share has decreased. The after inspection (TAT) quartiles of the urgent reports is better the normal reports. The quartile after the intervention was better than before. Conlusion All indicators after the intervention were better than before the intervention, but we still need to continue to optimize. We need to reduce the number of unread reports as a percentage of the total and continue to work. When the report is reviewed, we also need to get the report read by healthcare workers faster.nread reports as a percentage of the total and continue to work. When the report is reviewed, we also need to get the report read by healthcare workers faster.

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罗扬,李光荣,刘凤,李涛,何文伟.ISO15189 质量体系下主动干预对临床检验报告 阅读及时性的研究[J].临床检验杂志,2022,(07):554-556

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  • 收稿日期:2021-12-07
  • 最后修改日期:2022-08-17
  • 录用日期:2022-08-16
  • 在线发布日期: 2022-09-26
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