[1]袁平宗.医学检验危急值管理评估分析[J].现代检验医学杂志,2015,30(02):152-155.[doi:10.3969/j.issn.1671-7414.2015.02.049]
　YUAN Ping-zong.Evaluation and Analysis of Medical Testing Critical Value Management[J].Journal of Modern Laboratory Medicine,2015,30(02):152-155.[doi:10.3969/j.issn.1671-7414.2015.02.049]
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医学检验危急值管理评估分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年02期
页码:
152-155
栏目:
质量控制·实验室管理
出版日期:
2015-03-20

文章信息/Info

Title:
Evaluation and Analysis of Medical Testing Critical Value Management
作者:
袁平宗
内江市第二人民医院检验科,四川内江 641100
Author(s):
YUAN Ping-zong
Department of Clinical Laboratory, the Second People's Hospital of Neijiang,Sichuan Neijiang 641100,China
关键词:
医学检验危急值;  回顾分析;  管理;  评估
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2015.02.049
文献标志码:
A
摘要:
目的 分析医学检验危急值管理现状,提出相应的对策。方法 采用回顾性分析法,对内江市第二人民医院2014年9月506例医学危急值报告,利用软件统计出危急值项目构成比以及不同时间段危急值发生频率,危急值发生周期,不同临床科室危急值报告量等。结果 检验医学危急值出现率最高的项目是血小板(PLT),占危急值总数的16.80%,其次:白细胞(WBC)13.24%、血肌酐(Cr)12.25%; 危急值报告量集中在9:00～11:00,占全天的34%左右; 周二和周四危急值报告量较多,周日较少; 危急值报告量最多的是:重症监护病房(ICU)占危急值总数的24.70%,其次是肾内科21.15%,血液科19.57%。结论 检验科室人员必须认真执行检验医学危急值报告制度,各临床科室认真执行危急值报告登记制度。每年根据情况对医学检验危急值进行评估,确保医疗质量安全。
Abstract:
Objective To analyze medical critical value management present situation,proposed the corresponding countermeasure.Methods Used a retrospective analysis method to analyse 506 casesof medical critical value report in the Second People's Hospital of Neijiang City in September of 2014,and did constituent ratio of critical values with software,and different time frequency,critical values occur in different clinical departments,critical value report etc.Results The highest rate of the critical value of laboratory medicine was platelet(PLT),the project was accounted for a total 16.80%,followed by:white blood cell(WBC)13.24%,serum creatinine(Cr)12.25%.Critical value report was concentrated at 9:00～11:00,accounted for about 34%; Tuesday and Thursday urgent value reportedmore volume,Sunday less.Critical value report number was:severe medical center(ICU)accounted for 24.70% of the total number of emergency,department of internal medicine for 21.15%,Department of hematology for 19.57%.Conclusion The inspection department personnel must seriously implement the critical value report system of laboratory medicine,clinical departmentsto seriously implement the critical value reporting and registration system.Each year,according to the evaluation of medical test critical values,ensure medical quality and safety.

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备注/Memo

备注/Memo:
作者简介:袁平宗(1967-),男,本科,副主任技师,主要从事临床生化、实验室管理,现研究课题有:国家高新技术863计划子课题、四川省卫生厅课题、内江市课题研究,Tel:18990550580,E-mail:ypz123@126.com。
更新日期/Last Update: 2015-03-20