[1]胡江红,袁平宗,汤雪彪,等.应用六西格玛性能验证图对18个常规化学项目的性能评价[J].现代检验医学杂志,2018,33(06):161-164.[doi:10.3969/j.issn.1671-7414.2018.06.042]
　HU Jiang-hong,YUAN Ping-zong,TANG Xue-biao,et al.Performance Evaluation of 18 Conventional Chemical Projects Using Six Sigma Performance Verification Diagram[J].Journal of Modern Laboratory Medicine,2018,33(06):161-164.[doi:10.3969/j.issn.1671-7414.2018.06.042]
点击复制

应用六西格玛性能验证图对18个常规化学项目的性能评价()
分享到：

《现代检验医学杂志》[ISSN:/CN:]

卷:
第33卷
期数:
2018年06期
页码:
161-164
栏目:
质量控制·实验室管理
出版日期:
2018-12-24

文章信息/Info

Title:
Performance Evaluation of 18 Conventional Chemical Projects Using Six Sigma Performance Verification Diagram
文章编号:
1671-7414(2018)06-161-04
作者:
胡江红; 袁平宗; 汤雪彪; 张 伟
内江市第二人民医院,四川内江 641100
Author(s):
HU Jiang-hong; YUAN Ping-zong; TANG Xue-biao; ZHANGWei
the Second People's Hospital of Neijiang,Sichuan Neijiang 641100,China
关键词:
西格玛性能验证图;  常规化学;  质量目标指数;  变异系数;  偏倚;  标准
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2018.06.042
文献标志码:
A
摘要:
目的 利用六西格玛(sigma,σ)性能验证图及质量目标指数(quality goal index,QGI)评价临床常规生化检测项目分析性能,指导实验室质量持续改进。方法 不精密度(coefficient of variation,CV%)采用2017年生化室常规化学检测项目室内质控累积变异系数,偏倚(bias%)采用2017年第一次参加卫生部室间质评计划中常规生化项目的百分差值,允许总误差(TEa%)采用国家标准GB/T20470-2006及卫生行业标准WS/T 403-2012质量规范,利用卫生部室间质评信息系统中西格玛性能验证功能绘制西格玛性能评价图,并计算QGI。结果 当使用国家标准时,σ< 3的只有氯1个项目,3≤σ<4有天门冬氨酸氨基转移酶和碱性磷酸酶2个项目,4≤σ<5有尿素和肌酐2个项目,5≤σ<6有乳酸脱氢酶1个项目,σ≥6有钾、钠、钙、镁、血糖、尿酸、总蛋白、清蛋白、总胆固醇、三酰甘油、丙氨酸氨基转移酶、肌酸激酶等12个项目; 当使用卫生行业标准时,σ< 3有氯、碱性磷酸酶和天门冬氨酸氨基转移酶3个项目,3≤σ<4有钠、清蛋白、尿素、肌酐、乳酸脱氢酶5个项目,4≤σ<5有钙、血糖、肌酸激酶3个项目,5≤σ<6有钾、镁、丙氨酸氨基转移酶3个项目,σ≥6有总蛋白、尿酸、总胆固醇、三酰甘油4个项目。结论 国家标准比行业标准宽松,西格玛性能验证采用行业标准更能有效的评价检测项目的分析性能以及导致分析性能不佳的原因,提出检测项目个性化的质控措施,提高实验室质控水平。
Abstract:
Objective Using the chart of the six sigma performance verification and the quality goal index(QGI)to evaluate the analysisperformance of clinical routine biochemical test projects,and improve laboratory quality continuesly.Methods Indensities(coefficientof variation,the CV%)were used in the indoor quality control accumulationvariation coefficient of the routine chemical detection project of biochemicalchamber in 2017,bias(by%)was used for the first time in 2017 to participatein the percentile value of routine biochemical projects in the health department,allow total error%(TEa)to adopt national standard GB/T20470-2006 and health industry standard WS/T 403-2012 quality standard,the performance evaluationgraph of sigma performance was drawn by using the sigma performance verificationfunction of the health department,Persia QGI.Results When the national standard was used,only one project of Cl was σ< 3,two projects of ALT and AKP was 3≤σ<4,two project of CRE and BUN was 4≤σ<5,and owe project of LDH was 5≤σ<6.The twelve projects'sigma greater than six were K,Na,Ca,Mg,GLU,UA,TP,ALB,TC,TG,ALT and CK.When health industry standards,Cl,ALP and AST was σ<3,and Na,ALP,BUN,LDH and CRE was 3≤σ<4,and Ca,GLU and CK was 4≤σ<5,and K,Mg,ALT was 5≤σ<6.The four projects'sigma greater than six were three TP,TC,TG and UA.Conclusion National standards are looser than industry standards,and Sigma performance verification can use industry standard evaluation test performance more effectively and analyze the cause of the poor performance.The test items personalized qualitycontrol measures are put forward,which could improve the quality control of laboratory.

参考文献/References:

[1] 章晓燕,王治国.西格玛性能验证图在采供血机构丙氨酸氨基转移酶(ALT)项目性能评价及质控规则选择中的应用[J].临床实验室,2016(5):73-77.
Zhang XY,Wang ZG.Application of sigma performance validation diagram in performance evaluation and quality control rules selection of alanine aminotransferase(ALT)projects in blood collection and supply institutions[J].Clinical Laboratory,2016(5):73-77.
[2] 王治国.临床检验6σ质量设计与控制[M].北京:人民卫生出版社,2012.
Wang ZG.Clinical test 6σ quality design and control[M].Beijing:People's Medical Publishing House,2012.
[3] 王治国.临床检验质量控制技术[M].3版.北京:人民卫生出版社,2014.
Wang ZG.Clinical laboratory quality control technology[M].3th Ed.Beijing:People's Medical Publishing House,2014.
[4] 张 路,王 薇,王治国.允许总误差在西格玛度量用于评价临床化学检测项目分析质量上的应用研究[J].检验医学,2015,30(9):953-957.
Zhang L,Wang W,Wang ZG.Application of allowed total error in Sigma metrics for assessing the analytical quality of clinical chemistry determination[J].Laboratory Medicine,2015,30(9):953-957.
[5] Kinns H,Pitkin S,Housley D,et al.Internal quality control:best practice[J].J Clin Pathol,2013,66(12):1027-1032.
[6] 康凤风,王 薇,何法霖,等.已通过ISO 15189认可的临床实验室常规生化指标的性能评价[J].临床检验杂志,2013,31(1):57-59.
Kang FF,Wang W,He FL,et al.Passed the perfomance evaluation of clinical laboratory routine biochemical indexes approved by ISO 15189[J].Chinese Journal of Clinical Laboratory Science,2013,31(1):57-59.
[7] 中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.GB/T 20470-2006.临床实验室室间质量评价要求[S].北京:标准出版社,2006.
General Administration of Quality Supervision Inspection and Quarantine of the People's Republic of China,Standardization Administration of the people's Republic of China.GB/T 20470-2006.Requirements of External Quality Assessment for Clinical Laboratories[S].Beijing:China Standard Press,2006.
[8] 中华人民共和国卫生部.WS/T 403-2012.临床生物化学检验常规项目分析质量指标[S].北京:中国标准出版社,2013.
Ministry of Health of the People's Republic of China.WS/T 403-2012.Analytical quality specifications for routine analytes in clinical biochemistry[S].Beijing:China Standard Press,2013.
[9] 李婷婷,王治国.标准化西格玛性能验证图在常规化学检测项目性能评价中应注意的事项[J].临床实验室,2017(2):53-57.
Li TT,Wang ZG.The matters needing attention in the performance evaluation of routine chemical testing items with standardized Sigma performance verification diagram[J].Clinical Laboratory,2017(2):53-57.
[10] 肖亚玲,王 薇,赵海建,等.西格玛性能验证图在常规化学检测项目性能评价中的应用[J].现代检验医学杂志,2016,31(4):159-162.
Xiao YL,Wang W,Zhao HJ,et al.Application of sigma verification of performance to evaluate the performance of routine chemistry in one laboratory[J].Journal of Modern Laboratory Medicine,2016,31(4):159-162.
[11] 张 辉,赵献云.六西格玛质量标准在临床生化检验中的应用[J].武警后勤学院学报(医学版),2016,25(3):210-212.
Zhang H,Zhao XY.Application of six sigma metrics in clinical biochemicaltesting[J].Journal of Logistics University PLA(Medical Sciences),2016,25(3):210-212.
[12] 靳 冰,赵强元,刘 敏,等.应用六西格玛质量管理方法评价实验室质量水平[J].国际检验医学杂志,2015,36(6):743-744.
Jin B,Zhao QY,Liu M,et al.Evaluation of quality level in clinical laboratory by six sigma quality management method[J].International Journal of Laboratory Medicine,2015,36(6):743-744.
[13] 胥国强,康清秀,陈小东,等.应用六西格玛原理分析临床生化项目的质量水平[J].重庆医学,2016,45(30):4279-4281.
Xu GQ,Kang QX,Chen XD,et al.Application of six sigma principle to analyze the quality level of clinical biochemical items[J].Chongqing Medicine,2016,45(30):4279-4281.
[14] 黄晓华,卢丽珊.6σ在临床常规化学检验项目性能的应用[J].检验医学与临床,2013,10(增刊I):127-129.
Huang XH,Lu LS.6 Sigma applied testing for the performance of clinical routine chemistry examination items[J].Medicine and Clinical,2013,10(Supplement I):127-129.

相似文献/References:

[1]肖亚玲,王 薇,赵海建,等.西格玛性能验证图在常规化学检测项目性能评价中的应用[J].现代检验医学杂志,2016,31(04):159.[doi:10.3969/j.issn.1671-7414.2016.04.047]
　XIAO Ya-ling,WANG Wei,ZHAO Hai-jian,et al.Application of Sigma Verification of Performance to Evaluate the Performance of Routine Chemistry in One Laboratory[J].Journal of Modern Laboratory Medicine,2016,31(06):159.[doi:10.3969/j.issn.1671-7414.2016.04.047]

备注/Memo

备注/Memo:
基金项目:国家高技术研究发展计划“863”计划,课题号:2014AA023304。
作者简介:胡江红(1976-),女,硕士研究生,副主任技师,主要从事临床生化检验。
通讯作者:袁平宗,ypz123@126.com。
更新日期/Last Update: 2018-11-30