[1]张津铭,王惠民,钟 堃,等.基于蒙特卡洛法绘制医学实验室质控规则的功效函数图及应用研究[J].现代检验医学杂志,2024,39(04):192-196.[doi:10.3969/j.issn.1671-7414.2024.04.035]
　ZHANG Jinming,WANG Huimin,ZHONG Kun,et al.Power Function Graph of Quality Control Rules in Medical Laboratories Based on Monte Carlo Method and Its Application Research[J].Journal of Modern Laboratory Medicine,2024,39(04):192-196.[doi:10.3969/j.issn.1671-7414.2024.04.035]
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基于蒙特卡洛法绘制医学实验室质控规则的功效函数图及应用研究()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第39卷
期数:
2024年04期
页码:
192-196
栏目:
质量控制·实验室管理
出版日期:
2024-07-15

文章信息/Info

Title:
Power Function Graph of Quality Control Rules in Medical Laboratories Based on Monte Carlo Method and Its Application Research
文章编号:
1671-7414（2024）04-192-05
作者:
张津铭1; 2; 王惠民3; 钟 堃1; 袁 帅1; 陈星彤1; 2; 何法霖1; 2
（1. 北京医院/ 国家老年医学中心/ 中国医学科学院老年医学研究院/ 国家卫生健康委临床检验中心/ 北京市临床检验工程技术研究中心，北京 100730；2. 中国医学科学院/ 北京协和医学院，北京 100730；3. 南通大学附属医院检验科，江苏南通 226001）
Author(s):
ZHANG Jinming1; 2;  WANG Huimin3;  ZHONG Kun1;  YUAN Shuai1;  CHEN Xingtong1; 2;  HE Falin1; 2
（1. Beijing Hospital/National Center of Gerontology/Institute of Geriatric Medicine, Chinese Academy of Medical Science/National Center for Clinical Laboratories/Beijing Engineering Research Center of Clinical Diagnosis, Beijing 100730, China; 2. Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China； 3. Department of Clinical Laboratory, Affiliated Hospital of Nantong University, Jiangsu Nantong 226001, China）
关键词:
质量管理; 室内质控; 功效函数图
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2024.04.035
文献标志码:
A
摘要:
目的 探讨如何绘制功效函数图，并绘制常见的几种质控规则对应的功效函数图以帮助医学实验室选择质控规则。方法 收集中国临床检验常用质控规则，基于蒙特卡洛法绘制功效函数图，且将模拟结果与已有结果对比进行验证。结果 蒙特卡洛法可简便绘制出最复杂的13s/22s/R4s/41s/8x 规则的功效函数图，该方法结果准确度较高，但准确度和精密度与模拟次数呈正相关；统计七种常用的质控规则，其中使用比例最高质控规则的为13s/22s 规则，其次为13s/22s/R4 规则，绘制出13s/22s/R47/41s/10x 规则功效函数图，并标出西格玛水平线以帮助实验室确定质控规则。结论 蒙特卡洛法绘制功效函数图结果准确，医学实验室可利用该方法自行绘制以满足日常质控要求。
Abstract:
Objective To discuss how to plot a power function graph and draw power function graphs corresponding to common quality control rules to assist medical laboratories in selecting quality control rules. Methods Commonly used quality control rules in clinical laboratory testing in China were collected, power function graphs based on the Monte Carlo method were plotted, and the simulation results with existing results were compared and tested the reliability of the method. Results The Monte Carlo method could be used to easily plot power function graphs for the most complex quality control rules such as 13s/22s/ R4s/41s/8x. This method had a high level of accuracy, but the accuracy and precision were positively correlated with the number of simulations. In terms of statistical proportions of seven commonly used quality control rules, the 13s/22s rule had the highest usage proportion, followed by the 13s/22s/R4s. The power function graph corresponding to the 13s/22s/R4s/41s/10x rule was plotted, and the sigma level lines were marked to assist the laboratory in selecting quality control rules. Conclusion The Monte Carlo method accurately plotted power function graphs, and medical laboratories could use this method to independently plot efficiency function graphs to meet quality control requirements.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：北京医院国家自然科学基金预研专项（BJ-2020-138）；国家重点研发计划（2021YFC1005304）。
作者简介：张津铭（2000-），男，硕士研究生在读，研究方向：临床检验质控模型研究，E-mail: 1437023709@qq.com。
通讯作者：何法霖（1981-），女，博士研究生，副研究员，研究方向：临床检验质量控制，E-mail: hefalin@126.com。
更新日期/Last Update: 2024-07-15