[1]刘玉霞,杜永昌,丁利霞,等.临床免疫学检测结果自动审核规则和流程的建立及运用探讨[J].现代检验医学杂志,2020,35(01):153-156.[doi:10.3969/j.issn.1671-7414.2020.01.041]
　LIU Yu-xia,DU Yong-chang,DING li-xia,et al.Establishment and Application of Automatic Audit Rules and Procedures for Clinical Immunological Test Results[J].Journal of Modern Laboratory Medicine,2020,35(01):153-156.[doi:10.3969/j.issn.1671-7414.2020.01.041]
点击复制

临床免疫学检测结果自动审核规则和流程的建立及运用探讨()
分享到：

《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年01期
页码:
153-156
栏目:
质量控制·实验室管理
出版日期:
2020-02-29

文章信息/Info

Title:
Establishment and Application of Automatic Audit Rules and Procedures for Clinical Immunological Test Results
文章编号:
1671-7414(2020)01-153-04
作者:
刘玉霞1; 2; 杜永昌1; 丁利霞1; 张美玲1; 张美娟1; 尚牧牧1; 王 莹1; 陶然2; 3
(1.郑州金域临床检验中心实验诊断部,郑州 450016; 2.海南金域医学检验中心有限公司实验诊断部,海口 570311; 3.广州金域医学检验中心实验诊断部,广州 510330)
Author(s):
LIU Yu-xia1; 2; DU Yong-chang1; DING li-xia1; ZHANG Mei-ling1; ZHANG Mei-juan1; SHANG Mu-mu1; WANG Ying1; TAO Ran2; 3
(1.Department of Laboratory Diagnosis,Zhengzhou Kingmed Clinical Laboratory Center, Zhengzhou 450016, China; 2. Department of Laboratory Diagnosis, Hainan Kingmed Medical Laboratory Center Co. Ltd,Haikou 570311, China; 3.Department of Laboratory Diagnosis, Guangzhou Kingmed Medical Laboratory Center, Guangzhou 510330, China)
关键词:
自动审核;  运用规则;  审核效率
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2020.01.041
文献标志码:
A
摘要:
目的 为避免结果错误,保证结果准确性和及时性,建立了基于临床免疫学检测项目的自动审核系统。方法 依托实验室信息管理系统(LIS)建立可发现潜在的人为错误、钩状效应和室内质控失控等情况的自动审核规则,规则被判断后会发出提示反馈,待报告中所有规则均通过校验且已设置启用自动审核功能,系统将自动审核并发放报告。在自动审核使用前、使用中和使用后需分别进行规则正确性、完整性和阈值适用性评估,据此判断规则是否保留、修改或删除。结果 建立自动审核规则532条,通过半年的实施,自动审核通过率由最初的5.10%达到目前的67.96%,节约报告审核人员3人; 报告总缺陷率由自动审核启用前的0.25/万降至自动审核启用后的0.11/万,结果报告缺陷和患者信息错误发生率均明显改善。结论 通过自动审核的运用,报告单审核效率提升20倍、总缺陷率降低56%,审核效率和质量均得到有效提高。

参考文献/References:

[1] 朱晶,王蓓丽,郭玮,等.临床生化检验报告自动审核系统的规范化建立和优化[J].临床检验杂志,2018,36(9):704-707. ZHU Jing, WANG Beili, GUO Wei, et al. Establishment and optimization of an autoverification system for clinical biochemistry test results [J] Chinese Journal of Clinical Laboratory Science,2018,36(9):704-707.
[2] 闫绍荣,何令伟,钱定良,等.临床化学检验结果自动审核系统的建立与评价[J].中华全科医学,2018,16(7): 1171-1174. YAN Shaorong,HE Lingwei,QIAN Dingliang,et al.Establishment and assessment of an autoverification system in a clinical chemistry laboratory[J].Chinese Journal of General Practice,2018,16(7):1171-1174.
[3] 宋毅,王家驷,孙良丽,等.无监督学习在临床实验室自动审核规则制定中的实践价值[J].国际检验医学杂志,2018,39(23):2941-2945. SONG Yi,WANG Jiasi,SUN Liangli,et al. The clinical value of unsupervised learning in the establishment of clinical laboratory autoverification rules [J].International Journal of Laboratory Medicine,2018,39(23):2941-2945.
[4] 马丽,万海英.运用Data Manager 2中间件实现生化检验报告高效审核[J].临床检验杂志,2011,29(7):487-489. MA Li,WAN Haiying.Automated, intelligent and efficient verification for reports of biochemical examination by middleware of Data Manager 2[J].Chinese Journal of Clinical Laboratory Science,2011,29(7):487-489.
[5] 王文华,陈航,石紫云,等.临床输血闭环管理系统的开发和应用[J].现代检验医学杂志,2018,33(2):127-133. WANG Wenhua,CHEN Hang,SHI Ziyun,et al. Development and application of a close-loop blood information system[J].Journal of Modern Laboratory Medicine,2018,33(2):127-133.
[6] Clinical and Laboratory Standards Institute. CLSI AUTO10-A Autoverification of clinical laboratory test results; approved guideline[S].Wayne:PA,CLSI AUTO10-A,2006
[7] 陶然,王家健,陈建波,等.自动审核人机一致性验证方案的建立与探讨[J].临床检验杂志,2018,36(12): 927-930. TAO Ran,WANG Jiajian,CHEN Jianbo,et al. Establishment and exploration of man-machine consistency verification scheme for automatic audit [J].Chinese Journal of Clinical Laboratory Science,2018,36(12):927-930.
[8] 杜敏,李娜.抗CCP抗体与RF联合检测在类风湿关节炎早期诊断中的意义[J].医学信息,2019,32(6):177-178. DU Min,LI Na.Significance of combined detection of anti-CCP antibody and RF in early diagnosis of rheumatoid arthritis [J].Medical Information,2019,32(6):177-178.
[9] 安哲,王香玲.2014版欧洲梅毒管理指南(实验室诊断部分)[J].现代检验医学杂志,2016,31(4):162-164. AN Zhe,WANG Xiangling. 2014 European syphilis management guide(laboratory diagnosis part)[J].Journal of Modern Laboratory Medicine,2016,31(4):162-164.
[10] 陆学军,李传保,刘梦欣,等.血液细胞分析流水线自动审核规则制定与确认[J].现代检验医学杂志,2017,32(3):157-161.LU Xuejun,LI Chuanbao,LIU Mengxin,et al. Study on autoverification systems of hematology analysis system[J].Journal of Modern Laboratory Medicine,2017,32(3):157-161.
[11] 中国合格评定国家认可委员会.CNAS-CL02:医学实验室质量和能力认可准则[S].北京:中国标准出版社, 2012. China National Accreditation Service for Conformity Assessment.CNAS-CL02: Accreditation criteria for the quality and competence of medical laboratories[S].Beijng:China Standard Publishing House,2012.
[12] College of American Pathologists, Commission of Laboratory Accreditation. Laboratory Accreditation Program, Laboratory General Checklist[EB/OL].https://www.cap.org/laboratory.improvement/accreditation/laboratory-accreditation-program,2018.

相似文献/References:

[1]刘肖瑛,林佩娜,欧阳伟庆,等.临床生化检验结果自动审核系统建立及应用[J].现代检验医学杂志,2021,36(01):147.[doi:10.3969/j.issn.1671-7414.2021.01.036]
　LIU Xiao-ying,LIN Pei-na,OUYANG Wei-qing,et al.Establishment and Application of an Autoverification System for Clinical Biochemical Test Results[J].Journal of Modern Laboratory Medicine,2021,36(01):147.[doi:10.3969/j.issn.1671-7414.2021.01.036]

备注/Memo

备注/Memo:
基金项目:海南省卫生计生行业科研项目(项目编号:琼卫科教【2018】10号)。作者简介:刘玉霞(1987-),女,学士,主管技师,主要从事医学检验工作,E-mail:lablyx@kingmed.com.cn。通讯作者:陶然(1983-),男,硕士,主管技师,主要从事生化检验和信息管理方面的工作。收稿日期:2019-07-09 修回日期:2019-11-27
更新日期/Last Update: 2020-03-30