[1]赵文玲,翟建昭,蔡　蓓,等.临床免疫学实验室检验标本接收流程优化和效率评价[J].现代检验医学杂志,2020,35(03):157-159.[doi:10.3969/j.issn.1671-7414.2020.03.042]
　ZHAO Wen-ling,ZHAI Jian-zhao,CAI Bei,et al.Process Optimization and Efficiency Evaluation of Specimen Receiving in Clinical Immunology Laboratory[J].Journal of Modern Laboratory Medicine,2020,35(03):157-159.[doi:10.3969/j.issn.1671-7414.2020.03.042]
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临床免疫学实验室检验标本接收流程优化和效率评价()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年03期
页码:
157-159
栏目:
质量控制·实验室管理
出版日期:
2020-07-20

文章信息/Info

Title:
Process Optimization and Efficiency Evaluation of Specimen Receiving in Clinical Immunology Laboratory
文章编号:
1671-7414（2020）03-157-03
作者:
赵文玲1; 翟建昭1; 蔡　蓓1; 胡　静1; 李立新1; 苏林冲2; 武永康1
（1. 四川大学华西医院实验医学科，成都　610041；2. 湖北民族大学附属民大医院风湿免疫科， 风湿性疾病发生与干预湖北省重点实验室，湖北恩施　445000）
Author(s):
ZHAO Wen-ling1;  ZHAI Jian-zhao1;  CAI Bei1;  HU Jing1;  LI Li-xin1;  SU Lin-chong2;  WU Yong-kang1
(1. Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China; 2. Department of Rheumatology and Immunology, University Hospital of Hubei University for Nationalities, Hubei Provincial Key Laboratory of Occurrence and Intervention of Rheumatic Disease, Hubei Enshi 445000, China)
关键词:
前处理仪;  自动接收;  检验仪器;  流程优化
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2020.03.042
摘要:
目的　通过流程优化实现临床免疫学实验室检验仪器标本自动接收功能，并对其进行效率评价。方法　通过改 进实验流程、提升现有软件功能，实现检验仪器分析的同时通过双向接口程序将患者信息自动录入实验室信息系统、同 步实现后台记费及编号工作；通过分别记录前处理仪和检验仪器7 天处理标本的时间，对比分析两种流程的处理标本时 间及操作人员的满意度。结果　7 天时间，前处理仪共处理相关标本2 661 个, 耗时292.65min，检验仪器共处理相关标 本2 785 个, 耗时77.8min，检验仪器处理标本耗时更少。操作人员满意度调查，前处理仪处理标本模式得分7.1±0.42， 检验仪器自动接收标本模式得分8.5±0.35。结论　双向通讯的自动化检验仪器可实现实验室标本接收、记费及编号， 是标本前处理仪的有益补充，优化了实验流程，提高了工作效率。
Abstract:
Objective　To realize specimen automatic receiving by optimizing process instruments in clinical immunology laboratory, and evaluate efficiency of this process. Methods　By improving the experimental process and enhanced the existing software functions, using bidirectional interface program, the patients’ information was automatically entered into the laboratory information system through the two-way interface program, at the same time as analyzing the inspection, accounting and numbering. Recorded specimens processing time of pretreatment instruments and detection instruments in seven days separately, comparatively analyze the processing time and operator satisfaction. Results　In 7 days, 2 661 specimens processed by pretreatment instruments, which took 292.65 minutes, and 2 785 specimens processed by detection instruments which took 77.8 minutes. Detection instruments took less time to process specimens. In the operator satisfaction survey, the pretreatment instruments processing model scored 7.1±0.42 and detection instruments automatic reception model scored 8.5±0.35 in the operator satisfaction survey. Conclusion　Automatic receiving, accounting and numbering of specimens could realize by two-way communicated detection instruments. It was a useful supplement to the pretreatment instruments, which optimized experiment process and improved work efficiency.

参考文献/References:

[1]　容海欣．检验科标本前处理流程优化的效果评价[J]. 心理医生，2019,25(3):332-333. 　　 RONG Haixin. Evaluation of the effect of optimizing the pretreatment process of laboratory specimens[J]. Psychological Doctor, 2019, 25(3):332-333.
[2]　欧志强．医院检验科生化项目检验中室内质量控制 失控研究[J]．中国保健营养,2017,27（27）:409. 　　 OU Zhiqiang. Research on indoor quality control failure of biochemical test in laboratory[J]. China Health Care Nutrition, 2017, 27(27):409.
[3]　解东涯，吴惠霞，李小红．不合格检验标本的原因 并探讨相应护理管理措施分析[J]．中外女性健康研 究，2018（11）：190-191. 　　 XIE Dongya, WU Huixia, LI Xiaohong. Analysis on the cause of unqualified specimen and care management measures[J]. Women’s Health Research, 2018(11):190-191.
[4]　陆彩萍，彭 亮，郭明辉，等．临床实验室分析前阶 段自动化管理系统的应用分析[J]．医学检验与临床， 2019,30(1):61-63. 　　 LU Caiping, PENG Liang, GUO Minghui,et al. Application analysis of the automated management sys tem in the pre-analysis stage of cl inical laboratory[J]. Medical Laboratory Science and Clinics, 2019, 30(1):61-63.
[5]　童明宏，左雪梅，丁 慧，等．临床实验室自动化系 统的运行评估[J]．中华检验医学杂志，2017，40（10）： 810-815. 　　 TONG Minghong, ZUO Xuemei, DING Hui,et al. Evaluation on the performance of clinical laboratory automation system[J]. Chinese Journal of Laboratory Medicine, 2017, 40(10):810-815.
[6]　崔海涛，姜晓燕，毛从答，等．PDCA 循环在缩短 急诊检验全程样本周转时间中的应用[J]．临床血液 学杂志，2019,32(6):446-450. 　　 CUI Haitao, JIANG Xiaoyan, MAO Congda,et al. Application of PDCA cycle in shortening sample turnover time of emergency inspection [J]. Journal of Clinical Hematology, 2019, 32(6):446-450.
[7]　　张云，黄新强，高兴, 等.2017 年解放军总医院第六 医学中心急诊检验质量指标调查与分析[J]. 现代检 验医学杂志, 2019,34(4):158-160,164. 　　 ZHANG Yun,HUANG Xinqiang,GAO Xing,et al. Investigation and analysis of quality index of emergency examination in Chinese PLA General Hospital Sixth Medical Center in 2017[J]. Journal of Modern Laboratory Medicine, 2019,34(4):158-160,164.
[8]　　LIPPI G, SIMUNDIC A M, PLEBANI M. Phlebotomy, stat testing and laboratory organization: an intriguing relationship[J]. Clinical Chemistry and Laboratory Medicine, 2012, 50(12): 2065-2068.
[9]　　武永康，唐江涛，王兰兰，等．临床实验室前处理 系统实现样本自动接收的应用研究[J]．检验医学教 育，2010, 17(4):37-39. 　　 WU Yongkang, TANG Jiangtao, WANG Lanlan,et al. Application research of automatic receiving of samples in pretreatment system of clinical laboratory[J]. Chinese Journal of Laboratory Medicine Education, 2010, 17(4):37-39.

备注/Memo

备注/Memo:
收稿日期：2020-01-08　修回日期：2020-02-29基金项目：四川省成都市科技局课题（项目编号：2019-GH02-00006-HZ）；四川大学华西医院学科卓越发展135 工程项目（项目编号：ZYJC18042）。 作者简介：赵文玲（1987-），女，医学学士，技师，主要从事临床免疫相关疾病研究，E-mail:zhaowl-26@qq.com。 通讯作者：武永康（1974-），男，博士，主任技师，E-mail：vipwyk@163.com
更新日期/Last Update: 2020-07-20