[1]郭华a,孙晶晶b,王晋平c.现场技术审核对PCR 实验室质量管理的影响分析[J].现代检验医学杂志,2020,35(05):164-167.[doi:10.3969/j.issn.1671-7414.2020.05.042]
 GUO Huaa,SUN Jing-jingb,WANG Jin-pingc.Analysis of the Influence of Field Technical Audit on PCR Laboratory Quality Management[J].Journal of Modern Laboratory Medicine,2020,35(05):164-167.[doi:10.3969/j.issn.1671-7414.2020.05.042]
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现场技术审核对PCR 实验室质量管理的影响分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年05期
页码:
164-167
栏目:
质量控制·实验室管理
出版日期:
2020-11-01

文章信息/Info

Title:
Analysis of the Influence of Field Technical Audit on PCR Laboratory Quality Management
文章编号:
1671-7414(2020)05-164-04
作者:
郭华a孙晶晶b王晋平c
陕西省人民医院a. 检验科;b. 临床检验中心;c. 耳鼻喉科,西安 710068
Author(s):
GUO Huaa SUN Jing-jingbWANG Jin-pingc
a.Department of Clinical Laboratory; b.Clinical Laboratory Centers;c.Department of Otolaryngology, Shaanxi Provincial People’s Hospital, Xi’an 710068,China
关键词:
聚合酶链式反应质量管理室间质评
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2020.05.042
文献标志码:
A
摘要:
目的 总结临床PCR 实验室参加室间质量评价活动的PT 结果,探讨现场审核与否对室间质评结果的影响, 进而分析实验室现场审核对其质量管理的影响。方法 统计分析2008~2019 年陕西省临床检验中心PCR(HBV-DNA, HCV-RNA) 参评实验室室间质评活动结果。结果 ① 2008~2019 年累计参评HBV-DNA 的实验室次数为617 次,其中 通过现场审核的实验室累计数450 次,合格单位累计数437 次,平均能力比对96.4%,合格率97.1%;未通过现场审 核的实验室累计数167 次,合格单位累计数149 次,平均能力比对88.3%,合格率89.2%;② 2008~2019 年累计参评 HCV-RNA 的实验室数为526 次,其中通过现场审核的实验室累计数425 次,合格单位累计数414 次,平均能力比对 96.6%,合格率97.4%;未通过现场审核的实验室累计数101 次,合格单位累计数96 次,平均能力比对 92.9%,合格率 95.0%;③ HBV-DNA 2008~2019 年累计合格率经 χ2 检验,二者比较差异有统计学意义(χ2=15.888,P < 0.001)。结论  通过现场审核的PCR 实验室能严格进行规范操作,有助于做好室间质评工作,有效提高临床检测的水平和质量。
Abstract:
Objective To analyze the PT results of clinical PCR laboratory participating in the inter room quality evaluation activities,explore the influence of the on-site audit of PCR laboratory on the results of the inter room quality evaluation, and then to analyze the influence of the on-site audit of the laboratory on its quality management. Methods Statistical analysis of the results of EIA activities in the evaluation laboratories of HBV-DNA and HCV-RNA in Shaanxi Clinical Laboratory Center from 2008 to 2019 were carried out. Results ① In 2008~2019, the total number of laboratories participating in the evaluation of HBV-DNA was 617, including 450 laboratories passing the on-site audit, 437 qualified units, with an average of PT 96.4%, and a qualified rate of 97.1%. 167 laboratories failing to pass the on-site audit, 149 qualified units, with an average of PT 88.3%, and a qualified rate of 89.2%. ② In 2008~2019, there were 526 laboratories participating in the evaluation of HCV-RNA, including 425 laboratories passing the on-site audit, 414 qualified laboratories, with an average of PT 96.6% and a qualified rate of 97.4%.101 laboratories failing to pass the on-site audit, with an average of PT 92.9% and a qualified rate of 95.0%. ③ The cumulative eligibility rate of HBV-DNA in 2008~2019 was 15.888 and P<0.001 by χ2 test. There was statistical significance between them. Conclusion The PCR laboratory that has passed the on-site audit can strictly carry out the standardized operation, which is helpful to do a good job in the work of inter laboratory quality assessment and effectively improve the level and quality of clinical testing.

参考文献/References:

[1] MATSUDA K. PCR-based detection methods for single- nucleotide polymorphism or mutation: real-time PCR and its substantial contribution toward technological refinement [J]. Adv Clin Chem,2017, 80:45-72.
[2] MALDONADO-BERNAL C, RAMOS-GARIBAY A, RIOS-SARABIA N, et al. Nested polymerase chain reaction and cutaneous tuberculosis [J]. Am J Dermatopathol, 2019, 41(6):428-435.
[3] ROMSOS E L, VALLONE P M. Rapid PCR of STR markers: Applications to human identification[J]. Forensic Sci Int Genet,2015,18:90-99.
[4] YUAN Xiaoyuan, MENG Kai, ZHANG Yuxia, et al. Establishment and application of rapid diagnosis for reverse transcription-quantitative PCR of Newly emerging goose-origin nephrotic astrovirus in China [J]. mSphere, 2018,3(6):e00380-18.
[5] 张健, 胡冬梅, 李军燕, 等. 从医学实验室认可的不 符合项探析当前医学实验室的质量管理现状 [J]. 中 华检验医学杂志,2015,38( 6 ): 421-423. ZHANG Jian,HU Dongmei,LI Junyan, et al. Analysis of nonconformities in medical laboratory accreditation and status quo of clinical laboratory quality management [J]. Chin J Lab Med, 2015,38(6): 421-423.
[6] 张璐, 王琳琳, 翟运开, 等. 精准医学实验室标准化 建设和质量管理[J]. 中国卫生资源, 2020, 23(1): 14- 18, 48. ZHANG Lu, WANG Linlin, ZHAI Yunkai, et al. Standardization and quality management of precision medicine laboratory [J]. Chin Heal Res, 2020, 23 (1): 14-18, 48.
[7] 王海银, 张晓溪, 房良, 等. 我国卫生技术评估流程 规范研究[J]. 中国卫生质量管理, 2016, 23(6): 60-63. WANG Haiyin,ZHANG Xiaoxi, FANG Liang, et al. Health technology assessment process and normative research in China [J].Chinese Health Quality Management, 2016, 23(6): 60-63.
[8] 屈颖, 唐素芳. 实验室外部审核不符合项的分析与 改进[J]. 天津药学,2017, 29(4):76-78. QU Ying, TANG Sufang. Analysis and improvement of non conformance items in laboratory external audit [J]. Tianjin Pharm ,2017,29(4):76-78.
[9] 中国合格评审国家认可委员会. CNAS-CL36: 医学 实验室质量和能力认可准则在分子诊断领域的应用 说明[S]. 北京:中国标准出版社, 2012. China National Accreditation Service for Conformity Assessment. CNAS-CL36:Guidance on the application of accreditation criteria for the medical laboratory quality and competence in the field of molecular diagnostics[S]. Beijing: China Standar Press, 2012.
[10] 中华人民共和国国家卫生健康委员会. 新型冠状病 毒实验室生物安全指南( 第二版)[J]. 中国实用乡村 医生杂志,2020,27(3): 4-5. National Health Commission of the People’s Republic of China. Laboratory Biosafety Guidelines of Novel Coronavirus(Second Edition)[J].Chinese Practical Journal of Rural Doctor, 2020, 27(3): 4-5.
[11] 上海市临床检验中心. 上海市临床检验中心组织开 展新型冠状病毒核酸检测测量审核活动[J]. 检验医 学, 2020, 35(3): 223. Shanghai Center Clinical Laboratory. Novel coronavirus nucleic acid detection and measurement audit activity was carried out in Shanghai center for clinical laboratory[J].Lab Med,2020,35(3):223.

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备注/Memo

备注/Memo:
基金项目:陕西省自然科学基础研究计划项目(2018JM7145)。
作者简介:郭华(1977- ),女,主管技师,主要从事临床检验工作,E-mail:guohua1123@163.com。
通讯作者:孙晶晶(1984- ),女,主管技师,主要从事临床检验室间质评工作,E-mail:dnafail@163.com。
更新日期/Last Update: 2020-10-30