[1]曾婷婷,邓山鹰,黄 茜,等.临检急诊标本危急值通知流程及质量改进[J].现代检验医学杂志,2015,30(04):127-129.[doi:10.3969/j.issn.1671-7414.2015.04.038]
　ZENG Ting-ting,DENG Shan-ying,HUANG Qian,et al.Process and Quality Improvement of Critical Value Notification of Emergency Specimens in General Laboratory[J].Journal of Modern Laboratory Medicine,2015,30(04):127-129.[doi:10.3969/j.issn.1671-7414.2015.04.038]
点击复制

临检急诊标本危急值通知流程及质量改进()
分享到：

《现代检验医学杂志》[ISSN:/CN:]

卷:
第30卷
期数:
2015年04期
页码:
127-129
栏目:
质量控制·实验室管理
出版日期:
2015-08-10

文章信息/Info

Title:
Process and Quality Improvement of Critical Value Notification of Emergency Specimens in General Laboratory
文章编号:
1671-7414(2015)04-127-03
作者:
曾婷婷; 邓山鹰; 黄 茜; 粟 军
四川大学华西医院实验医学科,成都 610041
Author(s):
ZENG Ting-ting; DENG Shan-ying; HUANG Qian; SU Jun
Department of Laboratory Medicine,West China Hospital of Sichuan University,Chengdu 610041,China
关键词:
危急值;  通知流程;  质量改进
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2015.04.038
文献标志码:
A
摘要:
目的 分析临检急诊标本危急值报告是否达到预期目标,并实施质量改进措施,以期达到质量改进的目的。方法 回顾分析2014年华西医院临检急诊标本的危急值结果,统计危急值通知率并分析未通知原因,于下半年开始通过培训、继续教育和每月通报危急值通知情况进行质量改进。结果 2014年临检急诊标本共有危急值2 648例,电话通知1 950例,上半年总通知率为61.4%,下半年总通知率为81.4%,12月通知率为全年最高,达97.72%。结论 加强危急值通知的管理,有助于提高实验室服务质量,增强检验工作者的责任心和服务临床的意识。
Abstract:
Objective To estimate the critical value notification of emergency specimens in general laboratory whether achieved the desiredgoals,and to apply quality improvement measures to achieve quality improvementpurposes.Methods Critical values of emergency specimensin general laboratory were monitored and collected in 2014.Statistical analysis was done for non-notification rates and sources of the critical values,and quality improvement began in July,2014 by training,continuing education and amonthly bulletin of notification data of critical values.Results Total number of Critical values of emergency specimens in general laboratory in 2014 was 2 648 and 1 950 of them had been reported by telephone.Total notification rate was 61.4% in the first 6 months,and was 81.4% from July to December.At last,Critical value notification rates increased to 97.72% in December.Conclusion Strengthening the management of criticalvalue notification can help improving the quality of laboratory service,as wellas enhancing stuff responsibility and awareness of service for clinic.

参考文献/References:

[1] 宋昊岚,黄亨建,李 萍.紧急值报告的监测[J].现代检验医学杂志,2008,23(2):124-126.
Song HL,Huang HJ,Li P.Monitor of critical values notification[J].J Mod Lab Med,2008,23(2):124-126.
[2] National Committee for Clinical Laboratory Standar-ds.Continuous Quality Improvement:Essential management approaches; approved guideline[S].Wayne:PA.NCCLS GP22-A.August,1999.
[3] Piva E,Sciacovelli L,Zaninotto M,et al.Evaluation of effectiveness ofa computerized notification system for reporting critical values[J].Am J Clin Pathol,2009,131(3):432-441.
[4] 游斌权,钟初雷,阎晓勤.3种危急值管理方式的比较研究[J].中国医院管理,2012,32(8):32-33.
You BQ,Zhong CL,Yan XQ.A comparative study of three kinds of critical value management approach[J].Chinese Hospital Management,2012,32(8):32-33.
[5] Barenfanger J,Sautter RL,Lang DL,et al.Improving patient safety by repeating(read-back)telephone reports of critical information[J].Am J Clin Pathol,2004,121(6):801-803.
[6] Parl FF,O'Leary MF,Kaiser AB,et al.Implementation of a closed-loopreporting system for critical values and clinical communication in compliance with goals of the joint commission[J].Clinical Chemistry,2010,56(3):417-423.

备注/Memo

备注/Memo:
作者简介:曾婷婷(1980-),女,博士,主管技师,从事临床血液学检验专业,Tel:028-85422372,E-mail:zingteng80@gmail.com。
通讯作者:粟 军。
更新日期/Last Update: 2015-08-10