[1]王　青,蒋玲丽,朱　俊,等.2019 年上海市医疗机构临床POCT 检测质量调查分析[J].现代检验医学杂志,2020,35(03):146-148.[doi:10.3969/j.issn.1671-7414.2020.03.039]
　WANG Qing,JIANG Ling-li,ZHU Jun,et al.Quality Analysis of POCT in Shanghai Hopitals in 2019[J].Journal of Modern Laboratory Medicine,2020,35(03):146-148.[doi:10.3969/j.issn.1671-7414.2020.03.039]
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2019 年上海市医疗机构临床POCT 检测质量调查分析()
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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:
146-148
栏目:
质量控制·实验室管理
出版日期:
2020-07-20

文章信息/Info

Title:
Quality Analysis of POCT in Shanghai Hopitals in 2019
文章编号:
1671-7414（2020）03-146-03
作者:
王　青; 蒋玲丽; 朱　俊; 娄　娇; 杨　雪
（上海市临床检验中心质量管理部，上海　200126）
Author(s):
WANG Qing;  JIANG Ling-li;  ZHU Jun;  LOU Jiao;  YANG Xue
（Department of Quality Management, Shanghai Center for Clinical Laboratories, Shanghai 200126, China）
关键词:
床旁检验; 检测质量; 室间质量评价; 室内质量控制
分类号:
R446
DOI:
10.3969/j.issn.1671-7414.2020.03.039
摘要:
目的　了解上海市医疗机构临床床旁检验（point-of-care testing，POCT）检测质量现状。方法　2019 年7 月 ~9 月对列入上海市医疗质量控制管理事务中心质量监管范围的全市134 家医疗机构例行质量督查，对申报开展POCT 项目检测的部门进行抽查。结果　共有104 家医疗机构申报开展POCT 项目检测，涉及715 个部门；被抽查的217 个 部门共被开出517 项不符合，平均每个部门2.38 项，主要涉及室间质量评价（external quality assessment，EQA）、室 内质量控制（internal quality control，IQC）和标准操作规程（standard operating procedure，SOP）等14 个方面，其中存 在问题最严重的5 个方面分别是未参加EQA（167/517）、未开展IQC 或IQC 开展不规范（112/517）、无SOP 或SOP 编写不规范（76/517）、POCT 仪器与常规分析仪进行结果比对（50/517）以及仪器未校准或校准不规范（43/517）。 结论　上海市医疗机构临床POCT 项目检测的应用越来越广泛，但在检验质量保证方面仍存在许多缺陷和不足，亟待 加强培训和监督力度，以持续提高检测质量。
Abstract:
Objective　To investigate the current situation of inspection quality of point-of-care testing (POCT) in Shanghai hospitals. Methods　134 hospitals in Shanghai that included in the quality supervision scope of Shanghai Medical Quality Control and Management Affairs Center were routinely inspected for quality from July to September 2019, and those who had reported performing POCT were spot checked. Results　104 hospitals had reported to carry out POCT, involving 715 departments. A total of 517 non-conformance items were issued to 217 departments that inspected, with an average of 2.38 items per department. They were mainly manifested in 14 aspects such as external quality assessment (EQA), internal quality control (IQC), standard operating procedure (SOP) and so on, among which the most serious problems were not attending EQA (167/517), not conducting IQC or not in a standardized way (112/517), no SOP or not compiling SOP in a standardized way (76/517), not comparing the results between POCT devices and the regular laboratory instruments (50/517), and not calibrating the laboratory instruments or not in a standardized way (43/517), respectively. Conclusion　POCT in hospitals in Shanghai is applied more and more widely, but there were many problems that could affect the quality of inspection directly, so it is imperative to strengthen the training and supervision to improve the inspection quality of POCT continuously.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：2020-03-13 　修回日期：2020-04-17作者简介：王青（1968-），男，本科，主任技师，研究方向：临床基础检验、血液体液形态学检验和临床实验室质量管理， 　　　　　E-mail: wangqing@sccl.org.cn。 通讯作者：娄娇（1987-），女，博士研究生，主管技师，E-mail: loujiao@sccl.org.cn。
更新日期/Last Update: 2020-07-20