摘要
目的通过临床实验室自动化系统运行核心数据的分析评估，探讨实验室自动化系统的优势与持续优化。方法收集2017年1月至4月上海交通大学医学院附属同仁医院检验科生化组和免疫组的运行数据。（1）采集自动化系统运行前后，仪器启动、标本检测的初始时间进行分析比较。（2）标本签收、检测、报告审核时间运行数据分析。（3）选取自动化系统运行前2个月、运行以来2个月标本的周转时间（TAT）数据，分析标本TAT的运行情况；针对流水线中传染病项目的短板，采取优先吸样后，流水线TAT的改善情况分析。（4）通过自动化系统血清用量的评估，探讨减少抽血管子数的可行性分析；实验室自动化系统的优劣势分析以及持续改进的措施。结果（1）仪器启动提前，标本检测初始时间前移0.5 h。（2）轨道物流的投入运行，标本集中发送到实验室，签收时间集中在早晨7∶25，标本签收时间较以往效率大幅提高，随之标本的检测、报告审核时间也相应前移，平均前移2～2.5 h。（3）实验室自动化系统运行2个月以来数据显示样本TAT缩短，生化项目平均缩短2 h，免疫项目平均缩短4 h，且TAT呈现逐步缩短的趋势；传染病项目优先吸样后，流水线的TAT呈现明显改观，TAT平均减少了40 min。（4）线上生化65个项目的血清用量总计为500 μl（包括死腔量），免疫28个项目的血清用量总计为1 495 μl，线上项目血清用量总计为2 000 μl，患者较之前平均减少3管。另外，仍然需要线下设备进行项目补充；传染病项目由于方法学的差异导致前后数据的一个衔接期；流水线线上生化模块和免疫模块并联设备的成倍增加，模块之间的比对和质量控制提出了更高的要求，规范的质量体系建设有助于该类问题的防范。结论通过流水线系统运行的数据分析，评估其运行的情�
ObjectiveBy analysis of the key performance indexes of the clinical laboratory automation system, to clarify the advantage and optimize the comprehensive performance of the laboratory automation system.MethodsKey performance indexes were Collected from January 2017 to April 2017 in biochemistry and immunoassay group of Clinical Laboratory of Shanghai Tong Ren Hospital.（1）The data were collected and compared by the before-and-after method, the starting time of the automation system and initial sample test were analyzed.（2） Key performance indexes were analyzed for the time of specimen registration, inspection, and reporting. （3） The specimen turnaround time （TAT） was analyzed based on two months operation of the laboratory automation system. In view of disadvantage of infectious assays, setting up priority sample absorption, then TAT performance was re-evaluated. （4） By the assessment of total serum dosage required in the automation system, the number of blood vacuum tubes were reduced reasonably. The pros and cons of laboratory automation system were analyzed and the potential improvement were proposed.Results（1）According to the sample peak shift forward, the system start time could move forward 30 minutes earlier.（2）With the adopting of railway logistics, the specimens were sent to the lab and the registration time was at 7∶25 am, and the time required for specimen delivery was greatly reduced which made specimen test, report and audit time all moved forward accordingly. （3）Data has shown that specimen TAT declined dramatically based on the performance of the first two month operation of the automation system, biochemical items were shortened 2 h, and the immunoassay shortened 4 h, respectively. Moreover the trend keeps better gradually. With setting up priority absorption infectious tests, the TAT was improved greatly, TAT reduced the average by 40 min. （4）500 μl （including the sample in dead space of vacuum tube） were needed for all the 65 biochemical items included i
出处
《中华检验医学杂志》
CAS
CSCD
北大核心
2017年第10期810-815,共6页
Chinese Journal of Laboratory Medicine
基金
上海市长宁区科学技术委员会项目（CNKW2013J09）
上海市同仁医院重点学科（TR2017xk10）
关键词
自动化
实验室
临床实验室信息系统
数据说明
统计
评价研究
Automation, laboratory
Clinical laboratory information systems
Data interpretation, statistical
Evaluation studies
