摘要
目的:分析山东省2013~2017年凝血四项室间质评结果,指导下一步室间质量管理工作.方法:由山东省临床检验中心组织实施,每年进行2次EQA活动,每次发放5个批号的质控物,评分项目为5项:PT、INR、APTT、TT、Fbg.严格按照山东省临床检验中心的要求,按规定方法在规定时间进行质控物的测定并及时反馈结果,从而查找各级医院实验室质量控制中存在的问题,并根据反馈结果比较两种检测仪器sysmexCA-1500和sysmexCA-500结果的一致性.结果:2013~2017年5年来,参控实验室数量逐年增加,由2013年450家增加到2017年的564家,增长率为25.3%,参控实验室的室间质评回报率也基本稳定在100%.参评实验室合格率稳定在90%以上,呈逐渐升高的趋势,凝血四项各项目PT合格率总体呈现稳定上升趋势,评价项目全部达到合格,但2015年第1次的TT和APTT,第二次的INR和PT的合格率总体偏低,均在90%左右.各级医院实验室检验质量普遍提高,在不合格实验室中,二级医院实验室所占的比例明显高于三级医院实验室.经过统计学分析,sysmexCA-1500和sysmexCA-500两检测系统结果具有一致性,可以满足临床检测的需求.结论:2013~2017年各实验室质控意识逐渐加强,参加室间质评活动的积极性不断提高.我省大部分实验室凝血四项检测的准确性和检验质量都能得到保证.但仍存在部分二级医院临床实验室没有改善准确性和检验质量,导致室间质评连续几年不合格的情况,应加大设备投入,提高检验人员水平,按标准程序对仪器进行校准,不断提高实验室检测能力.各个实验室之间检测系统相统一,检测结果一致性,已成为当今临床医学检验实验室标准化和规范化的关键因素.
Objective: To analyze the results of four inter-chamber quality assessments for coagulation in Shandong Province from 2013 to 2017, and to guide the next inter-room quality management Methods: This assess was organized by the Shandong Provincial Clinical Testing Center, 2 EQA activities were perfbnned each year, and 5 batches of quality control materials were distributed each time. The score includes 5 items: PT, INK APTT, TT, Fbg. Strictly in accordance with the requirements of the Shandong Provincial Clinical Testing Center, the quality control materials were measured at the specified time according to the prescribed method, and the results were fed back in time to find out the problems in the quality control of the hospitals at all levels, and compared the two testing instruments according to the feedback results to verify theconsistency of sysmexCA-1500 and sysmexCA-500 results. Results: In the five years from 2013 to 2017, the number of participating laboratories increased gradually, from 450 in 2013 to 564 in 2017, with a growth rate of 25.3%. The inter-room quality evaluation rate of the participating laboratories was basically stable around 100%. The qualification rate of the participating laboratories was stable at over 90%, showing a gradual increase trend. The PT pass rate of the four coagulation projects showed a steady upward trend, and all the evaluation projects were qualified, but the first TT and APTT in 2015, the secondary INK and PT pass rates were generally low, both around 90%. The quality of laboratory tests at all levels of hospitals has gen erally improved. In unqualified laboratories, the proportion of secondary hospital laboratories was significantly higher than that of tertiary hospitals. After statistical analysis, the results of the two detection systems of sysmexCA -1500 and sysmexCA-500 were consistent and met the needs of clinical testing. Conclusion: In 2013 -2017, the awareness of quality control in each laboratory has gradually strengthened, and the enthusiasm for participating
作者
刘国菊
王静
刘相东
宿振国
LIU Guo-ju;WANG Jing;LIU Xiang-dong(Shandong medical college,Shandong Jinan 250002)
出处
《医学检验与临床》
2019年第1期27-30,26,共5页
Medical Laboratory Science and Clinics
关键词
质量控制
凝血四项
室间质评
Quality control
Four coagulation
Interventricular quality assessment
