摘要
目的通过对实验室检验报告不正确率进行监测、分析,探讨如何降低实验室检验报告不正确率,以达到质量持续改进的目的。方法通过实验室信息管理系统(LIS)回顾性统计福建中医药大学附属人民医院检验科2019年的检验报告不正确率,对检验前、中、后阶段导致检验报告不正确的原因进行分类,针对导致错误的原因拟定标本采集培训、优化标本采集流程、设置LIS限制提醒、复核转录结果等整改措施。于2020年执行该措施,同时统计2020年每月各专业组的报告不正确率,对整改措施进行跟踪评价,并不断优化。结果2019年实验室报告不正确率为0.15%。错误原因主要分布在检验中阶段的返查后修改(48.54%)、检验后阶段的转录错误(30.20%)和检验前阶段的标本错误(7.80%)。2020年实验室报告不正确率为0.12%,与2019年报告不正确率差异有统计学意义(χ^(2)=36.7,P<0.05)。与2019相比,除分子诊断专业组和临床血液专业组外,2020年其他各专业组的报告不正确率均有不同程度下降。结论实验室检验报告不正确率是一项重要的质量指标,对修改原因进行分类设置,结合LIS对其进行监测、统计、分析,可以有效的降低检验报告不正确率。
Objective To explore how to reduce the error rate of laboratory test reports and achieve continuous quality improvement based on monitoring and analyzing error rate of laboratory test reports.Methods By using the quality indicators management module in the laboratory information management system(LIS),the incorrect rate of laboratory report during the year of 2019 in the Department of Clincal Laboratory,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine was retrospectively analyzed.The causes leading to the incorrect laboratory report rate were classified according to preanalytical,during analytical and postanalytical stages.According to the causes of the errors,the revised measures were designed including specimen collection training,optimization of specimen collection process,setting up LIS restriction reminder and rechecking transcription results etc.which were implemented in the year of 2020.The incorrect rate of laboratory reports in each professional group during the year of 2020 was also statistically analyzed.The corrective measures were tracked,evaluated,and continuously optimized.Results The incorrect rate of laboratory reports in 2019 was 0.15%.The causes of error included the modification after rechecking during the test process(48.54%),transcriptional errors in the postphase of test process(30.20%),and specimen error prior the test process(7.80%).The incorrect rate of laboratory reports in 2020 was 0.12%,which was significantly lower than that in 2019(χ^(2)=36.7,P<0.05).Except the molecular diagnostic and clinical blood groups,the incorrect rate of other specialized groups in 2020 were all decreased with different degrees compared with that in 2019.Conclusion The error rate of laboratory test reports is an important quality index.The error rates of classification,modification,monitoring and statistical analysis for the causes according to LIS could be effectively reduced.
作者
刘继来
陈蓉艳
秦雪君
陈鹤鸣
林青
LIU Jilai;CHEN Rongyan;QIN Xuejun;CHEN Heming;LIN Qing(Department of Clincal Laboratory,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,Fujian,China)
出处
《临床检验杂志》
CAS
2022年第1期67-70,共4页
Chinese Journal of Clinical Laboratory Science
关键词
实验室信息管理系统
质量指标
检验报告不正确率
laboratory information management system
quality indicators
error rate of laboratory report
