目的通过对我院医学检验科生化专业组2012~2017年连续6年参加美国病理家协会(College of American Pathologists,CAP)组织的常规化学能力验证计划的成绩进行统计分析,全面评价检测性能,发现存在的问题并对其进行改进,为质量控制提供依据...目的通过对我院医学检验科生化专业组2012~2017年连续6年参加美国病理家协会(College of American Pathologists,CAP)组织的常规化学能力验证计划的成绩进行统计分析,全面评价检测性能,发现存在的问题并对其进行改进,为质量控制提供依据,提高检测结果的准确性。方法评估首都医科大学附属北京世纪坛医院医学检验科生化专业组2012~2017年参加CAP常规化学的PT结果,对失控项目的原因进行统计分析。结果 2013年项次合格率最高,为100%;2014年项次合格率最低,为87. 5%;共有19个检测项目在2012~2017年成绩全部为100分,13个项目出现过成绩不合格;导致项目不合格的所有原因中,PT样本问题最突出,占68. 75%;其次是检测系统问题和分组不恰当,均为9. 38%,随机误差占比6. 25%;技术问题和书写错误占3. 13%。结论 CAP的能力验证活动可以用于对实验室的检测能力进行评估,对2012~2017年参加CAP的常规化学能力验证成绩进行总结,分析探讨不合格原因并采取相应纠正措施,可以进一步提高实验室结果的可靠性、准确性及可比性,以保证实验室对患者的服务质量。展开更多
In Democratic Republic of the Congo (DRC), the laboratory TAT is significantly very long and do not comply with either international standards or the suggestions of customers. However, there is neither a national nor ...In Democratic Republic of the Congo (DRC), the laboratory TAT is significantly very long and do not comply with either international standards or the suggestions of customers. However, there is neither a national nor a local strategy to improve the laboratory TAT. The aim of the present study is to develop practical management strategies to shorten clinical laboratory tests’ TAT. This was a qualitative study conducted in Kinshasa. Focus groups and Lean tools were used respectively to generate a wide range of views from a variety of laboratory staff and to eliminate several form of waste in the laboratory flow process. Based on the identified root causes of delay, focus groups participants reported that there is a lot of scope for the improvement of TAT in DRC. Consistent attendance and punctuality are essential. The hospital management should implement the Laboratory Information Systems (LIS) and install Middleware. Total laboratory automation, inventory system for all reagents and supplies used in the laboratory, expansion of the sampling area, sufficient number of high-power machine and a clear job description are indispensable. LIS, 3.5 mL BD vacutainer Barricor<sup>TM</sup> tube and point-of-care testing (POCT) are necessary for workflow improvement. A reduction of 312 minutes was achieved by eliminating or decreasing non-value-added activities. Applying the suggested key strategies, and particularly the new workflow process, is a basis for improving the laboratory tests’ TAT. The algorithm presented can be easily implemented in other laboratories that face this type of problem.展开更多
文摘In Democratic Republic of the Congo (DRC), the laboratory TAT is significantly very long and do not comply with either international standards or the suggestions of customers. However, there is neither a national nor a local strategy to improve the laboratory TAT. The aim of the present study is to develop practical management strategies to shorten clinical laboratory tests’ TAT. This was a qualitative study conducted in Kinshasa. Focus groups and Lean tools were used respectively to generate a wide range of views from a variety of laboratory staff and to eliminate several form of waste in the laboratory flow process. Based on the identified root causes of delay, focus groups participants reported that there is a lot of scope for the improvement of TAT in DRC. Consistent attendance and punctuality are essential. The hospital management should implement the Laboratory Information Systems (LIS) and install Middleware. Total laboratory automation, inventory system for all reagents and supplies used in the laboratory, expansion of the sampling area, sufficient number of high-power machine and a clear job description are indispensable. LIS, 3.5 mL BD vacutainer Barricor<sup>TM</sup> tube and point-of-care testing (POCT) are necessary for workflow improvement. A reduction of 312 minutes was achieved by eliminating or decreasing non-value-added activities. Applying the suggested key strategies, and particularly the new workflow process, is a basis for improving the laboratory tests’ TAT. The algorithm presented can be easily implemented in other laboratories that face this type of problem.
