摘要
目的了解我院临床实验室危急值制度的运行情况。方法对我院2017年1~12月检出的危急值报告637例进行回顾性统计分析,并制定针对性持续改进措施。结果医学检验危急值报告总发生率为0.20%,其危急值发生率最高的是白细胞(WBC),占0.59%(176/29862),其次是肌酸激酶(CK),占0.46%(103/22561)。危急值报告量日内检出多集中在上午8:00~12:00。一星期内危急值报告量发生在周二、周三较多,周六、周日较少。在一年中危急值构成比占前三位的月份组合依次为3~4月,占24.3%;1~2月,占21.3%;11~12月,占16.7%。按科室分布依次为ICU科占28.7%(183/637)、肛肠门诊占19.5%(124/637)、急诊科占14.0%(89/637)等。危急值通报率≥99.8%,危急值通报及时率≥98.7%。结论对我院危急值制度运行质量进行分析总结,不但有助于使危急值制度客观地反映出临床的需求,而且帮助临床医生提高救治患者的工作效率,同时降低其他医护人员的工作强度。
Objective To understand the operation of critical value system of clinical laboratory in our hospital.Methods A retrospective statistical analysis was performed on 637 cases of reports of critical values detected in our hospital from January to December 2017,and targeted measures of continuous improvement were developed.Results The total incidence rate of reports of critical values found at the medical laboratory was 0.20%.The highest incidence rate of critical value was white blood cells (WBC),accounting for 0.59%(176/29 862),followed by creatine kinase (CK),accounting for 0.46%(103/22 561).The number of critical value reports during the day was mostly concentrated between 8:00 and 12:00 am.The number of critical values reported in the week occurred on Tuesday and Wednesday,and less on Saturday and Sunday.The composition of the critical value of the year in the top three was from March to April,accounting for 24.3%,from January to February,accounting for 21.3% and from November to December,accounting for 16.7%.According to the department ranked in order,ICU accounted for 28.7%(183/637),anorectal clinic accounted for 19.5%(124/637),and emergency department accounted for 14.0%(89/637).The critical value notification rate was ≥99.8%,and the critical value notification rate of timeliness was ≥98.7%.Conclusion The analysis and summary of the operational quality of the critical value system in our hospital not only assists in helping critical value systems objectively reflect clinical needs,but also helps clinicians improve efficiency in curing and treating patients,reducing the degree of the work intensity of other medical staff.
作者
吴海燕
王青波
张宝香
WU Hai-yan;WANG Qing-bo;ZHANG Bao-xiang(Department of Laboratory,Beijing Er Long Lu Hospital,Beijing 100021,China)
出处
《中国当代医药》
2019年第17期190-193,196,F0004,共6页
China Modern Medicine
关键词
危急值
回顾分析
报告范围和流程
Critical value
Retrospective analysis
Report scope and process
