中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2012年
3期
176-178
,共3页
宫济武%贾丹丹%刘燕明%林东%聂志杨
宮濟武%賈丹丹%劉燕明%林東%聶誌楊
궁제무%가단단%류연명%림동%섭지양
输血相容性检测%室间质量评价%飞行检查%EQA质控品%靶值确定
輸血相容性檢測%室間質量評價%飛行檢查%EQA質控品%靶值確定
수혈상용성검측%실간질량평개%비행검사%EQA질공품%파치학정
Transfusion compatibility testing%External quality assessment%Flight check%EQA quality control%Target value determination
目的 调查北京医疗机构临床输血实验室检测能力的基本情况,为行政管理部门制定相关管理政策提供技术依据.方法 由北京市临床输血质量控制和改进中心指派检查专家携带质控品对输血实验室进行现场检查,记录输血从业人员在检测前、中、后的技术操作过程以及应用的仪器设备、检测试剂及检测结果等信息进行统计与分析.结果 本次现场检查比室间质评的合格率低,部分实验室不能在规定时间内完成对质控品的检测;实际操作与本实验室制定的质量文件不一致;55.9％的一级医院和25.6％二级医院仪器、设备设施、流程布局无法满足临床输血工作需要;部分技术人员缺乏专业知识和基本技能的培训,应对急诊能力差,单独分析问题能力不强;检测过程记录和结果填写欠规范.结论 北京地区医疗机构临床输血实验室检测能力总体水平不高,应加强改进和提高.
目的 調查北京醫療機構臨床輸血實驗室檢測能力的基本情況,為行政管理部門製定相關管理政策提供技術依據.方法 由北京市臨床輸血質量控製和改進中心指派檢查專傢攜帶質控品對輸血實驗室進行現場檢查,記錄輸血從業人員在檢測前、中、後的技術操作過程以及應用的儀器設備、檢測試劑及檢測結果等信息進行統計與分析.結果 本次現場檢查比室間質評的閤格率低,部分實驗室不能在規定時間內完成對質控品的檢測;實際操作與本實驗室製定的質量文件不一緻;55.9％的一級醫院和25.6％二級醫院儀器、設備設施、流程佈跼無法滿足臨床輸血工作需要;部分技術人員缺乏專業知識和基本技能的培訓,應對急診能力差,單獨分析問題能力不彊;檢測過程記錄和結果填寫欠規範.結論 北京地區醫療機構臨床輸血實驗室檢測能力總體水平不高,應加彊改進和提高.
목적 조사북경의료궤구림상수혈실험실검측능력적기본정황,위행정관리부문제정상관관리정책제공기술의거.방법 유북경시림상수혈질량공제화개진중심지파검사전가휴대질공품대수혈실험실진행현장검사,기록수혈종업인원재검측전、중、후적기술조작과정이급응용적의기설비、검측시제급검측결과등신식진행통계여분석.결과 본차현장검사비실간질평적합격솔저,부분실험실불능재규정시간내완성대질공품적검측;실제조작여본실험실제정적질량문건불일치;55.9％적일급의원화25.6％이급의원의기、설비설시、류정포국무법만족림상수혈공작수요;부분기술인원결핍전업지식화기본기능적배훈,응대급진능력차,단독분석문제능력불강;검측과정기록화결과전사흠규범.결론 북경지구의료궤구림상수혈실험실검측능력총체수평불고,응가강개진화제고.
Objective To investigate the testing capabilities of clinical transfusion laboratories in medical institutions in Beijing for the regulatory authorities to formulate administrative policies in this regard.Methods Experts assigned by Beijing Clinical Transfusion Quality Control Center made on-site inspections at the transfusion laboratories in medical institutions using quality control products.They recorded the complete testing process of the operators as well as the instruments,detection reagents in use and the testing results,with statistics and analysis made to the data so collected.Results The pass rate of these on-site inspections was lower than that of the external quality assessment.Some laboratories failed to complete the testing of the quality control products in time and the actual operations in some laboratories were inconsistent to the guidelines.55.9％ of level Ⅰ hospitals and 25.6％ of level Ⅱ hospitals were found with insufficient and inadequate instruments and process layout to meet the needs of clinical blood transfusion.Some of the technicians were found without sufficient trainings in their professional knowledge and basic skills,resulting in their poor competence against emergency cases and weakness in independent problem solving.In addition,the records of detection process and results were found to be substandard.Conclusions Transfusion laboratories in Beijing need to improve their testing capabilities in general.
