中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2009年
4期
235-238
,共4页
兰海丽%张秀明%余元龙%杨有业%杨勇%韩志安%李钰燕%欧阳能良%解鸿翔
蘭海麗%張秀明%餘元龍%楊有業%楊勇%韓誌安%李鈺燕%歐暘能良%解鴻翔
란해려%장수명%여원룡%양유업%양용%한지안%리옥연%구양능량%해홍상
检验危急值%数据挖掘%医疗质量
檢驗危急值%數據挖掘%醫療質量
검험위급치%수거알굴%의료질량
Critical value%Data mining%Quality of care
目的 挖掘检验危急值数据中隐藏的规律,通过临床联系和评估为危急值报告制度的完善提供科学依据.方法 统计、分析、探索、评估适合医院特点的危急值项目和范围.结果危急值的发生率为0.14%;经过临床评估查实、统计分析,结合文献报道和咨询临床专家,检验科修改了PO2、GLU、PT、APTT的危急值范围;新增了新生儿K+、GLU、BiLi和AKT、MYO、CTnl,同时删除了AMY等危急项目,并报医务科批准和执行.结论 定期分析评估、不断总结、持续改进,使检验危急值报告工作规范化、制度化,这样有助于挽救患者的生命,提高检验科的服务意识和临床医生的诊疗水平.
目的 挖掘檢驗危急值數據中隱藏的規律,通過臨床聯繫和評估為危急值報告製度的完善提供科學依據.方法 統計、分析、探索、評估適閤醫院特點的危急值項目和範圍.結果危急值的髮生率為0.14%;經過臨床評估查實、統計分析,結閤文獻報道和咨詢臨床專傢,檢驗科脩改瞭PO2、GLU、PT、APTT的危急值範圍;新增瞭新生兒K+、GLU、BiLi和AKT、MYO、CTnl,同時刪除瞭AMY等危急項目,併報醫務科批準和執行.結論 定期分析評估、不斷總結、持續改進,使檢驗危急值報告工作規範化、製度化,這樣有助于輓救患者的生命,提高檢驗科的服務意識和臨床醫生的診療水平.
목적 알굴검험위급치수거중은장적규률,통과림상련계화평고위위급치보고제도적완선제공과학의거.방법 통계、분석、탐색、평고괄합의원특점적위급치항목화범위.결과위급치적발생솔위0.14%;경과림상평고사실、통계분석,결합문헌보도화자순림상전가,검험과수개료PO2、GLU、PT、APTT적위급치범위;신증료신생인K+、GLU、BiLi화AKT、MYO、CTnl,동시산제료AMY등위급항목,병보의무과비준화집행.결론 정기분석평고、불단총결、지속개진,사검험위급치보고공작규범화、제도화,저양유조우만구환자적생명,제고검험과적복무의식화림상의생적진료수평.
Objective To discover regularities behind critical values in an effort to provide scientific evidences for a better critical value report system.Methods Collection, analysis and statistical assessments for critical value items and ranges appropriate for the hospital Results The occurrence rate of critical values is found to be 0.14%.By means of clinical evaluation, statistic analysis and reference to literature and clinical specialists, the clinical labs revised the ranges of PO2, GLU, PT and APTT, and added ALT, MYO, CTnl and K+ , GLU, BILl for newborns, and canceled AMY.All of these changes were put in practice upon approval of the Medical Department of the hospital Conclusion Regular evaluation and continuous improvement of the critical value report system may help with saving lives, improving quality of care of the labs and doctors" diagnosis as well
