CAJ | 학술논문

目的：通过回顾本地区医院在临床生化检验技术质量管理方面的具体状况，总结临床生化检验技术质量管理的经验和体会。方法选取本地有代表性的两家医院(本文中不透漏医院真实名字，用甲医院和乙医院代替，两家医院均为二级甲等医院)检验科2013年度检验的血液样本1000份进行生化检验技术质量管理，计算检测结果总符合率。结果甲乙两家医院检测结果的总符合率都比较高，符合率在95%以上的血液样本数占总样本数量的90%以上(P<0.05)，经观察分析发现，影响血液样本检测结果总符合率的主要因素有检验科科室内的温度和湿度、操作规程的标准程度、洗液更换情况和试剂平衡时间等。以上几种因素的差异具有统计学意义(P<0.05)。结论本地医院在临床生化检验技术质量管理方面有较高的管理水平，管理效果普遍较好，但也偶尔出现检测失误的现象，在今后的临床实践中要从几个临床生化检验技术的影响因素入手进一步加强质量管理，使检测结果更加精准，为患者提供更好的服务。
목적：통과회고본지구의원재림상생화검험기술질량관리방면적구체상황，총결림상생화검험기술질량관리적경험화체회。방법선취본지유대표성적량가의원(본문중불투루의원진실명자，용갑의원화을의원대체，량가의원균위이급갑등의원)검험과2013년도검험적혈액양본1000빈진행생화검험기술질량관리，계산검측결과총부합솔。결과갑을량가의원검측결과적총부합솔도비교고，부합솔재95%이상적혈액양본수점총양본수량적90%이상(P<0.05)，경관찰분석발현，영향혈액양본검측결과총부합솔적주요인소유검험과과실내적온도화습도、조작규정적표준정도、세액경환정황화시제평형시간등。이상궤충인소적차이구유통계학의의(P<0.05)。결론본지의원재림상생화검험기술질량관리방면유교고적관리수평，관리효과보편교호，단야우이출현검측실오적현상，재금후적림상실천중요종궤개림상생화검험기술적영향인소입수진일보가강질량관리，사검측결과경가정준，위환자제공경호적복무。
Objective Through the review of regional hospital in clinical biochemistry inspection technology of quality management, summarizes the clinical biochemical inspection technology experience and understanding of quality management. Methods To select the local representative of two hospitals (real name in this article do not divulge hospital, replace with a hospital and b hospital, two hospitals are secondary first-class hospital) clinical laboratory tests on 2013 blood samples from 1000 biochemical inspection technology quality management, calculating total coincidence detection results. Results The total coincidence rate of testing results of two hospitals are relatively high, the coincidence rate in more than 95%of the blood samples were more than 90%of the total number of samples ( <0.05), the analysis found that the main factors influencing the testing results of blood samples total coincidence rate with inspection coco indoor temperature and humidity, the degree of standard operation procedure, lotion balance time change situation and reagents, etc. The above several factors dif erences statistical y significant ( <0.05). Conclusion Local hospital in clinical biochemical test technology quality management has a higher level of management, management ef ect is general y good, but also occasional y detection er or phenomenon, in the future clinical practice from several clinical biochemical inspection technology to further strengthen quality management, the influence factors of the test results more accurate, provide bet er services for patients.