CAJ | 학술논문

本文从检测体系变更实例出发阐述实验室如何与临床做到有效的沟通。在D-二聚体检测体系的变更过程中，通过四个阶段的分步工作做到了平稳过渡。第一阶段：在更换新试剂之前，平行检测2种试剂体系间结果的相关性，从检验方法学角度分析数据；第二阶段：以临床沟通会的形式召集相关临床科室的医生，汇报前期实验数据，并在此基础上听取临床医生的意见和建议；第三阶段：根据临床需求和建议，进一步进行相应实验，并及时反馈给临床医生；第四阶段：在得到临床医生的认可后开始更换试剂，并在更换试剂后及时交流和反馈。通过以上工作，检验科顺利完成了D-二聚体检测体系的变更，消除了可能存在的医疗隐患。
본문종검측체계변경실례출발천술실험실여하여림상주도유효적구통。재D-이취체검측체계적변경과정중，통과사개계단적분보공작주도료평은과도。제일계단：재경환신시제지전，평행검측2충시제체계간결과적상관성，종검험방법학각도분석수거；제이계단：이림상구통회적형식소집상관림상과실적의생，회보전기실험수거，병재차기출상은취림상의생적의견화건의；제삼계단：근거림상수구화건의，진일보진행상응실험，병급시반궤급림상의생；제사계단：재득도림상의생적인가후개시경환시제，병재경환시제후급시교류화반궤。통과이상공작，검험과순리완성료D-이취체검측체계적변경，소제료가능존재적의료은환。
This paper introduces how to achieve an efficient communication between clinical laboratory and clinicians .During this procedure of D-dimer detection system transition , four-stage work has been addressed to ensure a sufficient and smooth communication .In the first stage, the comparison evaluation between 2 reagent systems is performed, and the results were analyzed in the view of methodology .In the second stage, a clinical communication meeting is held , and the related cliaicians are invited .The evaluation results are reported to the clinicians , and the clinicians′feedback and suggestions are collected .In the third stage , more tests are performed according to clinicians′demands and suggestions .All the actions and results are feedback to clinicians .In the final stage , confirmed by the clinicians, we change the reagent system and set a dedicate person to answer the questions and keep communication with clinicians.By means of these four-stage works, the old D-dimer reagent system is changed smoothly in our laboratory . The potential risk of medical misdiagnosis is eliminated .