现代检验医学杂志
現代檢驗醫學雜誌
현대검험의학잡지
JOURNAL OF MODERN LABORATORY MEDICINE
2015年
2期
152-155
,共4页
医学检验危急值%回顾分析%管理%评估
醫學檢驗危急值%迴顧分析%管理%評估
의학검험위급치%회고분석%관리%평고
medical test critical values%retrospective analysis%management%evaluation
目的：分析医学检验危急值管理现状，提出相应的对策。方法采用回顾性分析法，对内江市第二人民医院2014年9月506例医学危急值报告，利用软件统计出危急值项目构成比以及不同时间段危急值发生频率，危急值发生周期，不同临床科室危急值报告量等。结果检验医学危急值出现率最高的项目是血小板（PLT），占危急值总数的16.80％，其次：白细胞（WBC）13.24％、血肌酐（Cr）12.25％；危急值报告量集中在9：00～11：00，占全天的34％左右；周二和周四危急值报告量较多，周日较少；危急值报告量最多的是：重症监护病房（ICU）占危急值总数的24.70％，其次是肾内科21.15％，血液科19.57％。结论检验科室人员必须认真执行检验医学危急值报告制度，各临床科室认真执行危急值报告登记制度。每年根据情况对医学检验危急值进行评估，确保医疗质量安全。
目的：分析醫學檢驗危急值管理現狀，提齣相應的對策。方法採用迴顧性分析法，對內江市第二人民醫院2014年9月506例醫學危急值報告，利用軟件統計齣危急值項目構成比以及不同時間段危急值髮生頻率，危急值髮生週期，不同臨床科室危急值報告量等。結果檢驗醫學危急值齣現率最高的項目是血小闆（PLT），佔危急值總數的16.80％，其次：白細胞（WBC）13.24％、血肌酐（Cr）12.25％；危急值報告量集中在9：00～11：00，佔全天的34％左右；週二和週四危急值報告量較多，週日較少；危急值報告量最多的是：重癥鑑護病房（ICU）佔危急值總數的24.70％，其次是腎內科21.15％，血液科19.57％。結論檢驗科室人員必鬚認真執行檢驗醫學危急值報告製度，各臨床科室認真執行危急值報告登記製度。每年根據情況對醫學檢驗危急值進行評估，確保醫療質量安全。
목적：분석의학검험위급치관리현상，제출상응적대책。방법채용회고성분석법，대내강시제이인민의원2014년9월506례의학위급치보고，이용연건통계출위급치항목구성비이급불동시간단위급치발생빈솔，위급치발생주기，불동림상과실위급치보고량등。결과검험의학위급치출현솔최고적항목시혈소판（PLT），점위급치총수적16.80％，기차：백세포（WBC）13.24％、혈기항（Cr）12.25％；위급치보고량집중재9：00～11：00，점전천적34％좌우；주이화주사위급치보고량교다，주일교소；위급치보고량최다적시：중증감호병방（ICU）점위급치총수적24.70％，기차시신내과21.15％，혈액과19.57％。결론검험과실인원필수인진집행검험의학위급치보고제도，각림상과실인진집행위급치보고등기제도。매년근거정황대의학검험위급치진행평고，학보의료질량안전。
Objective To analyze medical critical value management present situation,proposed the corresponding counter-measure.Methods Used a retrospective analysis method to analyse 506 cases of medical critical value report in the Second People’s Hospital of Neijiang City in September of 2014,and did constituent ratio of critical values with software,and differ-ent time frequency,critical values occur in different clinical departments,critical value report etc.Results The highest rate of the critical value of laboratory medicine was platelet (PLT),the project was accounted for a total 16.80%,followed by:white blood cell (WBC)13.24%,serum creatinine (Cr)12.25%.Critical value report was concentrated at 9:00~11:00,ac-counted for about 34%;Tuesday and Thursday urgent value reported more volume,Sunday less.Critical value report number was:severe medical center (ICU)accounted for 24.70% of the total number of emergency,department of internal medicine for 21.15%,Department of hematology for 19.57%.Conclusion The inspection department personnel must seriously im-plement the critical value report system of laboratory medicine,clinical departments to seriously implement the critical value reporting and registration system.Each year,according to the evaluation of medical test critical values,ensure medical quality and safety.
