CAJ | 학술논문

目的：探讨检验分析后质量控制在检验工作中的重要性。方法收集2012年1月至2014年6月临床医生反馈到检验科的450份不合格检验报告单，分析不合格检验报告单产生的原因。结果450份不合格检验报告单中，测定结果与临床诊断不符169份，占37．6％；漏检、错检项目149份，占33．1％；无送检者或未注明送检科室62份，占13．8％；达到危急值未复查或已复查未注明36份，占8．0％；标本有脂浊、黄疸等未注明18份，占4．0％；标本类别错误16份，占3．6％。结论报告单发出前需认真执行检验分析后质量控制制度，规范操作规程，认真核对每一份检验报告单，明确责任，提高责任意识，为临床提供一份合格的检验报告单。
목적：탐토검험분석후질량공제재검험공작중적중요성。방법수집2012년1월지2014년6월림상의생반궤도검험과적450빈불합격검험보고단，분석불합격검험보고단산생적원인。결과450빈불합격검험보고단중，측정결과여림상진단불부169빈，점37．6％；루검、착검항목149빈，점33．1％；무송검자혹미주명송검과실62빈，점13．8％；체도위급치미복사혹이복사미주명36빈，점8．0％；표본유지탁、황달등미주명18빈，점4．0％；표본유별착오16빈，점3．6％。결론보고단발출전수인진집행검험분석후질량공제제도，규범조작규정，인진핵대매일빈검험보고단，명학책임，제고책임의식，위림상제공일빈합격적검험보고단。
Objective To explore the significance of quality control after clinical laboratory analysis .Methods A total of 450 pieces of unqualified testing reports were collected from the Department of Clinical Laboratory from January 2012 to June 2014 and reasons causing unqualified testing reports were analyzed .Results In all 450 pieces of unqualified testing reports ,testing results of 169 pieces were inconsistent with results of clinical diagnosis ,accounted for 37 .6% ;149 pieces with missing or indirect inspection i‐tems ,accounted for 33 .1% ;62 pieces did not indicate staff or department sending specimens ,accounted for 13 .8% ;results of 36 pieces reached the critical value but without re‐inspection or did not indicate the re‐inspection ,accounted for 8 .0% ;18 pieces did not clarify specimens with lipid turbidity or jaundice and so on ,accounted for 4 .0% ;16 pieces marked with wrong sample types ,accoun‐ted for 3 .6% .Conclusion It is necessary to conduct quality control after clinical laboratory analysis before delivering report ,stand‐ardize operating procedures ,check every report seriously ,make clear responsibility and improve awareness of responsibility ,in order to provide a qualified testing report for clinical practice .