CAJ | 학술논문

目的：实现不同医疗机构之间标本信息和检验数据的共享，解决标本在运输过程中的质量监控问题。方法以C／S和B／S体系结构技术、大型关系数据库技术等为支撑，建立第三方医学检验信息化平台；同时建立专门的物流系统及标本运输质量监控系统；分析该服务支撑平台对外送标本检验结果回报时间（TAT ）的影响。结果建立了包括19家医院和1家医学独立实验室的第三方医学检验信息化平台；建立了专业的物流运输队伍，包括4名专业标本接收人员和物流接收车，以及带实时温度、湿度监控的标本箱。平台建成后 TORCH、戊型肝炎病毒IgG／IgM抗体、甲状旁腺激素、抗结核抗体、血清铁蛋白、总铁结合力的平均TAT分别由之前的148．9、314．8、138．8、150．2、134．3、138．3h缩短至28．1、76．0、8．3、13．1、3．6、2．1h，差异均有统计学意义（P＜0．01）。结论第三方医学检验服务支撑平台实现了区域内共享型医疗资源的横向联系，促进了各级医疗机构服务水平和能力的提升。
목적：실현불동의료궤구지간표본신식화검험수거적공향，해결표본재운수과정중적질량감공문제。방법이C／S화B／S체계결구기술、대형관계수거고기술등위지탱，건립제삼방의학검험신식화평태；동시건립전문적물류계통급표본운수질량감공계통；분석해복무지탱평태대외송표본검험결과회보시간（TAT ）적영향。결과건립료포괄19가의원화1가의학독립실험실적제삼방의학검험신식화평태；건립료전업적물류운수대오，포괄4명전업표본접수인원화물류접수차，이급대실시온도、습도감공적표본상。평태건성후 TORCH、무형간염병독IgG／IgM항체、갑상방선격소、항결핵항체、혈청철단백、총철결합력적평균TAT분별유지전적148．9、314．8、138．8、150．2、134．3、138．3h축단지28．1、76．0、8．3、13．1、3．6、2．1h，차이균유통계학의의（P＜0．01）。결론제삼방의학검험복무지탱평태실현료구역내공향형의료자원적횡향련계，촉진료각급의료궤구복무수평화능력적제승。
Objective To share health information and laboratory data among hospitals ,and to achieve quality control during clinical sample transportation .Methods C/S ,B/S and large relational database technique were used to establish an independent clinical laboratory information platform .Meanwhile ,to set up a professional logistic manage‐ment system and sample quality monitoring system .The influence of the platform on sample turn‐around time (TAT) was analyzed .Results The independent clinical laboratory information platform was successfully established ,which contained 19 hospitals and 1 independent clinical laboratory .In addition ,a logistic system was also established ,which composed of 4 professional staffs ,and equipped with vehicles and special sample boxes with temperature/humidity monitors .After the platform was set up ,the average TATs for TORCH ,HEV IgG/IgM ,parathyroid hormone ,anti‐tuberculosis antibody ,serum ferritin ,and total iron binding capacity were significantly decreased from 148 .9 ,314 .8 , 138 .8 ,150 .2 ,134 .3 ,138 .3 h to 28 .1 ,76 .0 ,8 .3 ,13 .1 ,3 .6 ,2 .1 h respectively ,with statistical difference (P<0 .01) . Conclusion The independent clinical laboratory service platform can strengthen medical resource sharing among medical institutions ,and improve their service ability .