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目的:室间质量评价作为一种实验室质量控制工具,可以帮助实验室通过分析实验中存在的问题,采取相应的措施提高检验质量,避免可能出现的医疗纠纷和法律诉讼。方法:根据专家组调研确定了室间质量评价项目,对参评的实验室人员集中进行培训和现场指导。实施的整个过程按照《全国临床检验操作规程》进行操作。结果:2008年组织2次室间质量评价(EQA)活动及格率:尿液干化学分析液(98.9%、99.0%)>传染性疾病血清学标志物(85.9%、86.1%)>全血细胞计数(38.2%、43.9%)>常规生化(20.9%、23.0%)。全血细胞计数约有50%的参评单位不及格,常规生化约有70%的参评单位不及格,针对这些问题找原因并提出整改意见和建议。
OBJECTIVE: As a laboratory quality control tool, laboratory quality assessment can help laboratories to analyze the problems in the experiment and take corresponding measures to improve the quality of testing and avoid possible medical disputes and lawsuits. Methods: Based on the expert group investigation, the inter-laboratory quality evaluation project was determined, and the laboratory staff participating in the assessment were trained and on-site guidance. The implementation of the entire process in accordance with “National Clinical Laboratory Procedures” to operate. Results: The quality of EQA was evaluated in 2008: 98.9% (99.9%) of urinalysis fluid, serological markers of infectious disease (85.9%, 86.1%), total blood count (38.2%, 43.9%)> conventional biochemical (20.9%, 23.0%). About 50% of the whole blood count failed to participate in the assessment unit, about 70% of conventional biochemical units participating units failed to find the reasons for these problems and put forward suggestions and suggestions for rectification.