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目的:分析乌鲁木齐地区28家临床实验室血细胞室内质控图存在的问题,提出改进的措施,促进实验室血细胞检测质量。方法:随机抽取2006年10月28家实验室室内质控图,按血细胞室内质控规则用Wesgard多规则控制法进行统计。结果:28家实验室有4家无室内质控,6家有手工绘图,但无原始记录(视为不做室内质控)。完全符合考核标准的实验室有2家(11.1%),有4家(22.2%)除频率/月不够外无失控现象,余12家(66.7%)失控项目多以系统误差为主,且12家均无失控处理措施。结论:乌鲁木齐地区28家临床实验室血细胞室内质控图存在问题较多,应引起卫生行政管理部门的高度关注,采取科学有效的管理办法,提高实验室监测质量。
OBJECTIVE: To analyze the problems existing in blood cell in-house quality control charts in 28 clinical laboratories in Urumqi, and to propose improved measures to improve the quality of laboratory blood cell tests. Methods: 28 laboratory internal quality control charts were randomly selected from October 2006, and the Wesgard multi-regulation control method was used to perform statistics according to the rules of blood cell interior quality control. RESULTS: Of the 28 laboratories, 4 had no indoor quality control and 6 had manual drawing, but no original records (not considered as indoor quality control). There were 2 (11.1%) laboratories that fully met the assessment criteria, 4 (22.2%) had no out-of-control phenomenon except frequency/month, and 12 (66.7%) out-of-control items were mostly based on systematic errors, and 12 There are no homeless control measures. Conclusion: There are many problems in the blood cell indoor quality control chart in 28 clinical laboratories in Urumqi. It should cause the health administrative department to pay close attention to it, adopt scientific and effective management methods, and improve the quality of laboratory monitoring.