检验医学与临床2016，Vol.13Issue(22)：3158-3160,3.DOI:10.3969/j.issn.1672-9455.2016.22.011
某院不合格标本原因分析及对策方案
Analysis of causes and countermeasure of unqualified specimen in a hospital
林一民 1陆芸瑶 1蒋焦 1吴立翔1
作者信息
- 1. 重庆市肿瘤研究所临床检验科 400030
- 折叠
摘要
Abstract
Objective To investigate the causes and the solutions of unqualified specimen ,and to in ensure the quality of the specimen before analysis .Methods Unqualified specimens of clinical laboratory were retrospectively analyzed before and after the quality improvement of specimen collection in the hospital .Causes of the unqualified specimens were analyzed as well .Results To‐tally 1 292 cases of unqualified specimen were detected out in 300 657 samples .And the total unqualified rate was 0 .43% .The top 5 reasons for unqualified specimen were as following :insufficient samples (or blank pipe) accounted for 31 .0% ,solidification ac‐counted for 24 .5% ,hemolysis accounted for 16 .2% ,samples with anticoagulant ratio error accounted for 9 .5% and bar code infor‐mation not completed or false accounted for 9 .0% .Compared with before the quality improvement of specimen collection ,unquali‐fied rate of specimen decreased from 0 .54% to 0 .33% ,difference was statistically significant after the quality improvement of spec ‐imen collection (P< 0 .05) .In addition ,unqualified rates in nine departments were all significantly lower than before (P< 0 .05) . Conclusion It is important to improve the quality of former analysis by enhancing the sense of responsibility ,carrying out strict samples rejection management ,strengthening the communication and training with clinical workers and reducing the unqualified rates .关键词
不合格标本/不合格率/原因分析/对策Key words
unqualified specimen/unqualified rate/analysis of causes/countermeasures引用本文复制引用
林一民,陆芸瑶,蒋焦,吴立翔..某院不合格标本原因分析及对策方案[J].检验医学与临床,2016,13(22):3158-3160,3.
