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利用6σ质量标准对急诊实验室8台仪器的检测性能进行综合评价及质量改进

史光华 刘连义 张庆 刘艳丽 安冉 刘鹏宇 姜慧英

现代检验医学杂志2018,Vol.33Issue(2):146-150,5.
现代检验医学杂志2018,Vol.33Issue(2):146-150,5.DOI:10.3969/j.issn.1671-7414.2018.02.040

利用6σ质量标准对急诊实验室8台仪器的检测性能进行综合评价及质量改进

Overall Evaluation and Management of 8 Instruments in Emergency Laboratory Using 6σ Quality Standard

史光华 1刘连义 1张庆 1刘艳丽 1安冉 1刘鹏宇 1姜慧英1

作者信息

  • 1. 北京京煤集团总医院检验科,北京 102300
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摘要

Abstract

Objective To evaluate and improve overall quality detection of 8 instruments in emergency laboratory using 6σ quality standard.Methods In 2017,collected both internal quality control (IQC) and external quality assessment (EQA) data of 46 assay items from 8 instruments in their laboratory,and then calculated their σ values and total allowed errors ac cording to CLIA'88 standards.By comparison of their quality goal index (QGI) between first and second half year of 2017,successfully elevated assayquality using strategy (man,machine,material,method,measurment and enviroment).Results For all 46 assay items (except NT-proBNP without second EQA data),made better improvement of detection of 34 (75.6 % of 6σ qualified),38(84.4% of 5σ qualified),40(88.9% of 4σ qualified),44 (97.8% of 3σ qualified) and 1 (2.2% of 2~3σ qualified) items,respectively whereas there were 27 (58.7% of 6σ qualified),30 (65.2% of 5σ qualified),35 (76.1% of 4σ qualified),41 (89.1% of 3σ qualified) and 5 (10.9% of 2~3σ qualified) items before improvement.Conclusion Using 6σ quality standard,could make more progress in the laboratory for many respects:fast and accurate clinical reports,reducing reinspection rate,and increasing patient's satisfactory,etc.

关键词

6σ质量标准/性能/质量改进

Key words

6σ quality standard/performance/quality improvement

分类

医药卫生

引用本文复制引用

史光华,刘连义,张庆,刘艳丽,安冉,刘鹏宇,姜慧英..利用6σ质量标准对急诊实验室8台仪器的检测性能进行综合评价及质量改进[J].现代检验医学杂志,2018,33(2):146-150,5.

现代检验医学杂志

1671-7414

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