临检急诊标本危急值通知流程及质量改进

目的 分析临检急诊标本危急值报告是否达到预期目标,并实施质量改进措施,以期达到质量改进的目的。方法 回顾分析2014年华西医院临检急诊标本的危急值结果,统计危急值通知率并分析未通知原因,于下半年开始通过培训、继续教育和每月通报危急值通知情况进行质量改进。结果 2014年临检急诊标本共有危急值2 648例,电话通知1 950例,上半年总通知率为61.4%,下半年总通知率为81.4%,12月通知率为全年最高,达97.72%。结论 加强危急值通知的管理,有助于提高实验室服务质量,增强检验工作者的责任心和服务临床的意识。

Process and Quality Improvement of Critical ValueNotification of Emergency Specimens in General Laboratory

Objective To estimate the critical value notification of emergency specimens in general laboratory whether achieved the desiredgoals,and to apply quality improvement measures to achieve quality improvementpurposes.Methods Critical values of emergency specimensin general laboratory were monitored and collected in 2014.Statistical analysis was done for non-notification rates and sources of the critical values,and quality improvement began in July,2014 by training,continuing education and amonthly bulletin of notification data of critical values.Results Total number of Critical values of emergency specimens in general laboratory in 2014 was 2 648 and 1 950 of them had been reported by telephone.Total notification rate was 61.4% in the first 6 months,and was 81.4% from July to December.At last,Critical value notification rates increased to 97.72% in December.Conclusion Strengthening the management of criticalvalue notification can help improving the quality of laboratory service,as wellas enhancing stuff responsibility and awareness of service for clinic.