重视医生在血液学一般检验质量保证中的作用

VALUING THE ROLE OF PHYSICIANS IN THE QUALITY ASSURANCE OF COMPLETE BLOOD COUNT.

本文通过对 2 5 2 0个血液学一般检验标本分析前质量 (标本质量和检验申请单的质量 )的调查和分析 ,发现因分析前原因造成的质量问题占标本总量的 9.40 % ,其中因临床标本采集和运输不当造成的标本质量问题占 72 .6 1% ,因申请单填写不规范所致的质量问题占 2 7.39%。分析前的质量保证是由临床医生完成的实验医学任务 ,所以 ,实验室和临床之间各种形式和途径的配合与沟通 ,是改善标本分析前质量的主要和重要的手段。

The present study is the quality investigation and analysis of 2050 complete blood count specimen.We find that unqualified specimen because of poor quality control of preanalysis account for 9 40%.of total complete blood count specimen.Among these,unqualified specimen due to the collection and transformation of blood account for 72 61%;while the problem due to unqualified requestform account for 27 39%.The quality control of preanalysis is the first step of total quality assurance of laboratory data and completed by the physicians.Therefore,the improvement of preanalysis quality control depends on the cooperation between the technologists and physicians.