重庆市医院输血相容性检测室间质量评价结果分析

External quality assessment results of 52 clinical transfusion compatibility test laboratories in Chongqing

目的建立重庆市医疗机构临床输血相容性检测室间质评体系,规范临床输血检验质量的管理,提高临床输血的安全有效性。方法依据卫生部《临床输血技术规范》,参照国家临检中心的质评方案,建立重庆市医疗机构临床输血相容性检测室间质评体系,1年组织各医疗机构开展3次输血相容性检测室间质评活动,根据质评结果对各输血检测实验室的检测质量、能力,存在的问题等进行分析、评估。结果通过今年的质评活动基本上了解了重庆市医疗机构临床输血相容性检测实验室现状,首次质评活动有50家单位参加,参加单位在不断增多,开展的检测项目、检测合格率不断增加,不合适的检测方法的应用逐渐减少,检测质量的控制与管理意识有了明显的提高。结论临床输血相容性检测室间质评活动的开展,确实能发现参评实验室存在的问题,有利于采取改进措施,促进实验室检测质量和能力的提高。

Objective To establish the external quality assessment System of clinical transfusion compatibility test labo- ratories in Chongqing,to standardize the quality management of clinical transfusion test laboratories and to improve the safety and effectiveness of clinical transfusion. Methods Based on＂ clinical transfusion technical specifications＂ published by the Ministry of Health and the assessment scheme of national clinical test center, the external quality assessment system of clinical transfusion compatibility test laboratories was established. The external quality assessment was carried out for 3 times in 2013, the results were analyzed to evaluate the quality of testing ,testing ability and present problems of the transfusion testing laboratories. Results There were 50 laboratories in the first quality assessment. The number of participating laboratories, the types of tests,the qualified rate were increasing while the application of inapporiate testing methods was decresing. Quality control and management awareness has been significantly improved. Conclusion The external quality assessment of clinical transfusion compatibility test laboratories can actually find the problems. It could help taking corrective measures to promote and improve the quality of laboratory testing.