检验医学危急值管理调查

Investigation on critical value management in clinical laboratory

目的分析医学检验危急值管理现状,提出改进方案。方法回顾性分析法该院2013年9月的506例医学危急值报告,包括危急值项目的分布情况、1天中不同时间危急值发生频率、不同临床科室危急值报告量等。结果检验医学危急值报告量最多的项目是血小板（PLT）,占16.80%,然后依次为白细胞（13.24%）和血肌酐（12.25%）;危急值报告量集中在9：00-11：00点,占全天的34%左右;周二和周四危急值报告量较多,周日较少;危急值报告量最多的科室是重症医学中心（ICU）占总报告量的24.70%,然后依次为肾内科（21.15%）和血液科19.57%。结论检验科室人员必须认真执行检验医学危急值报告制度;各临床科室应认真执行危急值报告登记制度;每年需要对医学检验危急值管理的状况进行评估。

Objective To investigate the present situation of critical value management in clinical laboratory,and propose improvement measures.Methods Retrospectively analyze on the 506 cases of critical value reports in the hospital in September 2013,including the distribution of critical value items,the frequency critical value reports at different time in one day,the amount of critical values reported in different department and so on.Results The most reported critical value item was platelet（PLT）,which accounted for 16.80%,followed by WBC（13.24%）and serum creatinine（12.25%）;Critical value reported mostly between 9：00and11：00,which accounted for 34% of one days′s reports;The amount of the critical value reports on Tuesday and Thursday were more than that on Sunday;Critical values reported for the patients of Intensive Medical Center（ICU）accounted for the highest proportion（24.70%）,followed by those of nephrology department（21.15%）and hematology department（19.57%）.Conclusion Critical value reporting system should be strictly executed in clinical laboratory;Critical values should be carefully registrated in clinical deparments;Annual inspection of critical value system is required.