医学检验危急值管理评估分析

Evaluation and Analysis of Medical Testing Critical Value Management

目的分析医学检验危急值管理现状，提出相应的对策。方法采用回顾性分析法，对内江市第二人民医院2014年9月506例医学危急值报告，利用软件统计出危急值项目构成比以及不同时间段危急值发生频率，危急值发生周期，不同临床科室危急值报告量等。结果检验医学危急值出现率最高的项目是血小板（PLT），占危急值总数的16．80％，其次：白细胞（WBC）13．24％、血肌酐（Cr）12．25％；危急值报告量集中在9：00～11：00，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是：重症监护病房（ICU）占危急值总数的24．70％，其次是肾内科21．15％，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，各临床科室认真执行危急值报告登记制度。每年根据情况对医学检验危急值进行评估，确保医疗质量安全。

Objective To analyze medical critical value management present situation, proposed the corresponding countermeasure. Methods Used a retrospective analysis method to analyse 506 cases of medical critical value report in the Second People＇ s Hospital of Neijiang City in September of 2014 ,and did constituent ratio of critical values with software,and different time frequency, critical values occur in different clinical departments, critical value report etc. Results The highest rate of the critical value of laboratory medicine was platelet （PLT）,the project was accounted for a total 16.80%, followed by.. white blood cell （WBC） 13.24 %, serum creatinine （Cr） 12.25 %. Critical value report was concentrated at 9 ： 00 -11 ： 00, accounted for about 34%;Tuesday and Thursday urgent value reported more volume,Sunday less. Critical value report number was：severe medical center （ICU） accounted for 24.70% of the total number of emergency,department of internal medicine for 21.15% ,Department of hematology for 19.57%. Conclusion The inspection department personnel must seriously implement the critical value report system of laboratory medicine,clinical departments to seriously implement the critical value reporting and registration system. Each year,according to the evaluation of medical test critical values, ensure medical quality and safety.