血检标本不合格的原因分析及整改措施

Analysis of the causes and improved measures of unqualified blood samples

目的:查找2013年四个季度血液不合格标本产生的原因并采取相应的预防措施。方法:分析2013年本院拒收的住院患者不合格血液标本255例,根据实际情况分析不合格标本产生的原因。结果:四个季度血液标本不合格率分别为:10.9‰,5.7‰,3.0‰,4.1‰。类型主要有标本凝固,标本量过少,标本污染、标本信息错误及标本溶血,其中以血液标本凝固和标本量过少多见。结论:血液标本的分析前质量控制对检验结果的准确性和真实性尤为重要。检验科需加强与护理中心和临床科室的沟通,及时、准确反馈不合格标本的信息,查找原因并制定相应的整改措施。

Objective：To explore the cause of unqualified blood samples of four quarter of 2013 and take the corresponding preventive measures to ensure true and reliable test results. Methods：255 unqualified blood samples in our hospital were collected in 2013, results were shown by unqualified rate. Analyzing the cause of unqualified blood samples according to the actual situation.Results：The unqualified rate of blood samples was10.9‰, 5.7‰, 3.0‰, 4.1‰. The unqualified samples were mainly produced by the five kinds of reasons：blood coagulation,insufficient blood volume,pollution,specimen information error and blood hemolysis. Conclusions：The quality control before the analysis of blood samples is very important to accuracy and authenticity of the inspection results.Therefore, Clinical laboratories need to strengthen communication with nursing center and clinical departments to feedback unqualified specimen information timely and accurately, find causes and corrective measures