合肥地区基层医疗机构检验科血常规室间比对结果分析

Analysis of the results of blood routine test inter-laboratory comparison among clinical laboratories in basic medical institutions in Hefei

目的了解合肥地区基层医疗机构检验科血常规的检测水平,分析影响室间比对结果的主要原因。方法随机抽取43家乡镇卫生院和社区卫生服务中心检验科,进行现场调查和血常规项目室间比对。结果室间比对合格率41.9%,平均72.37分,明显低于省临检中心合格率(94.1%)和平均分(95.97分),差异均有统计学意义(P<0.05);血常规参数(白细胞、红细胞、血红蛋白、红细胞比容、血小板)平均合格率均低于安徽省临检中心,差异均有统计意义(P<0.05);基层实验室人员学历偏低,非检验专业人员占18.80%;血常规分析仪以国产为主,且53.49%的仪器使用时间超过5年;实验室整体质量管理水平落后。结论合肥地区基层医疗机构实验室血常规检测水平远不及二级以上医疗机构。需做好日常实验室室内质控,逐步完善质量管理体系。

Objective To find out the detection level of the blood routine test in clinical laboratories of basic medical institutions in Hefei,and to analyze the results of inter-laboratory comparison among township health centers and community health service centers in Hefei and explore the main factors.Methods Forty-three township health centers and community health service centers were randomly selected to conduct field investigations and take blood routine test inter-laboratory comparison.Results Both41.9% of the passing rate and the average score 72.37 points in Inter-laboratory comparisons were significantly lower than the Anhui province clinical inspection center（94.1% and 95.97points）,the differences were statistically significant（P〈0.05）;Comparing to the results of the Anhui province clinical inspection center,there was statistically significant difference on parameter（WBC,RBC,Hb,HCT,PLT）average pass rate of blood routine test（P〈0.05）;the personnel primary education was low,18.80% of the staff in clinical laboratories were not professionals;most of blood analyzers were domestic and 53.49% of all instruments had been used for more than 5years;the overall laboratory quality management level was low.Conclusion The blood routine test detection level in clinical laboratories of basic medical institutions in Hefei was far below than that of secondary and tertiary medical institutions.The daily laboratory internal quality control should be strengthened and the quality management system should be improved gradually.