2006至2016年全国血细胞形态学室间质量评价结果分析

Analysis of the results of external quality assessment of Chinese blood cell morphology from 2006 to 2016

目的回顾分析2006至2016年山西省人民医院检验科全国血细胞形态学室间质量评价结果,总结经验和不足,借以提高检验人员的细胞形态学能力。方法对近11年卫生计生委临床检验中心发放的血液细胞形态彩图或幻灯片共330例的反馈结果进行回顾性分析,找出错报或误报的原因。结果全部330例回报结果中,正确300例,符合率90.9%;错报30例,错报率9.1%。30例错报结果中,同系错报13例,其中红系错报4例,主要是红细胞异常形态错报。结论通过对全国血液细胞形态学室间质量评价结果的分析总结,可以帮助检验医师明确错误类型、辨别模糊概念,有的放矢地进行持续改进,并可成为对科室人员血细胞形态学的一种考核办法。

Objective To review and analyze the results of the external quality evaluation of the blood cell morphology in Shanxi Province People＇s Hospital from 2006 to 2016, and get the experience and know the shortcomings, so as to improve the cellular morphology ability of the work staff. Methods A total of 330 cases feedback results of nearly 1 [ years of Health and Family Planning Commission issued the Clinical Inspection Center of blood cell morphology pictures or slides were analyzed retrospectively, and to find out the reasons of error reporting or misstatement. Results There were 300 correct cases from the 330 cases, the coincidence rate was 90.9%, while 30 cases reported wrong, and the error rate was 9.1%. Among the false reports, there were 13 cases of homologous misstatement, among which 4 cases were red system error, mainly were red cell abnormal morphological error reports. Conclusions Through the external quality evaluation resuhs analysis of the blood cell morphology, laboratory physicians can identify clearly the error type and blurred concept, target for continuous improvement, and it can become a kind of assessment methods for the staff working for the blood cell morphology.