门诊检验危急值管理的有效方法

Effective methods of outpatient laboratory critical value management

目的:分析研讨门诊检验危急值管理的有效方法。方法:将我院2015年1月-12月门诊检验危急值管理采用医生跟随模式进行管理,将此阶段划分为医生跟随组,再将我院2016年1月-12月门诊检验危急值管理采用患者跟随模式进行管理,将此阶段划分为患者跟随组,记录总结两组门诊检验危急数据和管理缺陷状况,并对比分析。结果:从细菌培养、国际标准化比值、胆碱酯酶、血气、血葡萄糖、血常规、电解质等方面来看,医生跟随模式与患者跟随模式之间的门诊危急值基本数据分布无统计学意义(P>0.05)。对比两组危急管理缺陷率,医生跟随组19.75%高于患者跟随组3.10%,组间数据有统计学意义(P<0.05)。结论:门诊检验危急值管理实施患者跟随模式,可更为有效且及时地处理门诊患者检验危急值,确保医疗安全,并可及时掌握患者救治最佳时机。

Objective： To analyze and explore the effective methods of outpatient laboratory critical value management. Methods： The outpatient laboratory critical value management of our hospital from January 2015 to December 2015 received management of doctors-follow mode, and outpatient laboratory critical value management of our hospital from January 2016 to December 2016 received management of patients-follow mode. The data of testing critical value and the management status of defects of two groups were summarized, recorded and comparatively analyzed. Results： From the perspective of bacterial culture, international normalized ratio, cholinesterase, blood gas, blood glucose, blood routine and electrolytes, there was no significant difference in the distribution of outpatient critical values between the doctor-follow mode and the patient-follow mode （P〉0.05）. From the perspective of critical management defect rate, the doctor-follow mode group （19.75%） was higher than 3.10% in the patient-follow mode group （P〈0.05）. Conclusion： The implementation of patient follow-up mode in outpatient critical value management could more effectively and timely deal with the critical value of outpatient examination, ensure medical safety, and timely grasp the best time for patient treatment.