临床生化检验结果自动审核软件系统的建立与评价

Establishment and evaluation of an autoverification system for clinical and biochemical test results

目的应用自动审核软件系统对临床生化检验结果进行自动审核,从而提高工作效率,缩短检验报告时间。方法根据美国病理学家协会(CAP)、ISO15189对临床检验行业的要求和佛山市中医院检验医学中心的需求建立自动审核规则,并修改检验信息系统,实现生化结果判断,实验室信息管理系统(LIS)执行自动审核时将判断通过的标本发出报告。对检验中心门诊组从2017年9月1日至2018年2月28日的门诊流水线的所有生化检验标本进行验证,统计标本和检验项目的自动审核通过率,自动审核的标本周转时间(TAT)中位数。结果建立自动审核软件系统后,近半年的生化检验项目的通过率在69.00%~74.00%,标本的通过率维持在87.40%左右,自动审核的TAT中位数从50.15 min降至44.70 min,审核人员从2人减少为1人。结论建立自动审核软件系统可以用于临床生化检验结果的自动审核,可以明显缩短TAT,提高实验室工作效率。

Objective To estabilish an autoverification system to automatically audit clinical biochemical test results,so as to improve work efficiency and shorten test-reports time.Methods According to the requirements of College of American Pathology(CAP)and ISO15189 for clinical test and the requirements of department of laboratory medicine center,Foshan Hospital of Traditional Chinese Medicine,the automatic audit rules were established,and the test information system was modified to realize the biochemical results judgment and the report of the result when the LIS system carried out the automatic audit.All biochemistry samples of assembly line from September 1,2017 to February 28,2018 in the outpatient group of the laboratory were verified,the samples and test items of pass rate of automatic audit were counted,and the median turnover times(TAT)of automatic audit were counted.Results After the establishment of the automatic audit software system,the pass rate of biochemical examination items were 69.00%-74.00%,and the pass rate of the samples maintained at about 87.40%in the past six months.The median of samples TAT for automatic audit reduced from 50.15 min to 44.70 min,and the number of reviewers reduced from two to one.Conclusion The establishment of automatic audit software system can be used for automatic examination of clinical biochemical test results,and significantly shorten TAT and improve the efficiency of laboratory work.