某院危急值在人群、时间及科室分布分析

The Analysis of a Hospital′s Critical Value Distributions in Population,Time and Departments

目的通过对某院危急值报告分析,提升医疗服务水平。方法通过收集某院2016年7月至2017年11月危急值报告,分析危急值人群分布、时间分布及危急值频发项目主要分布的科室。结果危急值分布男女比例约为3∶2,60~69岁患者比例最高为20.91%,星期二所报告危急值数目最高,为82例。10:00-11:00和11:00-12:00报告危急值所占比例为21.76%和19.91%。危急值集中的项目为血小板、凝血酶时间、白细胞、肌酐,主要分布在血液内科、重症医学科、肿瘤科等科室。结论作为临床-患者的桥梁,检验科定期回顾分析危急值报告数据,修订危急值报告制度,为患者提供更好的服务。

Objective To improve the level of medical service by analyzing the critical value report.Methods We collected the critical value report of a hospital from July,2016 to November,2017 and the high frequency critical value distributions in population,time and the main departments were analyzed.Results The distribution of critical values was about 3∶2 for men and women,with the highest proportion of patients aged 60-69 with 20.91%.The highest number of critical values was reported on Tuesday(82 cases).The percentages of critical values reported at 10:00-11:00 and 11:00-12:00 were 21.76%and 19.91%,respectively.The most frequent critical values were platelet,thrombin time,leukocyte and creatinine,which were mainly distributed in hematology,critical care,and oncology departments.Conclusion As a bridge between clinical and patients,the clinical laboratory regularly reviews and analyzes the critical value report data and revises the critical value report system,which can provide better services for patients.