临床生化定量检测项目自动审核规则的建立和应用

Establishment and application of automatic review rules for clinical biochemical quantitative detection items

目的基于实验室患者人群特点,建立临床生化定量检测项目自动审核规则,并确保自动审核通过率稳定、有效。方法依据医学实验室质量和能力认可及临床实验室特定专业领域检测结果自动审核相关标准要求,建立和设置临床生化定量检测项目个性化的自动审核规则,并进行验证;统计各项目自动审核不通过时违反的主要规则:数值比较(结果与设定范围)(NS)和差值检验(DS)规则所占比例。结果共为40个临床生化定量检测项目设置了400余条有效规则。每个项目检测结果自动审核不通过的违反规则主要是DS和NS规则,约占95%;优化DS、NS规则后,样本自动审核通过率由56.33%提高到66.13%。结论建立了40个常规生化定量检测项目的自动审核规则。NS和DS规则是自动审核通过率稳定和自动审核结果准确可靠的主要规则,其设置既要有科学性,又要有可行性和适宜性。

Objective Based on the characteristics of patient population into clinical laboratories,to establish the automatic review rules of clinical biochemical items,and to ensure effective and stable passing rate of automatic review.Methods According to accreditation criteria for quality and competence of medical laboratories and autoverification of medical laboratory results for specific disciplines,personalized automatic review rules for clinical biochemical quantitative detection items were established and verified.Statistical analysis was used for the rate of automatic review without outdated normal range severity(NS)and delta check severity(DS)rules.Results Totally,40 clinical biochemical quantitative detection items had been established,and more than 400 effective rules were set.The failure to pass the automatic examination results of each item was mainly DS and NS rules,accounting for about 95%.After optimizing DS and NS rules,the pass rate of automatic examination were increased from 56.33%to 66.13%.Conclusions Totally,40 clinical biochemical quantitative detection items have been established.The NS and DS rules are the main rules for the stability of the automatic review and the accuracy and reliability of the automatic review results,which should be scientific,feasible and appropriate.