社区血液检验的质量控制及结果管理效果

Effect of quality control and result management of community blood testing

目的探讨质量控制及结果管理在社区血液检验中的应用效果。方法将2021年1月—2022年12月在厦门市思明区筼筜街道社区卫生服务中心接纳血液检测的200例受检者为研究对象,选用奇、偶数随机交替法分为对照组和干预组,每组各100例。对照组采用常规血液检验技术与管理方式,干预组采用质量控制及结果管理,比较两种质量管理方法下检验差错发生率、管理质量评分。结果干预组差错发生率为4.00%,低于对照组的16.00%,差异有统计学意义(χ^(2)=5.6842,P<0.05)。干预组流程规范评分为(95.28±2.19)分、质量控制评分为(96.25±1.56)分、制度实施情况评分为(94.27±1.65)分,均明显高于对照组的(83.39±0.82)分、(82.12±1.15)分、(85.25±1.07)分,差异均有统计学意义(P<0.05)。结论社区卫生服务中心血液检验的质量控制和结果管理会直接影响样本的准确性,影响检验结论的因素很多,包含工作人员、血液采集、仪器设备、样本等。因此,应加强血液检验的规范化管理,认真核对血液样本,精确记录检验结果,以促进社区血液检验品质充分发挥,有效预防检验差错率,促进质量管理水平的提升。

Objective To explore the application effect of quality control and outcome management in community blood testing.Methods A total of 200 subjects who underwent blood testing at the Xiamen Siming District Yundang Street Community Health Service Center from January 2021 to December 2022 were selected as the study subjects.Odd and even random alternation method was used to divide them into a control group and an intervention group,with 100 cases in each group.The control group received routine blood testing techniques and management methods,while the intervention group received quality control and outcome management.The incidence of inspection errors and management quality ratings under two quality management methods were compared.Results The error rate in the intervention group was 4.00%,which was lower than the control group's 16.00%,and the difference was statistically significant(χ^(2)=5.6842,P<0.05).The intervention group had a standardized process score of(95.28±2.19)points,a quality control score of(96.25±1.56)points,and a system implementation score of(94.27±1.65)points,which were significantly higher than the control group's(83.39±0.82)points,(82.12±1.15)points and(85.25±1.07)points,and the differences were statistically significant(P<0.05).Conclusion The quality control and result management of blood testing in community health service centers would directly affect the accuracy of samples.There were many factors that could affect the testing conclusion,including staff,blood collection,instruments and equipment,samples,etc.Therefore,it was necessary to strengthen the standardized management of blood testing,carefully check blood samples,accurately record test results,in order to promote the full play of community blood testing quality,effectively prevent testing error rates,and promote the improvement of quality management level.