2012年大连市医院输血科(血库)输血相容性检测能力评价

Capability evaluation of transfusion compatibility tests for blood transfusion departments in Dalian,2012

目的通过对大连市医院输血相容性检测的督导评价,进一步规范检测程序,提高检测水平。方法以现场检查和发放自制室间质评样本检测方式对大连市62家医院输血科(血库)输血相容性检测能力进行评价。现场检查包括设备、试剂、开展项目、操作规程和记录5个方面;室间质评项目包括ABO正、反定型,Rh(D)血型,受血者抗体筛选及交叉配血5项。结果督导评价合格医院42家,不合格20家;仅1家医院因未开展抗体筛查项目检测而判为现场检查不合格;二级医院室间质评结果不合格率最高(42.3%);正、反定型和Rh(D)定型试验符合率为100.0%,抗体筛查和交叉配血试验不符合率分别为82.0%、77.4%。结论在保证相对固定人员配置同时加强培训提升检测人员鉴别分析能力是目前提高大连市医院输血科(血库)输血相容性检测能力的重要措施。

Objective To standardize the detection procedure and improve the detection ability through the capability evaluation of transfusion compatibility tests for blood transfusion departments in Dalian.Methods Both on-site inspection and external quality assessment(EQA)were used.The items of on-site inspection consisted of equipments,reagents,tests,operating instructions and records.EQA included ABO grouping,Rh(D)grouping,antibody screening and crossmatching.Results 42 of 62blood transfusion departments were qualified.Only one was unqualified in on-site inspection because antibody screening were not carried out.The unqualified ratio of second-class hospitals′ EQA was the highest(42.3%).The coincidence rates of antibody screening and crossmatching were 82.0% and 77.4%respectively,while those of ABO grouping and Rh(D)grouping was 100.0%.ConclusionRelatively fixed staffing in laboratories and continual training was important for the improvement of transfusion compatibility tests.