临床实验室生化检验危急值报告时间调查分析

目的：调查现有工作流程下部分生化检验项目危急值报告时间，探讨实验室内外的影响因素，为持续改进危急值管理提供依据。方法回顾性分析云南省第二人民医院2011年1～6月检验科部分生化检验项目。分析危急值发生率，报告时间及影响因素。结果急诊检验危急值424例，平诊检验危急值528例；急诊检验危急值发生率3．3％，平诊检验危急值发生率1．7％。急诊检验危急值报告于48 min内全部完成，平诊危急值报告时间大于60 min的占26．5％。结论急诊检验危急值报告时间基本满足临床需要，平诊检验危急值报告时间尚不能满足临床需要，需采取措施缩短平诊检验危急值报告时间，提高危急值管理质量。

Investigation and analysis of the critical value reporting time of biochemical test in clinical laboratory

Objective To investigate the critical value reporting time of biochemical test under the existing work processes ,to explore the influence factors ,and to continous improvement of critical value management .Methods A total of 424 cases of emergency critical value and 528 case of non-emergency critical value were retrospectively analyzed .Results The occurrence rate of emergency critical value was 3 .3% ,and that of non-emergency critical val-ue was 1 .7% .All of emergency critical value could be reported within 48 min ,and 26 .5% of non-emergency critical value could be reported within 60 min .Conclusion Critical value reporting time of emergency could meet the clinical need ,but the critical value reporting time of non-emergency should be further shortened to improve quality of critical value .