常用凝血功能检测质量改进经验浅谈

凝血功能检测常用于临床初步分析出血性疾病可能的原因,评估患者术前凝血功能状态和口服抗凝药物治疗检测等。中国合格评定国家认可委员会、美国病理学会、美国临床实验室标准化协会等机构都有对凝血功能检测质量保证的条款及文件要求。考虑到凝血功能检测标本数量巨大,临床实验室可能会忽视有些质量保证要求,影响临床诊疗并危害患者安全。本文就临床常用凝血功能检测工作中的常见问题及解决方式进行经验交流和分享。

Experience exchange of quality improvement in common coagulation function determinations

Coagulation function determinations are usually used to analyze the causes of bleeding disorders, evaluate pre-operation coagulation status and support the therapies of oral coagulation drugs. China National Accreditation Service for Conformity Assessment,College of American Pathologists and Clinical and Laboratory Standards Institute published the terms and documents of quality assurance in coagulation function determinations.Considering the account of coagulation specimens,clinical laboratories may ignore some quality requirements,affect clinical diagnosis and treatment,and influence on patients′safety of life.The review mainly focuses on the common problems and their solutions of clinical coagulation function determinations.