尿液检验的质量控制探析

目的探讨尿液检验过程中影响检验质量的各种因素，针对各种原因来找到控制检验质量的有效途径。方法利用回顾性分析的方法，对我院检验科于2009年1月至2012年12月收检的49358份尿检样本的资料进行分析，将其中检验结果出现较大偏差的209份样本作为研究对象。具体探究是在分析前、分析中、分析后中何种因素导致结果出现偏差。以此来具体分析尿液检验过程中影响检验质量特点，推进质量控制的深入。结果通过对我院检验科收检的检验结果出现较大偏差的209份样本进行分析。分析前，影响质量的因素主要有采集数据记录、样本采集方法错误、样本运送失误，占29．67％（62／209）。分析中影响质量的因素主要有检验人员操作失误、检验仪器或试剂错误、尿沉渣镜检失误，占46．89％（98／209）。分析后影响质量的因素主要有样本结果审查失误、样本结果运送失误，占23．44％（49／209）。结论尿液检验是我们进行临床诊断的重要辅助手段，医院每天都要进行大量的尿液检验工作。如何保障尿液检验的质量，便是我们相关医护人员需要十分重视的工作。我们要重视整个尿液检查工作的流程，细心对待每个步骤，以保障尿检工作的顺利进行。

Quality Control of Urine Test

Objective To investigate the impact of the process of testing urine test the quality of a variety of factors, for various reasons, to find an effective way to control the quality of the examinations. Methods A retrospective analysis, our hospital laboratory from January 2009 to December 2012 to close inspection of the 49358 copies of the data were analyzed urine samples, which will be a larger deviation of the test results to 209 samples for research object. Specific inquiry is before analysis, analysis, and analysis of what factors lead to biased results. Specific analysis of urine tests in order to influence the process of testing the quality characteristics, and promote quality control depth. Results Through the close examination of our hospital laboratory test results showed a larger deviation of 209 samples was analyzed. Prior to analysis the main factors affecting the quality of collected data logging, sample collection method error, the sample delivery errors, accounting for 29.67% （62/209）. Analysis of the main factors affecting the quality inspection staff operational errors, wrong test equipment or reagents, urine sediment examination errors, accounting for 46.89% （98/209）. Analysis of the main factors affecting the quality of the sample results examined mistakes, mistakes in sample results delivery, accounting for 23.44% （49/209）. Conclusion We conducted a urine test is an important adjunct to clinical diagnosis, the hospital every day to work a lot of urine tests. How to protect the quality of the urine test, that is, we need to attach great importance to the relevant staff work. We should pay attention to the work of the whole urine flow, treat each step carefully to ensure the smooth progress of urine.