某院生化检验报告自动审核系统的建立与应用

目的 开发一套适用于多个血液标本的生化检验报告自动审核系统,实现临床生化类项目检验报告的自动化审核,并进行临床应用价值评估.方法 针对69项临床生化检验项目以Data Manager2(DM2)中间体软件为工具,设计开发包括室内质控等在内的9大类自动审核规则,并对临床生化血液定量项目进行检测验证.比较检验项目通过情况,...

Establishment and application of automatic audit system for biochemical test report in a hospital

Objective An autoverification system in the clinical biochemistry assays that is suitable for multiple blood samples was developed to realize the autoverification of biochemistry test and evaluate the clinical application value.Methods Based on the Data Manager²(DM²)middleware software,nine autoverification rules were designed for 69 clinical biochemical test projects.Detection and verification of clinical biochemical blood quantitative items were then carried out by comparing the pass rate of test projects,sample disqualification rate,average sample turnaround time(TAT),and critical values.Results The coincidence rate between autoverification and manual verification was 100.00%.The total sample pass rate,sample pass rate of outpatient and inpatient reached 72.36%,82.49%and 68.56%respectively.In terms of detection time,the average TAT of outpatient and inpatient samples decreased by 28 min(P<0.01)and 25 min(P<0.01),respectively.In terms of critical values,the timely rate of outpatient emergency value report and inpatient critical values report increased to 100.00%(P<0.01)and 99.81%(P<0.01).The average TAT of outpatient critical value report and inpatient critical value report was shortened by 27 min(P<0.01)and 28 min(P<0.01).Conclusion In this study,we developed an autoverification system in the clinical biochemistry assays for multiple blood samples,which can greatly reduce the proportion of manual audit,reduce the sample unqualified rates,shorten the TAT,improve the quality and efficiency of the testing.The establishment and application of this system have certain clinical value and application popularization.