实验室检验报告不正确率调查及质量持续改进

目的 通过对实验室检验报告不正确率进行监测、分析,探讨如何降低实验室检验报告不正确率,以达到质量持续改进的目的.方法 通过实验室信息管理系统(LIS)回顾性统计福建中医药大学附属人民医院检验科2019年的检验报告不正确率,对检验前、中、后阶段导致检验报告不正确的原因进行分类,针对导致错误的原因拟定标本采集培训、优化标本...

Investigation and continuous quality improvement of laboratory error reporting rates

Objective To explore how to reduce the error rate of laboratory test reports and achieve continuous quality improvement based on monitoring and analyzing error rate of laboratory test reports.Methods By using the quality indicators management module in the laboratory information management system(LIS),the incorrect rate of laboratory report during the year of 2019 in the Department of Clincal Laboratory,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine was retrospectively analyzed.The causes leading to the incorrect laboratory report rate were classified according to pre analytical,during analytical and post analyti cal stages.According to the causes of the errors,the revised measures were designed including specimen collection training,optimiza tion of specimen collection process,setting up LIS restriction reminder and rechecking transcription results etc.which were implemen ted in the year of 2020.The incorrect rate of laboratory reports in each professional group during the year of 2020 was also statistically analyzed.The corrective measures were tracked,evaluated,and continuously optimized.Results The incorrect rate of laboratory re ports in 2019 was 0.15%.The causes of error included the modification after rechecking during the test process(48.54%),transcrip tional errors in the post phase of test process(30.20%),and specimen error prior the test process(7.80%).The incorrect rate of la boratory reports in 2020 was 0.12%,which was significantly lower than that in 2019(χ²=36.7,P<0.05).Except the molecular diag nostic and clinical blood groups,the incorrect rate of other specialized groups in 2020 were all decreased with different degrees com pared with that in 2019.Conclusion The error rate of laboratory test reports is an important quality index.The error rates of classifica tion,modification,monitoring and statistical analysis for the causes according to LIS could be effectively reduced.