摘要
目的对危急值项目的历史数据进行分析，为持续改进危急值报告制度提供科学依据。方法从实验室信息系统中筛选出2006年的危急值项目数据11项，经数据预处理、变换后，计算出危急值项目的发生率、天内分布、周内分布、部门分布，评估危急值范围和周转时间。结果危急值的发生率是1．67％，主要集中在8：00-13：00，周一、四危急值的数量比平时多，部门分布以血液科、移植病房为主。评估危急值项目的高低值分布图后，血钾的危急值低限从3．0mmol／L调整为2．8mmol／L，血液病病房的PLT、WBC的危急值低限分别从20×10^9/L，1．5×10^9/L调整为10×10^9／L、1．0×10^9／L。76．2％的危急值结果的实验室周转时间小于1h。结论定期回顾分析危急值项目的数据，可以提高实验室及临床的工作效率和质量，满足患者的安全要求。
Objective Analyze the historical data of critical values lists, providing scientific evidence for continuous improvement of critical value systems. Methods Screen out critical value lists data of 2006 from laboratory information system, after pretreatment and transformation of data, calculate the percentage of critical value, and its daily distribution, weekly distribution and department distribution, evaluate the range and turnaround time for critical value. Results The rate of critical value was 1.67%. It was mainly concentrated from 8 to 13 O＇clock. Monday and thursday have more critical value than other days. From the perspective of department, the majority critical value was from hematology department and transplantation department. After the evaluation of distribution diagram of critical value range, the lower critical value limit of blood potassium was adjusted from 3. 0 mmol/L to 2. 8 mmol/L, the blood platelet and leukocyte counts for patients with hematology disease were adjusted from 20 × 10^9/L, 1.5 ×10^9/L to 10 ×10^9/L, 1.0 × 10^9/L respectively. The laboratory turnaround time for 76. 2% critical value was less than 1 hour. Conclusion Review and analyze critical value lists data regularly can improve the work efficiency and quality for the laboratory and clinic department and better meet patients＇ safety needs.
出处
《中华检验医学杂志》
CAS
CSCD
北大核心
2008年第6期695-698,共4页
Chinese Journal of Laboratory Medicine
关键词
危急值报告
患者安全
实验室管理
数据挖掘
Critical values reporting
Patient safety
Laboratory management
Data mine
作者简介
通讯作者：陈瑜，电子信箱：chenyyu@sina．com
