摘要
目的分析了解山西省各级各类医疗机构临床实验室基本情况，为进一步改进实验室管理策略提供参考依据。方法2015年，山西省临床检验中心对已纳入本省室间质量评价（external quality assessment, EQA）系统的所有医疗机构临床实验室发放调查表598份，通过网络回收医院（医疗机构等级类型、床位数、信息系统建设）和实验室开展检测项目总数及自动化比例；各专业（临床血液、体液，常规化学，免疫，微生物）开展检测项目数及占总业务硕百分比；实验室人员组成等基本信息。然后，用Microsoft Excel 2003软件进行结果汇总分析。结果回报医疗机构临床实验室调查表258份，回报率43．1％。91．8％（45／49）的三级医疗机构临床实验室配备实验室信息系统 （laboratory information system, LIS）,62.9％（105／167）的二级医疗机构临床实验室配备了LIS。158家综合医院开展检测项目数在121（6～880）项之间；自动化比例约80．8％。常规化学项目占总业务额的百分比最高（约48％）；其次为临床血液、体液项目（约25．4％）。258家医疗机构检验科负贵人高、中、初级职称比例为1：2：013；检验技术人员高、中、初级职称比例为1：4：7：8；检验医师占10．3％。结论对山西省临床实验室的基本情况有了较细致的了解，今后医疗机构实验室仍需加强信息系统建设，合理设置检验项目，优化人员结构，适当提高检验医师比例。
Objective To investigate the basic status of clinical laboratory in various kinds of medical institutions in Shanxi province, analyze the present situation of clinical laboratory and provide reference for the further improvement of management strategy. Methods In 2015, Shanxi Center of Clinical Laboratories issued questionnaires of clinical laboratory quality control indicators to a total of 598 laboratories incorporated in our external quality assessment （EQA） system, The basic information were collected hospital and laboratory through internet. The basic information include： medical institution＇s level and type; the number of beds; the information system construction; the total number of test items, and the proportion of automation; test items number and percentage in total income of each major （clinical blood and body fluids, clinical chemistry, immunology, microbiology）; staff composition, etc. The statistical analysis of data was done by Microsoft Excel 2003. Results Totally 258 laboratories returned the questionnaires and the rate was 43.1%. 91.8% （45/49） of the three-level medical institution clinical Laboratory equipped with laboratory information system （LIS）. 62.9% （105/167） of the secondary medical institution clinical laboratory equipped with the LIS. The total number of test items was ranged 121 （6-880）, and the percentage of automation was 80.8% in 158 general hospital. The highest percentage of the total income was clinical chemistry that was about 48%, and secondly was clinical blood and body fluids that was about 25.4%. The ratio of high, medium and primary titles in department directors was 1：2：0.3, and the ratio was 1：4：7：8 in staffs. The percentage of laboratory physician was 10.3%. Conclusions Through the survey, the basic status of clinical laboratories in Shanxi Province is mastered.The medical institutions still need to strengthen the information system construction, set the test items reasonably, optimize the staff composition, and properly improve the ratio of the laboratory physicians.
出处
《中华临床实验室管理电子杂志》
2016年第1期45-48,共4页
Chinese Journal of Clinical Laboratory Management(Electronic Edition）
关键词
实验室
调查
实验室信息系统
Clinical laboratory
Questionnaires
Laboratory information system
作者简介
通讯作者：马斌国，Email：sxccl@126．com
