摘要
目的通过调查甘肃省14家血站血液检测实验室资源配置现状,探讨基础条件差异对实验室综合检测能力的影响,促进甘肃地区血站实验室血液筛查能力同质化、规范化建设,提高血液的安全性和有效性。方法构建实验室资源配置评价指标体系并设计调查问卷,收集14家血站实验室人力资源、基础设施和关键设备的相关数据,应用熵权-TOPSIS法对14家实验室资源配置进行综合评价及排名。结果甘肃地区14家血站血液检测实验室资源配置综合评价排名前3位的是实验室A、B、I,排最后3位的是G、M、J。总体来看,主要问题一是人力资源结构不合理,年龄方面大多数实验室未建立职工老中青的年龄梯队;学历方面除A实验室,其他实验室均无研究生学历人员;职称方面大多数实验室未建立以中级职称人员为核心的检验队伍。二是基础设施不配套,7家实验室面积偏小,不能满足现代化实验室检测的需求;8家血站没有核酸备用实验室,也未与其他血站建立互为备用实验室关系。三是关键设备配置不足,5家实验室无全自动血型仪,5家实验室只有一套酶免检测系统,3家实验室的关键设备均无备用设备,如果发生设备故障不能及时修复,将影响结果的发布。结论甘肃地区14家血站血液检测实验室人力资源、基础设施和关键设备均存在明显差异,将对实验室检测能力及后续发展产生较大影响,建议各级政府和卫生行政部门依据不同血站的采血量按需优化实验室资源配置的投入,通过政策调整逐步缩小不同地区之间资源分布的差异,提高实验室自动化程度,优化人员结构,全面建设优质高效的血站血液检测实验室,保障临床用血安全。
Objective To investigate the resource allocation status of blood testing laboratories in 14 blood stations in Gansu Province,explore the impact of differences in basic conditions on the comprehensive testing ability of laboratories,so as to promote the homogenization and standardization of blood screening capacity in blood stations in Gansu and improve blood safety and effectivenes.Methods An evaluation index system of laboratory resource allocation was constructed and a questionnaire was designed.The data of human resources,infrastructure and key equipment of 14 blood stations were collected.The entropy weight-TOPSIS method was used to evaluate and rank the resource allocation of 14 blood stations.Results In the comprehensive evaluation of blood testing laboratory resource allocation in 14 blood stations in Gansu,the top three were laboratories A,B and I,and the last three were laboratories G,M and J.On the whole,the main issue was unreasonable structure of human resources:most laboratories had unreasonable age structure;except for Laboratory A,there was no personnel with bachelor′s degree or above in laboratories;most laboratories had not established a team with intermediate professional titles.In terms of infrastructure,the size of seven laboratories could not meet the needs of modern laboratory testing,and all eight blood stations had no spare nucleic acid laboratories nor a mutual spare laboratory with other blood stations As for the key equipment,5 laboratories had no automatic blood grouping diagnostic instrument,5 laboratories only had one set of enzyme immunoassay detection system,3 laboratories had no spare equipment for the key equipment,which means if the equipment failure could not be repaired in time,the release of results would be affected.Conclusion There were significant differences in human resources,infrastructure and key equipment of blood testing laboratories in 14 blood stations in Gansu,which had a great impact on laboratory testing capacity and subsequent development.It is suggested that governments at all levels and health administrative departments optimize the input of laboratory resource allocation according to the blood collection volume of blood stations to gradually narrow the differences in resource distribution between different regions,improve the degree of laboratory automation and optimize the personnel structure,so as to build high-quality and efficient blood testing laboratories and ensure the safety of clinical blood use.
作者
冯惟萍
张支凤
李建华
张飞燕
董小强
黎小刚
韩银
岳文清
杨悦
崔军
冯丽霞
高强
韩彩凤
王然
成佳
FENG Weiping;ZHANG Zhifeng;LI Jianhua;ZHANG Feiyan;DONG Xiaoqiang;LI Xiaogang;HAN Yin;YUE Wenqing;YANG Yue;CUI Jun;FENG Lixia;GAO Qiang;HAN Caifeng;WANG Ran;CHENG Jia(Gansu Red Cross Blood Center,Lanzhou 730046,China;Baiyin Central Blood Station;Qingyang Central Blood Station;Dingxi Central Blood Station;Gannan Central Blood Station;Zhangye Central Blood Station;Wuwei Central Blood Station;Jiayuguan Central Blood Station;Linxia Central Blood Station;Jinchang Central Blood Station;Longnan Central Blood Station;Pingliang Central Blood Station;Jiuquan Central Blood Station;Tianshui Central Blood Station)
出处
《中国输血杂志》
CAS
2023年第8期720-723,共4页
Chinese Journal of Blood Transfusion
关键词
血站实验室
资源配置
熵权法
TOPSIS法
综合评价
甘肃
blood testing laboratory
resource allocation
entropy weight method
TOPSIS method
comprehensive evaluation
Gansu province
作者简介
第一作者:冯惟萍(1979-),女,副主任技师,Email:646680585@qq.com;通信作者:张支凤,Email:646680585@qq.com。
