高崎 郭欣

[摘要] 目的 探讨综合性医院临床检验实验室质量控制措施。 方法 随机选取2016年5月～2017年5月首都医科大学附属北京友谊医院收治的患者300例，对其临床检验信息资料进行回顾性分析，将临床检验实验室质量控制的主要影响因素找出来，然后将有针对性的措施制订出来。 结果 300例患者中，质量控制不良64例，在发生时间方面，样本准备阶段34例，样本采集阶段11例，样本处理检验阶段9例，分别占53.1%、17.2%、14.1%；检验设备应用不当或故障10例，占15.6%。 结论 综合性医院临床检验实验室质量控制的影响因素主要为样本准备阶段、采集阶段、处理检验阶段质量控制不良和检验设备应用不当或故障，临床应该积极采取有效措施促进医院临床检验实验室质量的提升。

[关键词] 综合性医院；临床检验实验室；质量控制措施

[中图分类号] R115 [文献标识码] A [文章编号] 1673-7210（2018）08（b）-0178-04

[Abstract] Objective To discuss the quality control measures of clinical examination laboratory in comprehensive hospital. Methods Three hundred cases of patients from May 2016 to May 2017 in Beijing Friendship Hospital， Capital Medical University were randomly selected， the clinical information data of 300 cases was analyzed retrospectively， the main influence factors of quality control of clinical laboratory were found out， then the targeted measures were enacted. Results Among the 300 patients， there were 64 cases of poor quality control. In the aspect of time of occurrence， there were 34 cases in the sample preparation stage， 11 cases in the sample collection stage， 9 cases in the sample processing test stage， accounted for 53.1%， 17.2% and 14.1% respectively， and 10 cases in the test equipment application， accounted for 15.6%. Conclusion The influence factors of clinical examination laboratory in comprehensive hospital are mainly sample preparation stage， acquisition stage， processing and inspection stage errors or improper application testing equipment failure， the clinic should actively take effective measures to improve the hospital clinical laboratory quality.

[Key words] Comprehensive hospital； Clinical examination laboratory； Quality control measures

近年來，人们对医疗服务水平的需求在不断深入推进的医疗体制改革、飞速发展的医疗技术领域的作用下急剧提升，临床医学检验在诊断疾病、监控病情及后续治疗中均发挥着极为重要的作用，医院医疗服务水平的优劣受到其检验质量高低直接而深刻的影响。同时，综合性医院检验实验室的医疗设备在飞速发展的医学科学的作用下不断更新，一方面促进了检验实验室工作效率及质量水平的提升，另一方面也将可靠依据提供给了健康体检及临床诊断、治疗疾病的工作[1]。为了对综合性医院临床检验实验室质量进行有效控制，从而将准确的检验结果获取过来，将有效依据提供给临床的治疗工作，为促进患者早日康复做出积极贡献。……