门诊生化检验标本TAT实时监测与持续改进研究

发布时间：2018-01-27 01:07

本文关键词： 标本周转时间阈外值率实时监测持续改进　出处：《重庆医学》2017年14期 　论文类型：期刊论文

【摘要】：目的探讨门诊生化标本周转时间(TAT)的实时监测与持续改进措施。方法通过对本实验室2014年第4季度至2015年第3季度门诊生化标本在仪器设备更换、工作流程改进与采取持续改进措施后,检验前周转时间[TAT(1)],实验室内周转时间[TAT(2)],总的周转时间[TAT(总)]和阈外值率的实时监测与统计分析,观察本室TAT在采取改进措施与持续改进措施后的变化。结果 TAT(1)中位数与90%位数从2014年第4季度的16.9min与34.6min下降至2015年第3季度的13.7min与33.4min,TAT(2)中位数与90%位数从2014年第4季度的64.6min与101.5min下降至2015年第3季度的50.4min与79.1min,TAT(总)中位数与90%位数从2014年第4季度的84.4min与137.0min下降至2015年第3季度的65.8min与100.8min,阈外值率从2014年第4季度的9.19%下降至2015年第3季度的3.55%。2014年第4季度至2015年第3季度TAT(1),TAT(2),TAT(总)与阈外值率各组数据比较差异有统计学意义(P0.01)。结论 TAT实时监测分析与持续改进措施可以优化标本流通环节,提升检测效率。
[Abstract]:Objective to study the clinic biochemical specimen turnaround time (TAT) of the real-time monitoring and continuous improvement measures. Methods by the laboratory of the fourth quarter of 2014 to the third quarter of 2015 were replaced in outpatient biochemical equipment, process improvement and continuous improvement measures taken after the turnover time of [TAT test before (1)], the laboratory turnaround time ([TAT 2)], the total turnover time of [TAT (total)] real-time monitoring and statistical analysis and threshold values of rate, the observation room in TAT take change and continuous improvement measures after the improvement measures. Results of TAT (1) 13.7min and 33.4min and the median 90% digits from the fourth quarter of 2014 and 2015 fell to 34.6min 16.9min in the third quarter, TAT (2) 50.4min and 79.1min median and 90% digits from the fourth quarter of 2014, 64.6min and 101.5min dropped to the third quarter of 2015, TAT (total) 84.4min and median 137.0mi with 90% digits from the fourth quarter of 2014 65.8min and 100.8min n fell to the third quarter of 2015, outside the threshold value rate from the fourth quarter of 2014 fell to 9.19% in the third quarter of 2015 3.55%.2014 in the fourth quarter to the third quarter of 2015 (TAT 1), TAT (2), TAT (total) difference was statistically significant compared with the threshold values of each data rate (P0.01). Conclusion TAT real-time monitoring analysis and continuous improvement measures can optimize specimen circulation, improve the detection efficiency.

【作者单位】：南方医科大学附属小榄医院检验科;
【分类号】：R446.1
【正文快照】： 标本周转时间(turnaround time,TAT),也称结果回报时间,一般包括申请单开出、医嘱传递、标本采集与运输,实验室接收标本、检测、报告审核、临床医生接收报告等过程。临床医生期望的TAT是从检验申请单开出到收到检验报告的时间,而考虑到医生开出申请单、医嘱传递、标本采集与运

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