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目的评价临床应用血浆地高辛浓度危急值的效果。方法从湖北省荆门市第一人民医院实验室的信息系统中选出自2013年3月至2015年2月血浆地高辛浓度危急值的相关数据,并通过对数据进行处理,进而统计临床应用血浆地高辛浓度危急值的科室分布、时间段分布及发生率,分析血浆地高辛的危急值范围以及报告的周转时间。结果血浆地高辛危急值发生率为3.19%,下午15时至17时是血浆地高辛浓度危急值发生率最高时间段,在3 h内将报告送到相关科室的有51例,占82.3%,临床指征和血浆地高辛浓度危急值的符合率为67.7%。结论持续改进血浆地高辛浓度危机值报告程序,并进行定期分析评估,可以有效提高临床和检验科的工作质量和效率,给予患者更好的安全保障。
Objective To evaluate the clinical effect of plasma digoxin concentration critical value. Methods The data of the critical value of plasma digoxin concentration from March 2013 to February 2015 were selected from the information system of the First People’s Hospital of Jingmen City, Hubei Province, and the data were processed to further analyze the clinical application Distribution of sections, distribution and incidence of plasma digoxin concentration critical values, analysis of the range of critical value of plasma digoxin and the reporting of turnaround time. Results The incidence of plasma digoxin risk was 3.19%. From 15:00 to 17:00, the highest incidence rate of plasma digoxin concentration was the highest, 51 cases were sent to related departments within 3 hours, accounting for 82.3% %, The clinical indications and plasma digoxin concentration critical value in line with the rate of 67.7%. Conclusions Continuous improvement of the reporting procedure of plasma digoxin concentration and its regular analysis and evaluation can effectively improve the quality and efficiency of clinical and laboratory work and give patients better safety and security.