论文部分内容阅读
目的:探讨临床检验假性危急值报告时间及其影响因素及预防措施。方法:选取该院2015年1~6月有关生化检验项目进行分析,分析危急值的发病率、报告时间以及影响因素,并提出积极有效的预防方法。结果:急诊样本中424例出现危急值;平诊中528例发生危急值。急诊检验中出现检验假性危急值前三位科室为急诊内科;ICU科;心内科;平诊中位数为38 min,长于急诊(9 min)(P<0.05);平诊检验假性危急值238例≤30min,少于急诊(P<0.05);平诊中150例检验假性危急值报告时间在31~60 min,101例在61~90 min,多于急诊(P<0.05)。结论:急诊检验危急值报告时间基本能够满足医院需要,但是平诊难以满足临床要求,应采取积极有效的预防措施缩短平诊检验危及报告时间,提高危急值管理效果。
Objective: To investigate the time of clinical testing of false critical value and its influencing factors and preventive measures. Methods: The hospital from January to June 2015 biochemical test items were analyzed to analyze the incidence of critical values, reporting time and influencing factors, and put forward positive and effective prevention methods. Results: There were 424 critical cases in emergency samples and 528 cases in critical cases. In the emergency test, the first three departments for the detection of false critical value were emergency department of internal medicine, ICU department and cardiology, and the median examination was 38 minutes longer than emergency department (9 min) (P <0.05) (P <0.05). There were 238 cases of ≤30min in less than emergency department (P <0.05). 150 cases of false critical value were reported in 31-60 minutes, 101 cases were in 61-90 minutes, more than emergency department (P <0.05). Conclusion: The critical value of emergency test can basically meet the needs of the hospital. However, it is difficult to meet the clinical requirements through outpatient visits. Active and effective preventive measures should be taken to shorten the reporting time and improve the management of critical value.