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某院危急值的临床分析及持续改进
Effectiveness analysis of a certain hospital′critical values improvement
【摘要】 目的通过该院危急值项目的报告频率、发生年龄、临床诊断及科室分布情况,探讨危急值的重要性和改进方向,探讨危急值改进的效果。方法用描述性统计方法对该院2016年全年报告的危急值项目及科室分布、种类、年龄、病种等情况进行分析。结果全年危急值共5 384例,危急值占总标本比率为0.49%,危急值项目前5位分别是:白细胞、血小板、凝血酶原时间(PT)、细菌培养、氧分压(PO2),科室分布前5位分别是:妇瘤科、内科、放疗科、肿瘤内科和门诊。危急值好发年龄段在41~60岁,患者诊断前5位分别是:肺癌、宫颈癌、乳腺癌、恶性淋巴瘤、鼻咽癌。结论对危急值制度的不断改进,促进实验室与临床联系,就能更好的救治患者、提高实验室及临床工作效率,不断提高医疗质量水平。
【Abstract】 Objective To probe into the importance and improvement of critical values by report frequency,age of onset,clinical diagnosis and division distribution of a certain hospital′s critical values project,and to probe into the effect of improvement of Critical Values.Methods Descriptive statistics method was applied to make a analysis of the critical values project of the annual report in 2016 and which of the status about division distribution,patterns,age and diseases.Results There were 5 384 critical values annually which occupies 0.49% of all the specimens.The top five of the critical values project were:leukocyte,soterocyte,PT,bacterial culture and PO2.The top five of division distribution were:department of female tumor,internal medicine,department of radiotherapy,medical oncology and out-patient department.The majority of critical values were found in the age of 41-60.The top five of diseases were:lung cancer,cervical cancer,breast cancer,malignant lymphomaandnasopharynx cancer.Conclusion Though improving critical values system constantly and promoting contact between Laboratory and clinical,we could treat patients better,enhance the efficiency of laboratory as well as clinical work and continuously improve the quality of medical treatment.
- 【文献出处】 国际检验医学杂志 ,International Journal of Laboratory Medicine , 编辑部邮箱 ,2018年15期
- 【分类号】R446
- 【被引频次】3
- 【下载频次】164