【摘要】 随着即时检验（POCT）技术的发展，院前应用需求逐渐增加。血糖、肌钙蛋白、血气分析等项目已陆续在院前开展。上述项目的开展对院前卒中、胸痛、院外心搏骤停等危重疾病的及时诊断发挥了重要作用。但因院前医疗急救体系在实验专业人员、比对仪器配备等方面存在不足，POCT室内质量控制、比对、能力验证等质量控制工作开展困难，院前质量管理存在短板。为提升POCT质量，消除安全隐患，经院前、院内专家磋商，制定《POCT院前质量管理规范专家共识》。该共识围绕POCT院前质量管理体系建立、管理组织、质量控制方案制定及实施路径、人员准入、设备准入、数智赋能等方面问题形成9个推荐意见，可供各级院前医疗急救机构开展POCT质量管理使用。更多还原

【Abstract】 With the development of point-of-care testing(POCT) technology, the demand for pre-hospital applications has gradually increased. Blood glucose, troponin, blood gas analysis and other projects have been gradually carried out in pre-hospital. The development of the above projects has played an important role in the timely diagnosis of critical diseases such as pre-hospital stroke, chest pain, and out-of-hospital cardiac arrest. However, due to the shortcomings of trained professionals and standardized equipment in pre-hospital systems, it is challenging to carry out quality control work such as POCT in-house quality control, comparison, ability verification, etc., and POCT prehospital quality management has shortcomings. In order to improve the quality of POCT and eliminate potential safety hazards, the "expert consensus on POCT pre-hospital quality management standards" was formulated after consultation between pre-hospital and in-hospital experts. The consensus focuses on the establishment of POCT pre-hospital quality management system, management organization, quality control plan formulation and implementation path, personnel access, equipment access, digital intelligence integration and other issues, which can be used by pre-hospital medical emergency institutions at all levels to carry out POCT quality management.更多还原