|
|
|
| Investigation and analysis on the rejected specimens of the examination section of a large general hospital during the first year |
| Chen Binghua, Wang Feng, Zhou Shiping, Wu Qiaoping, Li Qingcao |
| Department of Clinical Laboratory, Lihuili Eastern Hospital, Ningbo 315103, China |
|
|
|
|
Abstract Objective Rejected specimens in the laboratory within one year were classified statistically and causes were analyzed, in order to explore the methods of decreasing the number of rejected specimens and improving the pre-analytical quality. Methods The data of the rejected specimens of the laboratory from January 1, 2016 to December 31, 2016 were collected, including the reasons for rejection, quantities, inspection departments, and types, etc. Then SPSS 17.0 statistical software was used for analysis after data process. Results The percentage of rejected blood specimens was 82.79%. The main reasons of rejected specimens were specimen clotted, hemolysis, insufficient specimen quantity, contamination and improper specimen type. The rejection rates of the emergency, ICU, respiratory medicine, cardiovascular medicine and neurological medicine were comparatively high. The rejection rates of comparatively high in March, August, and November. Conclusion Quality control before analysis should be valued. It is important to strengthen the communication and cooperation between the laboratory and the clinical departments, the patients and the nursing workers. The corresponding corrective measures should be taken to reduce the percentage of rejected specimens.
|
|
Received: 05 November 2017
|
|
|
|
[1] PlEBANI M, CARRARO P. Mistakes in a state laboratory: types and frequency[J]. Clin Chem, 1997,43(1):1348-1351.
[2] 陆永绥,张伟民.临床检验管理与技术规程[M]. 杭州:浙江大学出版社,2014:37-40.
[3] 周睿.医学实验室认可对分析前质量控制的要求及应对方案[J]. 中华检验医学杂志,2013,36(2):191-192.[4] 刘胜林.检验标本不合格的原因分析及解决对策[J]. 继续医学教育,2014(2):23-24.
[5] 徐青,曹志刚.品管圈活动在减少不合格血液标本中的应用[J]. 蚌埠医学院学报,2013,38(12):1695-1697.
[6] 刘国柱.数据挖掘技术在广东省统计病案数据库中的运用[J]. 中国医院统计,2017,24(3):179-183.
[7] 王蓓丽,孙林,周佳烨,等.2007至2010年检验不合格标本分析[J]. 中华检验医学杂志,2012,35(4):305-308.
[8] 王芳,宋蓉.医院统计分析要抓好五方面工作[J]. 中国医院统计,2017,24(2):159-160.
[9] 刘建英.品管圈活动在提高标本合格率中的作用[J]. 医药前沿,2016,6(31):362-363.
[10]杨红梅,郭俊艳,王兴萍,等.品管圈活动在提高静脉血标本合格率中的应用[J]. 中华现代护理杂志,2014,20(5):577-579.
|
| [1] |
. [J]. journal1, 2018, 25(1): 54-55. |
| [2] |
. [J]. journal1, 2017, 24(1): 70-71. |
| [3] |
. [J]. journal1, 2016, 23(2): 152-153. |
| [4] |
. [J]. journal1, 2015, 22(2): 118-119. |
|
|
|
|
