某妇产科医院危急值报告制度的应用分析

摘要

目的：探讨危急值报告制度在临床中的应用价值。方法通过实验室信息管理系统（LIS）查询2013年11月到2014年5月该院检验科所报危急值数据记录，分析其危急值的发生率，并对危急值的接收时间、项目及科室分布进行分析。结果共报危急值1856项，危急值的发生率为0．31％，1856项危急值按项目分布统计，危急值报告数排列前5位的分别是白细胞（46．28％）、总胆红素（16．92％，）、D-二聚体（9．81％）、血红蛋白（8．51％）和血小板（8．03％）。按科室分布统计，报告危急值最多的前3位科室分别是新生儿科（37．12％），妇瘤科（23．33％）和产科（21．17％）。结论危急值报告制度在妇产科医院中有重要的作用，应定期对其进行评估和分析。%Objective To analyze the clinical application value of the critical value reporting system.Methods The data record-ings of the critical values reported by the clinical laboratory department from Nov.2013 to May.2014 were inquired through the clinical laboratory information management system(LIS).The incidence rate of the critical values,receipt time of the critical values, items and department distribution were analyzed.Results A total of 1856 items of critical value were reported.The occurrence rate of the critical values was 0.31%.The top 5 of critical value numbers according to the item distribution were white blood cells (46.28%),total bilirubin (16.92%),D-dimer (9.81%),hemoglobin(8.51%)and platelets (8.03%).According to the depart-ments distribution,the top 3 departments with maximal reported critical values were the neonatal department (37.12%),followed by the department of gynecological oncology(23.33%)and the obstetrical department (21.17%).Conclusion The critical value reporting system plays an important role in the obstetrics and gynecology hospital.It should be evaluated and analyzed regularly.