Objectives To carry out the rule of oral report about clinical panic values and to ensure that the patient should be diagnosed and cured correctly. Methods Author selected randomly the records of clinical laboratory panic values of some wards in HuaXi hospital respectively in Oct. 2010 and Jan. 2011, compared the panic value records come from the wards and medical laboratory department, and analysed causes of omission of records and causes of unqualified sample. Results In Oct. 2010, there are 11 unqualified samples in 334 samples, and the unqualified rate is 3. 29%. There are 48 omissions for panic value record, and the rate of omission record is 14. 37%;In Jan. 2011, there are 5 unqualified samples in 107 samples. The unqualified rate is 4. 67% and rised by 1. 38% than that in Oct. 2010. There are 4 omissions for panic value record. The omission rate is 3. 74% and reduced by 10. 63% than that in Oct. 2010. Conclusion To strengthen the record and management procedures of clinical laboratory panic value oral report, which make doctor curing patient correctly and timely, and that is in favor of patient's safty and that will reduce the conflict between the patient and medical staff.%目的 加强临床危急值报告处理制度的落实,保证患者得到及时诊断和治疗.方法 随机提取流程化管理后实验医学科2个月的部分危急值通知记录表,再对涉及的各个科室了解危急值登记及医生相关处理情况的记录,分析标本不合格及危机值漏登记原因.结果 将实验医学科的通知记录与病房危机值报告登记本的登记情况进行核对:2010年10月抽查的334件标本中,不合格标本11例,不合格率3.29％,漏登记48次,漏登记率14.37％ ;2011年1月抽查的107件标本中,不合格标本5例,不合格率4.67％,较2010年10月上升了1.38％;漏登记4次,漏登率3.74％；较2010年10月漏登率下降了10.63％.结论 通过加强和不断完善危急值的流程化管理,确保流程中每个环节落实到位,在两次随机调查中均取得了较满意的效果,从而起到了督促临床医护人员对危急值患者及时处治和抢救,避免错失抢救的最佳时机,提高了治疗效率,保障了患者的安全,减少了医疗纠纷的发生.
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