临床生化检验假危急值的识别与预防

摘要

目的：研究生化检验假危急值产生原因，提出合理的解决办法，预防假危急值的发生。方法：对2015年1月—12月的危急值报告登记表、不合格标本登记表、临床咨询联系登记表进行统计，对其中的假危急值发生原因进行总结分析。结果：共报告假危急值53例，分析前因素导致的假危急值49例，占92.45％，分析中因素导致的假危急值1例，占1.89％，分析后因素导致出现假危急值3例，占5.66％。结论：整个检验分析过程都有可能产生假危急值，前因素导致的假危急值占绝大多数。因此应提高检验人员的理论水平，定期对临床医护人员进行关于正确采集标本的培训指导，加强检验人员和临床医护人员的责任心，有效预防假危急值的发生。%Objective:To investigate reasons of false critical values in clinical biochemistry test,propose the reasonable solution and prevent the occurrence of false critical values. Methods:Critical values,unsuitable samples and clinical connective register from January 2015 to December 2015 were counted. The false critical values were analyzed retrospectively. Results:There were 53 false critical values. The cases in pre - process,process and post - process were 49,1 and 3 respectively,with the proportion 92. 45% ,1. 89% and 5. 66% correspondingly. Conclusion:Every analysis process may produce false critical value,especially pre - process. It is an effect way to prevent the occurrence of false critical values by strengthening the medical specimen collection training and improving the laboratory personal theoretical level and responsibility.