论文部分内容阅读
目的了解辽宁省医疗机构输血相容性检测室间质量评价情况,规范临床输血检验质量管理,提高我省整体输血实验的检测水平。方法依据《临床输血技术规范》,建立辽宁省医疗机构临床输血相容性检测室间质评方案,对全省241家参评实验室的ABO/Rh D血型鉴定、抗体筛查和交叉配血实验的检测能力与质量水平进行评估。结果通过全年两次质评结果发现:三甲医院在血型鉴定、抗体筛查和交叉配血等方面的检测水平,检测方法的应用以及检测质量的控制明显好于二甲和一级医院。在血型鉴定、抗体筛查和交叉配血中选择微柱凝集卡式法检测合格率(94.3%)高于试管法(90%)。结论建立临床输血相容性检测室间质量评价计划,有利于发现临床输血工作中存在的问题,为实验室提高检测准确度及质量改进提供依据。
Objective To understand the quality evaluation of transfusion compatibility tests in medical institutions in Liaoning Province, to standardize the quality management of clinical transfusion tests and to improve the detection level of transfusion testing in our province. Methods Based on the Clinical Transfusion Technical Specification, a clinical transfusion compatibility assessment program was established in Liaoning Province, and ABO / Rh D blood group identification, antibody screening and cross-matching blood test were conducted in 241 laboratories in the province. The detection ability and quality level are evaluated. Results Through quality evaluation twice a year, it was found that the detection level, the application of detection methods and the quality control of the top three hospitals were significantly better than those of Grade A and Grade I hospitals in terms of blood type identification, antibody screening and cross matching. In the blood type identification, antibody screening and cross matching with micro-column agglutination card method test pass rate (94.3%) higher than the test tube method (90%). Conclusion Establishing a clinical intercourse quality assessment plan for clinical transfusion compatibility is beneficial to discovering the problems existing in clinical transfusion work and providing the basis for laboratory to improve the detection accuracy and quality improvement.