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目的:探讨影响尿液检验分析前质量的影响因素,提出对策。方法:选择院自2013年4月至2015年3月来我院门诊及住院送到实验室的1157份尿液检验样本,送检尿液标本送到实验室,实验室负责人对全部标本质量进行分析,提出不合格样本,记录本组患者不合格标本的缺陷率,分析不合格原因,并给予改进措施。结果:本组1157份尿液检验中,不合格标本比为6.1%,采集时间不当、标本受污染、容器不合格是占比最高的三种因素,再次为标记不清、送检延时、标本量不足等。结论:对尿液检验分析前,要注意保证采集时间、预防标本受到污染、保证容器合格、标记清楚、及时送检、保证标本量足够,这个过程,需要患者、临床护士、检验科室相关人员共同努力,建立完善的管理机制,严格执行相关制度及流程,努力降低尿液检验的不合格率,保证临床实验室的质量。
Objective: To discuss the influencing factors that affect the quality of urine test before analysis and propose countermeasures. METHODS: A total of 1,157 urine samples from our hospital from April 2013 to March 2015 in our hospital and hospital were sent to the laboratory. Urine samples were sent to the laboratory. The laboratory manager was responsible for the quality of all specimens Analyze, put forward the unqualified samples, record the defect rate of the nonconforming samples in this group, analyze the reason of unqualified, and give the improvement measures. Results: In the group of 1157 urine tests, the unqualified sample ratio was 6.1%, improper collection time, contaminated samples and unqualified containers were the three factors that accounted for the highest proportion. Once again, the three factors were unclear labeling, delivery delay, The sample size is not enough. Conclusion: Before the urine test and analysis, pay attention to ensure the collection time, to prevent contamination of the specimen, to ensure that the container is qualified, marked clearly, timely delivery, to ensure adequate sample size, this process requires patients, clinical nurses, laboratory staff Efforts to establish a sound management mechanism, strict implementation of the relevant systems and processes, and strive to reduce the failure rate of urine test to ensure the quality of clinical laboratories.