检验医学 ›› 2019, Vol. 34 ›› Issue (11): 973-977.DOI: 10.3969/j.issn.1673-8640.2019.11.003

• 临床微生物实验室智能化专题 • 上一篇    下一篇

临床微生物检验质量控制管理系统的智能化设计

侯伟伟, 江涟, 万海英   

  1. 同济大学附属同济医院检验科,上海 200065
  • 收稿日期:2019-03-27 出版日期:2019-11-30 发布日期:2019-12-05
  • 作者简介:null
    作者简介:侯伟伟,女,1983年生,硕士,主任技师,主要从事细菌耐药性研究。

Design of intelligent clinical microbiological testing quality control management system

HOU Weiwei, JIANG Lian, WAN Haiying   

  1. Department of Clinical Laboratory,Tongji Hospital,Tongji University,Shanghai 200065,China
  • Received:2019-03-27 Online:2019-11-30 Published:2019-12-05

摘要:

目的 利用信息化手段实现临床微生物检验流程及重要操作节点的智能化控制,统一判断规则,杜绝操作流程中的人为差错。方法 按照质量控制要求,分析流程中的质量控制节点,重置临床微生物检验操作流程,编写信息化控制程序。结果 将流程中的室内质量控制(IQC)内容概括为更换试剂批号/货号后的新试剂质控及批内质控。临床微生物检验操作流程的控制节点被细分为涂片及接种环节、鉴定药敏环节、报告复核环节、样本的校核预警及血培养危急值处理环节。通过对流程中这些环节中关键技术要素的管控,完善对微生物检测流程的质量控制,实现了管理系统的智能化。结论 智能化的微生物实验室信息系统(MLIS)规范了临床微生物检验的操作流程和临床微生物检验的质量控制,增强了流程可控性,实现了微生物检验全流程的监控和管理。

关键词: 微生物实验室信息系统, 室内质量控制, 智能化

Abstract:

Objective To achieve intelligent control of clinical microbiological workflow and important operational points using information technology,ultimately to unify judgment rules and avoid manual errors in operation process. Methods According to the quality control requirements,the quality control points in operation process was analyzed,the microbiological operation process was reseted,and the program of information control was written. Results The contents of internal quality control(IQC) in the operation process were summarized as quality control of new reagents and batches after changing the reagent batch number/article number. The control points of the microbiological operation process included smear and inoculation,the identification of drug susceptibility,report review,specimen check and warning and blood culture critical value management. Through the management and control of key technical elements in the processes,the quality control in microbiological operation process was improved,and the intelligent management system was realized. Conclusions The intelligent microbiological laboratory information system(MLIS) has standardized the clinical microbiological operation process and quality control,enhances the process control ability and realizes the monitoring and management of the whole process of microbiological testing.

Key words: Microbiological laboratory information system, Internal quality control, Intelligence

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