检验医学 ›› 2019, Vol. 34 ›› Issue (11): 967-972.DOI: 10.3969/j.issn.1673-8640.2019.11.002

• 临床微生物实验室智能化专题 • 上一篇    下一篇

智能化再造临床微生物实验室操作流程

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。

Reengineering intelligent clinical microbiological laboratory operation process

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 通过临床微生物实验室操作流程与信息系统再造,构建一种智能化的临床微生物实验室信息系统(MLIS),降低差错率,提高工作效率。方法 在传统的临床微生物实验室操作流程基础上进行优化改造,采用Microsoft Visual Studio 2012软件,打造智能化微生物实验室。结果 通过预置条形码建立样本和患者信息的关联,实现了对临床微生物检验全流程无纸化和过程监控的智能化操作。从样本核收到样本与培养基信息匹配(接种前)耗时缩短了66.3%,阳性血培养报告时间缩短80.5%,输入信息差错率仅为0.5‰,报告审核差错率仅为0.1‰。构建智能化操作流程后3年,报告审核差错率为0。结论 研发的智能化MLIS可使临床微生物检验操作流程清晰且规范,实现智能化信息控制,可明显降低差错率,提高工作效率。

关键词: 实验室操作流程, 微生物实验室信息系统, 微生物学, 无纸化, 智能化

Abstract:

Objective To establish on intelligent microbiological laboratory information system(MLIS),improve work efficiency and reduce error rate by reengineering the operation process and information system of clinical microbiological laboratory. Methods Based on traditional clinical microbiological operation process,an intelligent MLIS was established using Microsoft Visual Studio 2012. Results The association between specimen and patient information was established by bar-code,and the whole process of paperless and process monitoring was realized. New clinical microbiological operation process was established. The time consumed from specimen collection to culture medium matching(before inoculation) was reduced by 66.3%,the reporting time of blood culturing was reduced by 80.5%,the error rate of information manual input was 0.5‰,the error rate of report check was 0.1‰,and the report check error rate was 0 in the 3 years after using the new process. Conclusions Optimizing the microbiological operation process and developing an intelligent MLIS could achieve clear and standardized operation process,realizing intelligent information control,which reduces the error rate and improves work efficiency.

Key words: Laboratory operation process, Microbiological laboratory information system, Microbiology, Paperless, Intelligence

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