Application of PDCA cycle in promoting mutual recognition of biochemical item determination results

doi:10.3969/j.issn.1673-8640.2020.09.020

Abstract

Abstract:

Objective To investigate the role of PDCA cycle management model in promoting mutual recognition of biochemical item determination results. Methods The quality control,overall passing rate and qualified rate of fresh blood sample comparison of 31 hospitals in Shapingba District of Chongqing before and after PDCA cycle were compared. Results Totally,18（58.0%） units passed 14 biochemical items（passing rate ≥75%） in laboratory departments of 31 hospitals in 2016,and 28（90.3%） units in 2017 and 31（100%） units in 2018 passed. In 2016,the qualified rate of only 1（7.1%） of the 14 biochemical items was >90%. In 2017 and 2018,the qualified rates were 8（57.1%） and 13（92.9%）,respectively. Conclusions With PDCA cycle management model,the overall passing rate of biochemical items and the qualified rate of sample comparison in clinical laboratories have been improved effectively,which provides a reference for promoting the mutual recognition of determination results.

Key words: PDCA cycle management, Biochemical item, Comparison, Mutual recognition of determination results

CLC Number:

R197.322

LIU Zhangling, LI Juan, PU Ran, TANG Rongrui. Application of PDCA cycle in promoting mutual recognition of biochemical item determination results[J]. Laboratory Medicine, 2020, 35(9): 943-945.

年份	室内质控开展率
年份	<50%	50%~80%	>80%
2016年	3（9.7）	16（51.6）	12（38.7）
2017年	0（0）	13（41.9）	18（58.1）
2018年	0（0）	5（16.1）	26（83.9）

年份	室内质控开展率
年份	<50%	50%~80%	>80%
2016年	3（9.7）	16（51.6）	12（38.7）
2017年	0（0）	13（41.9）	18（58.1）
2018年	0（0）	5（16.1）	26（83.9）

项目	2016年	2017年	2018年
血糖	77.4	90.3	93.5
尿素	67.7	80.6	87.1
尿酸	87.1	93.5	100
肌酐	67.7	83.9	93.5
总蛋白	67.7	83.9	93.5
白蛋白	58.1	74.2	90.3
总胆固醇	74.2	83.9	96.8
三酰甘油	87.1	93.5	96.8
丙氨酸氨基转移酶	61.3	77.4	93.5
天门冬氨酸氨基转移酶	83.9	90.3	96.8
碱性磷酸酶	90.3	93.5	100
肌酸激酶	80.6	90.3	96.8
乳酸脱氢酶	83.9	90.3	96.8
γ-谷氨酰基转移酶	87.1	90.3	96.8

项目	2016年	2017年	2018年
血糖	77.4	90.3	93.5
尿素	67.7	80.6	87.1
尿酸	87.1	93.5	100
肌酐	67.7	83.9	93.5
总蛋白	67.7	83.9	93.5
白蛋白	58.1	74.2	90.3
总胆固醇	74.2	83.9	96.8
三酰甘油	87.1	93.5	96.8
丙氨酸氨基转移酶	61.3	77.4	93.5
天门冬氨酸氨基转移酶	83.9	90.3	96.8
碱性磷酸酶	90.3	93.5	100
肌酸激酶	80.6	90.3	96.8
乳酸脱氢酶	83.9	90.3	96.8
γ-谷氨酰基转移酶	87.1	90.3	96.8

年份	项目总体通过率
年份	<80%	80%~89%	90%~99%	100%
2016年	13（42.0）	1（3.2）	8（25.8）	9（29.0）
2017年	3（9.7）	3（9.7）	8（25.8）	17（54.8）
2018年	0（0）	2（6.5）	9（29.0）	20（64.5）

Application of PDCA cycle in promoting mutual recognition of biochemical item determination results

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