2021-2024年淮安市妇幼保健院内分泌项目室间质量评价结果回顾性分析OA
Retrospective analysis of the external quality assessment results of en-docrine programs in Huai'an Women&Children Hospital from 2021 to 2024
目的 对 2021-2024 年淮安市妇幼保健院参加内分泌项目室间质量评价结果进行分析总结,促进实验室质量改进.方法 统计 2021-2024 年淮安市妇幼保健院医学检验科参加江苏省和国家卫生健康委临床检验中心内分泌项目的室间质量评价结果,分析得分情况及偏倚的变化趋势,同时结合西格玛(σ)指标进行分析.结果 4 年共完成 1 010 个测试次,其中 1 008 个测试结果正确,正确率为 99.8%.偏倚图来看,国家卫生健康委临床检验中心室间质量评价结果中总 25-羟基维生素D的平均偏倚最大,达到 13.72%,其余超出(+10%~-10%)范围的项目还有C-肽、生长激素;省临床检验中心室间质量评价结果在 2023 年第 2 次中出现游离甲状腺素、孕酮、睾酮,共 3 个项目平均偏倚均超出(+10%~-10%)范围.5≤σ≤6 的项目数逐年增多.结论 参加室间质量评价实现了对检查结果的持续性监测,及时开展室间质量评价的回顾性分析,同时利用σ规则图法选择适当的质控规则,可提高实验室的检验质量.
Objective To analyze and summarize the results of the external quality assessment of endocrine projects in Huai'an Women&Children Hospital from 2021 to 2024,so as to promote the quality improvement of laboratories.Methods From 2021 to 2024,the results of the external quality assessment of the endocrine project participated by the Department of Medical Laboratory,Huai'an Women&Children Hospital in Jiangsu Province and National Center for Clinical Laboratories were analyzed,and the change trend of scores and bias were analyzed combined with the sigma(σ)index.Results A total of 1 010 tests were completed in 4 years,of which 1 008 were correct,with an accuracy rate of 99.8%.According to the bias map,the total 25-hydroxyvitamin D had the largest average bias of 13.72%in the external quality assessment results of National Center for Clinical Laboratories,and the other items beyond the range of+10%to-10%were C-peptide and growth hormone.Free thyroxine,progesterone and testosterone were found in the second external quality assessment results of Provincial Center for Clinical Laboratory in 2023,and the average bias of the three items were beyond the range of+10%to-10%.The number of projects with 5≤σ≤6 increased year by year.Conclusion Participating in external quality as-sessment can achieve continuous monitoring of test results,carry out retrospective analysis of external quality assessment in time,and select appropriate quality control rules by σ rule chart method,which can improve the quality of laboratory.
赵玉杰;吕艳关
扬州大学附属淮安市妇幼保健院医学检验科,江苏 淮安 223002扬州大学附属淮安市妇幼保健院医学检验科,江苏 淮安 223002
医药卫生
内分泌室间质量评价西格玛规则图法化学发光法
EndocrineExternal quality assessmentSigma rule chart methodChemiluminescence method
《中国当代医药》 2026 (5)
89-94,6
江苏省妇幼健康科研项目(F201952)江苏省淮安市科技计划项目(HAB202332).
评论