摘要目的 了解厦门某三甲医院检验危急值检出及分布,探讨危急值制度的实施情况和改进方法.方法 利用实验室信息系统统计2017年1月至12月各检验危急值项目检出件数、分布科室、送检时间、处理时间和报告时间.结果 共检出检验危急值9 146件,门诊817件,病房8 329件;检出件数较高的科室为肿瘤科、ICU和肾病中心,构成比分别为14.48％、12.76％和10.84％;检出率较高的危急值项目分别为白细胞、二氧化碳分压和肌红蛋白;周转时间(TAT)最短的为酸碱度和二氧化碳分压,其次是白细胞、中性粒细胞、血小板和血红蛋白.结论 检验危急值对于急重症患者诊疗极为重要,应定期与临床科室沟通,持续改进,完善危急值预警反馈系统.

abstractsObjective To comprehend the detection and distribution of critical value in a third grade hospital of Xiamen University,and to explore and analyze the implementation situation and improved method of critical value system.Methods To count the critical value data from January to December,2017 using the laboratory information system,including the detection number,department distribution,inspection time,processing time,and reporting time.Results There were 9 146 critical value cases,including 817 cases in outpatient department and 8 329 cases in ward;they mainly distributed in oncology department,intensive care unit,and nephrology center,accounting for 14.48％,12.76％,and 10.84％,respectively;the most common critical values were leukocyte,partial pressure of carbon dioxide,and myoglobin;the shortest turnaround time of the critical value were pondus hydrogenii value and the partial pressure of carbon dioxide,followed by leukocyte,neutrophile granulocyte,blood platelet,and hemoglobin.Conclusion The laboratory critical value is extremely important to severe patients;the clinical laboratory should communicate with clinical departments at regular interval and continuously improve and consummate the critical value warning-feedback system.