摘要目的 调查北京医疗机构临床输血实验室检测能力的基本情况,为行政管理部门制定相关管理政策提供技术依据.方法 由北京市临床输血质量控制和改进中心指派检查专家携带质控品对输血实验室进行现场检查,记录输血从业人员在检测前、中、后的技术操作过程以及应用的仪器设备、检测试剂及检测结果等信息进行统计与分析.结果 本次现场检查比室间质评的合格率低,部分实验室不能在规定时间内完成对质控品的检测;实际操作与本实验室制定的质量文件不一致;55.9％的一级医院和25.6％二级医院仪器、设备设施、流程布局无法满足临床输血工作需要;部分技术人员缺乏专业知识和基本技能的培训,应对急诊能力差,单独分析问题能力不强;检测过程记录和结果填写欠规范.结论 北京地区医疗机构临床输血实验室检测能力总体水平不高,应加强改进和提高.

abstractsObjective To investigate the testing capabilities of clinical transfusion laboratories in medical institutions in Beijing for the regulatory authorities to formulate administrative policies in this regard.Methods Experts assigned by Beijing Clinical Transfusion Quality Control Center made on-site inspections at the transfusion laboratories in medical institutions using quality control products.They recorded the complete testing process of the operators as well as the instruments,detection reagents in use and the testing results,with statistics and analysis made to the data so collected.Results The pass rate of these on-site inspections was lower than that of the external quality assessment.Some laboratories failed to complete the testing of the quality control products in time and the actual operations in some laboratories were inconsistent to the guidelines.55.9％ of level Ⅰ hospitals and 25.6％ of level Ⅱ hospitals were found with insufficient and inadequate instruments and process layout to meet the needs of clinical blood transfusion.Some of the technicians were found without sufficient trainings in their professional knowledge and basic skills,resulting in their poor competence against emergency cases and weakness in independent problem solving.In addition,the records of detection process and results were found to be substandard.Conclusions Transfusion laboratories in Beijing need to improve their testing capabilities in general.