王玉兰1,赵辉2,杨慧丽1,付汝坤3,王学军1
1.日照国际旅行卫生保健中心,山东 日照 276800;2.泰安出入境检验检疫局;
3.山东出入境检验检疫局岚山办事处
摘要:目的 分析实验室内部质量控制(内部质控)数据,查找不足,为更好地开展内部质控提供参考依据。方法收集实验室2012年度5个检测项目990个点的内部质控数据,进行统计分析。结果失控、警告、位移和漂移分别占质量控制(质控)总点数的0.20%、0.20%、1.82%和0.61%;人类免疫缺陷病毒抗体(anti-HIV)、丙型肝炎病毒抗体(anti-HCV)、梅毒螺旋体抗体(anti-TP)、乙型肝炎病毒表面抗原(HBsAg)和丙氨酸氨基转移酶(ALT)质控异常分别占各自质控总点数的3.05%、0、0.51%、0.51%和10.10%;试剂、质控品、人为因素、仪器设备和其他原因产生的质控异常分别占质控总点数的0.20%、1.41%、0.30%、0.30%和0.61%。结论位移是最多见的质控异常形式,ALT是发生质控异常最多的检测项目,质控品是质控异常最常见的原因,这些是实验室内部质控的重点。
关键词:质量控制;内部质量控制;质量控制图
中图分类号:R184 文献标识码:B
Quality control analysis for a medical laboratory of
International Travel Healthcare Center
WANG Yu-lan*, ZHAO Hui, YANG Hui-li, FU Ru-kun, WANGXue-jun
*Rizhao International Travel Healthcare Center, Rizhao,Shandong 276800 ,China
Abstract: Objective To analyze thedata of a Lab internal quality control(IQC) to find the problem,and to provide the scientific basis. Methods The data of Lab IQC for 5 test items 990 pintswere collected and analyzed during 2012. Results Out of control, warning, displacement and drift accounting for thetotal quality control(QC) points were 0.20%, 0.20%, 1.82% and0.61%. Anti-HIV,anti-HCV,anti-TP,HBsAg and ALT accounting for itstest item QC total points were 3.05%, 0, 0.51%,0.51% and 10.10%.The reagent,standard material,human,instrument and other reasonsaccounting for the total QC points were 0.20%,1.41%,0.30%,0.30% and0.61%. Conclusion Displacement is the most commonfor abnormal QC, ALT is the most abnormal QC occurrence test itemand standard material is the most reason for abnormal QC. It isnecessary to pay more attention to the factors of IQC infuture.
Key words: Quality control; Internal qualitycontrol; Quality control chart
《中国国境卫生检疫杂志》2013年8月刊