密切值法和综合指数法对某市的6家县妇幼保健院实验室质量的综合评价.docVIP

精品论文 参考文献 密切值法和综合指数法对某市的6家县妇幼保健院实验室质量的综合评价 关小勇 周龙平 傅锦坚 蓝凤美 刘冲 　　【摘 要】 目的 对某市的6家县级妇幼保健院临床实验室的检验质量进行综合评价。方法 根据德尔菲法选择6家县级妇幼保健院临床实验室统计报表中的11项质量指标作为评价指标，运用综合指数法和密切值法分别计算2015年度质量指标的综合指数和密切值。结果 两种综合评价方法对6家医院排序结果具有一致性，都是D实验室最佳，C实验室排名最后，而且综合指数与密切值高度相关，相关系数为0.975。结论 在县级妇幼保健院实验室质量评价体系中，这两种评价方法都都能准确客观地反映实验室的质量情况，为促进检验质量的提高及今后实验室的建设提供客观依据。 　　【关键词】 临床实验室； 质量； 德尔菲法； 综合指数法； 密切值法； 综合评价 　　Comprehensive evaluation for laboratory quality of six country Maternity and Child Healthcare Hospital with osculating value method and comprehensive index method Guan Xiaoyong, Zhou Longping, Fu Jinjian.Department of clinical laboratory, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou, 545001 Guangxi China 　　【Abstract】 Objective To comparative evaluation for laboratory quality of six country maternity and child healthcare hospital. Methods 11 quality index of Clinical laboratory in six country maternity and child healthcare hospital were select based on delphi method as evaluation index. Then comprehensive index and osculating value of 2015quality index were calculated with comprehensive index method and osculating value method. Results Sort result of six hospital were consistent of two comprehensive evaluation methods (laboratory D ranking in best and laboratory C ranking in the end), and comprehensive index were highly correlated with osculating value (the correlation coefficient were 0.975). Conclusion Two evaluation methods could accurately and objectively reflect laboratory quality in country maternity and child healthcare hospital and might provide objective basis for improvement of testing quality and construction of laboratory. 　　【Key words】 clinical laboratory; quality; delphi method; comprehensive index method; osculating value method; Comprehensive evaluation 　　县级妇幼保健院作为基层妇幼保健的技术服务机构，担负基层妇女健康、生殖保健和优生优育，儿童健康等工作，其实验室也担负着新生儿疾病筛选和产妇的产筛等公共项目的工作，如何能最大限度的满足临床需要，提高服务质量，其关键仍在于质量控制与管理，各县由于经济发展水平不同，实验室的建设与管理也呈参差不齐的情况，为摸清柳州市6家县级妇幼保健院的实验室质量情况，我们运用综合指数法和密切值法对6家实