血站檢驗(yàn)科質(zhì)量管理中存在的問(wèn)題

2022/12/4血站檢驗(yàn)科質(zhì)量管理中存在的問(wèn)題2022/12/4主要內(nèi)容一、血站實(shí)驗(yàn)室的質(zhì)量管理體系未完善二、實(shí)驗(yàn)室儀器設(shè)備管理不規(guī)范三、室內(nèi)質(zhì)量控制與室間質(zhì)量評(píng)價(jià)操作不規(guī)范四、標(biāo)本采集的質(zhì)量問(wèn)題五、實(shí)驗(yàn)結(jié)果原始記錄不完整、保存不規(guī)范六、實(shí)驗(yàn)室生物安全防護(hù)不足七、實(shí)驗(yàn)室人員培訓(xùn)和繼續(xù)教育2022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/4

血站檢驗(yàn)科質(zhì)量管理中存在的問(wèn)題2022/12/412Srule13Srule22Srule7XruleR4Srule41Srule10Xrule12Xrule血站檢驗(yàn)科質(zhì)量管理中存在的問(wèn)題Westgard規(guī)則2022/12/4123456789101112131415161718192021222324MeanDay+1SD+2SD+3SD-1SD-2SD-3SD違反12S規(guī)則12S

規(guī)則

警告注意觀(guān)察質(zhì)控?cái)?shù)據(jù)Westgard多規(guī)則圖2022/12/4123456789101112131415161718192021222324均值Day+1S+2S+3S-1S-2S-3S違反13S規(guī)則13S

規(guī)則

一次質(zhì)控值超過(guò)+3S或-3S，試驗(yàn)無(wú)效Westgard多規(guī)則圖2022/12/4123456789101112131415161718192021222324均值Day+1S+2S+3S-1S-2S-3S違反22S規(guī)則22S

規(guī)則

連續(xù)2個(gè)質(zhì)控值超過(guò)+2S或-2SWestgard多規(guī)則圖2022/12/4123456789101112131415161718192021222324均值Day+1S+2S+3S-1S-2S-3S違反R4S規(guī)則

R4S

規(guī)則

2個(gè)質(zhì)控值之間相差超過(guò)4S漂移Westgard多規(guī)則圖2022/12/4違反41S規(guī)則

Westgard多規(guī)則：-41S2022/12/4失控

拒絕運(yùn)行13S控制數(shù)據(jù)R4S22S41S在控

接受運(yùn)行12SYesYesYesYesYesYesNoNoNoNoNoNo10x

Westgard多規(guī)則邏輯圖表2022/12/4控制圖的正常曲線(xiàn)

(含有警告限)2022/12/4控制圖模式2022/12/4控制圖模式

（續(xù)）2022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/42022/12/4衛(wèi)生部《血站實(shí)驗(yàn)室質(zhì)量管理規(guī)范》衛(wèi)生部《血站實(shí)驗(yàn)室質(zhì)量管理規(guī)范》

1.總則2.實(shí)驗(yàn)室質(zhì)量管理職責(zé)3.組織與人員4.實(shí)驗(yàn)室質(zhì)量體系文件5.實(shí)驗(yàn)室建筑與設(shè)施6.儀器設(shè)備

7.試劑與材料8.安全與衛(wèi)生

2022/12/4衛(wèi)生部《血站實(shí)驗(yàn)室質(zhì)量管理規(guī)范》衛(wèi)生部《血站實(shí)驗(yàn)室質(zhì)量管理規(guī)范》

9.計(jì)算機(jī)管理系統(tǒng)10.血液檢測(cè)的標(biāo)識(shí)及可追溯性11