WS/T403-2012标准对临床生物化学常规 项目检测质量控制的检验医学评估

    WS/T403-2012 standard for medical laboratory quality control of clinical biochemistry routine detection

    • 摘要: 目的:应用WS/T403-2012标准试行评估生化质量控制状态。方法:WS/T403-2012标准中将23项指标按指标等级分为优、中、低和低于低等四等,其分别与生物学变异质量指标中的最佳的、期望的、最低的允许总误差相近。低于低等即按目前质量水平设定质量目标。将上述项目分别进行匹配进行比较分析。结果:在参加卫生部室间质评的21项常规检测中,仅肌酸肌酶的水平6,无需进行任何的改进措施;K+、Na+、Ca2+、Mg2+、尿酸、肌酐、胆固醇、三酰甘油、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、总胆红素、碱性磷酸酶、淀粉酶、乳酸脱氢酶、谷氨酰转肽酶,目前尚能基本达到WS/T403-2012标准中所规定的质量水平;而尿素氮、糖、总蛋白、白蛋白、Cl-目前的质量状态还欠理想。结论:对于质量状态还欠理想的项目需采取全面质量控制策略,改善和提高其准确度和/或精密度,确保其质量控制水平符合要求。

       

      Abstract: Objective: application of WS/T403-2012 standards of evaluation and biochemical status of quality control.Method:WS/T403-2012, 23 indexes according to the index grade is divided into good, medium, low and less than four low, with each of the biological variation in the quality index of the best, Hope, minimum total allowable error close. Below the low according to current quality level setting quality objectives. The above items are respectively matched comparison analysis. Results: in 21 routine examination in the health ministry EQA of creatine kinase, only the sigma 6 , without any of the improvement measures; K+, Na+, Ca2+ transfer, Mg2+, uric acid, creatinine, cholesterol, triglyceride, three alanine aminotransferase, aspartate aminotransferase aminotransferase, total bilirubin, alkaline phosphatase, amylase, lactic dehydrogenase, gamma glutamyl transpeptidase, still can reach the standard WS/T403-2012 quality level required; and urea nitrogen, glucose, total protein, Bai Dan white, Cl- quality state is currently not ideal. Conclusion: for quality state owed the ideal project needs to take the comprehensive quality control strategy, and improve the accuracy and / or precision, ensure the quality control level to meet the requirements

       

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