使用时钟时间依赖目标的例子,用于基于患者的质量控制
1Department of Pathology, Jefferson University Hospital, Philadelphia, PA, USA.
Annals of clinical biochemistry
|June 15, 2023
概括
基于患者的 (Ca) 质量控制可以通过计算每天的时间模式来改进. 根据这些周期性变化调整质量控制目标,可以减少实验室测试中的错误.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 质量控制 质量控制 质量控制
背景情况:
- 实验室 (Ca) 测量显示出一致的一天时间 (TOD) 周期性模式.
- 由于这些固有的模式,传统的基于患者的质量控制 (PBQC) 可能不那么有效.
研究的目的:
- 调查使用TOD依赖的目标运行手段在PBQC的使用.
- 为了减少PBQC中的不准确性,这是由于实验室结果的周期性变化造成的.
主要方法:
- 在3个月的参考间隔内分析了39,629个周日的结果.
- 计算运行意味着使用20个样本 (20-mers) 的滑动平均值.
- 利用富里埃序列分析来描述TOD模式并开发调整的目标.
主要成果:
- 运行的平均值显示了显著的TOD变化,在1小时间隔内从9.1到9.5毫克/分升不等.
- 一个固定的PBQC目标导致了由于这些周期性偏差的固有不准确性.
- 来自模式特征的TOD依赖性目标消除了这种不准确性.
结论:
- 对于有效的PBQC来说,运行手段的周期性变化的特征至关重要.
- 实施TOD依赖的目标可以减少实验室质量控制中的假阳性和假阴性标志.
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