在临床实验室中估计变化极限 (deltacheck)
Maria-José Castro-Castro1, Lourdes Sánchez-Navarro1
1Clinical Laboratory, Bellvitge University Hospital, Barcelona, Catalonia, Spain.
Advances in laboratory medicine
|June 26, 2023
概括
德尔塔检查或变更极限有助于识别可疑的实验室结果. ,白蛋白,肌,葡萄糖和血红蛋白测量的组合有效地检测出所有测试的实验室错误.
科学领域:
- 临床生物化学 临床生物化学
- 实验室医学 实验室医学
- 血液学 血液学 血液学
背景情况:
- 德尔塔检查对于通过比较连续的患者测量来检测错误的实验室结果至关重要.
- 合理性控制的标准化需要可靠的生物化学和血液学量变化极限.
研究的目的:
- 为了确定生化和血液学参数的变化极限,以确定可疑的测量结果.
- 评估这些变化极限在检测实验室错误方面的有效性.
主要方法:
- 对13种生化和6种血液学量值的估计变化极限.
- 连续患者结果和确定的p5和p95百分位数之间的计算相对差异 (D).
- 使用43个已知错误的实验室报告来评估有效性.
主要成果:
- 鉴定了31个错误 (72%) 由于静脉内注射和12个 (28%) 由于错误标签.
- 所有错误报告都在变化限制被集体应用时被检测出来.
- 五种数量的特定组合证明是最有效的.
结论:
- ,白蛋白,肌,葡萄糖和血红蛋白的组合有效地检测到同一样本内的所有错误报告.
- 实施这些变化限制提高了实验室可信度控制的标准化和可靠性.
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