临床化学的进步基于患者的实时质量控制 (PBRTQC)
Mark A Cervinski1, Andreas Bietenbeck2, Alex Katayev3
1Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, and the Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Advances in clinical chemistry
|November 16, 2023
概括
基于患者的实时质量控制使用患者样本进行持续的测试监测,为传统方法提供了廉价和简单的替代方案. 这种方法需要了解患者群体动态,但提供可靠的测试性能见解.
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:
- 传统的质量控制方法在检测试剂变化方面存在局限性.
- 基于患者的实时质量控制 (PBRTQC) 提供使用患者样本的持续监测.
- PBRTQC具有悠久的历史,在血液学中得到广泛采用,并在临床化学中获得了引力.
研究的目的:
- 要突出PBRTQC的优点和缺点.
- 讨论临床实验室质量控制的不断变化的格局.
- 探索将PBRTQC整合到常规实践中的理论基础.
主要方法:
- 通过随着时间的推移分析患者样本结果来监测测定量性能.
- 通过检测与已确定的患者群体数据的偏差来识别测试性能的变化.
- 利用算法来实时检测测试行为中的变化.
主要成果:
- PBRTQC提供连续的,廉价的测试监测与简单的解释规则.
- 当长期试验群体结果发生变化时,检测变化被检测出来.
- 优点包括可切换样本和持续监测;缺点涉及了解患者群体的变化.
结论:
- PBRTQC是实时测试质量控制的可行和有效方法.
- 实验室测试日益复杂,需要先进的质量控制策略.
- 进一步发展理论框架将支持将PBRTQC纳入常规临床实践.
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