基于患者的质量控制分析和评估 (SPAE) 的电子表格
Hui Qi Low1, Hyun-Ki Kim2, Sollip Kim3
1Engineering Cluster, Singapore Institute of Technology, Singapore.
EJIFCC
|March 10, 2025
概括
一个新的电子表格工具SPAE简化了临床实验室的基于患者的质量控制 (PBQC). 这种可访问的信息解决方案有助于监控分析性能,并提高对PBQC方法的熟悉度.
科学领域:
- 临床化学和实验室科学
- 医疗保健中的质量控制
- 医疗信息学医学信息学
背景情况:
- 传统的内部质量控制 (QC) 方法是实验室的标准.
- 基于患者的质量控制 (PBQC) 通过利用患者数据进行分析性绩效监测,提供了一个替代方案.
- 由于缺乏用户友好的信息技术工具和熟悉性,PBQC的广泛采用受到阻碍.
研究的目的:
- 开发和评估一种新的信息工具,用于在常规实验室环境中实施基于患者的质量控制 (PBQC).
- 创建一个基于电子表格的可访问和自动化解决方案,解决PBQC采用障碍.
- 为实验室专业人员提供一个促进常规QC监测和教育目的的工具.
主要方法:
- 开发了一个基于Microsoft Excel的电子表格工具,名为SPAE (PBQC分析和评估的电子表格).
- 纳入IFCC推的功能,包括自动数据可视化,Box-Cox转换和Winsorization用于极端值处理.
- 实现用户可选择的参数,如区块大小,假阳性率和偏差检测值.
主要成果:
- 该 SPAE 工具自动计算了胜利化限制,转换数据和关键性能指标,如假阳性率和错误检测 (NPed) 之前受影响的结果数量.
- 与基于Python的独立模型对SPAE工具性能的验证证实了它的可靠性.
- 该工具提供了一个经过验证的PBQC模型,适用于例行实验室监测.
结论:
- SPAE电子表格是一个用户友好的桌面应用程序,旨在减少实施PBQC的复杂性.
- 它作为一个有价值的教育资源,使实验室人员熟悉PBQC原则.
- 该工具支持独立验证,并促进在实验室质量管理系统中更广泛地采用PBQC.
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