从传统到个性化的参考间隔和决策极限:解决后期分析阶段的潜在错误.
Abdurrahman Coskun1, Jasmin Weninger2, Ali Canbay2
1Department of Medical Biochemistry, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye.
Clinical chemistry and laboratory medicine
|November 27, 2025
概括
与非分析阶段相关的实验室错误可以通过使用个性化参考间隔 (prRI) 和决策极限 (prDL) 而不是基于人口的方法来减少. 这可以通过更准确地解释实验室数据来提高患者的安全性.
科学领域:
- 临床化学 临床化学
- 实验室医学 实验室医学
- 医疗错误分析 医学错误分析
背景情况:
- 实验室错误对整体医疗错误有很大影响,特别是在分析以外的测试阶段.
- 分析后的阶段,包括对实验室数据的临床解释,由于依赖基于人口的参考,容易出现错误.
研究的目的:
- 总结当前基于人口的参考区间 (popRI) 和决策极限 (popDL) 的局限性.
- 引入和发展实验室数据解释中隐藏错误的概念.
- 倡导实施个性化参考间隔 (prRI) 和决策限值 (prDL) 以提高患者安全.
主要方法:
- 在以人口为基础的引用中对局限性的概念分析.
- 在临床解释的背景下,开发了"隐藏错误"概念.
- 讨论个性化引用作为减少解释错误的解决方案.
主要成果:
- 基于人口的引用 (popRI,popDL) 具有固有的局限性,导致系统的,潜在的错误.
- 个性化引用 (prRI,prDL) 为数据解释提供了更准确的方法.
- 基于人口的和个性化的参考资料之间的差异可能会危及患者的安全.
结论:
- 个性化的参考间隔和决策限制对于在后分析阶段最大限度地减少潜在错误至关重要.
- 实施个性化引用可以显著提高患者实验室数据解释的准确性.
- 采用个性化参考是促进临床实践中患者安全的必要条件.
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