廣西臨檢中心 臨床實(shí)驗室專業(yè)組長培訓(xùn)班 質(zhì)控管理解決方案quality management solutions

$%&qualitymanagementsolutions質(zhì)控管理解決方案Whyisitimportantforlaboratoriestouse247?--為什么要使用247?Importanceforlaboratoriestouse247使用247的重要性1.ImproperQualityControlleadstoincreasedcostsinthelaboratory-質(zhì)量控制做的不好會導(dǎo)致實(shí)驗室成本增加–

Duetopossiblerepeatedtests-可能導(dǎo)致重復(fù)檢測–

Improperpatienttreatmentbecauseofincorrecttestresults–因檢驗結(jié)果不準(zhǔn)確導(dǎo)致的治療不當(dāng)?

Couldbedetectedusing247–可通過247發(fā)現(xiàn)問題Importanceforlaboratoriestouse247使用247的重要性2.ResultValidation-結(jié)果的確認(rèn)–

DatabeingenteredcanbevalidatedusingmultiruleQCprocedures-可通過多規(guī)則質(zhì)控程序保證結(jié)果可靠–

TheadvantagesofMultiruleQCproceduresarethatfalserejectionscanbekeptlowwhileatthesametimemaintaininghigherrordetection-使用多規(guī)則質(zhì)控程序的好處在于可降低誤拒絕率同時提高錯誤檢出率Importanceforlaboratoriestouse247使用247的重要性3.Turnaroundtimeforreportingtestresulttoclinicianscanbereduced–

Throughminimisingfalserejectionsthatrequiresrepeatanalysisofcontrolsandre-runsofpatientsamples–

誤拒絕的結(jié)果需進(jìn)行質(zhì)控和樣本的重新檢測，通過最小化這種錯誤拒絕，可減少向臨床報告檢驗結(jié)果的時間Importanceforlaboratoriestouse2474.Canbeusedasatrouble-shootingtool–If

thereareconcernsthatthecontrolmaterialisnotperformingwell-如果擔(dān)心質(zhì)控物有問題–

247enablesthelabtoseparatetheeffectsofthemethodfromsuspectedeffectsofthecontrolbylookingattheeffectofthesamecontrolsinotherlabs-可通過247觀察其他實(shí)驗室的數(shù)據(jù)迅速區(qū)分是質(zhì)控物的問題還是分析系統(tǒng)的問題–

Leadingtomorerapidandeffectiveproblemsolving–更加快速有效的解決問題Importanceforlaboratoriestouse2475.247providesmeansandSD’sforthematerialthatarerelevantbecausetheyreflectcurrenttestingconditionsamonglabs?

247軟件可以提供相關(guān)質(zhì)控物的均值和SD范圍，反映實(shí)驗室間的檢測情況Importanceforlaboratoriestouse2476.Manymanagers‘signoff’ontheresultswithoutreallyinvestigatingifthoseresultsareinfactaccurate–

247providesaneasyandfastwayforlaboratorymanagerstobeconfidentthattheresultstheysignforarecorrect.–

實(shí)驗室管理者在檢驗報告單上簽字時往往并沒有去考察結(jié)果是否可靠。247提供一個快速有效的途徑讓管理者可以確保結(jié)果的準(zhǔn)確。Whyisitimportanttousetherightserumcontrols?－使用正確的質(zhì)控血清的重要性Importanceofrightcontrolmaterial?

Somemanufacturer’scontrolsareadvertisedas“humanserumbased”-很多質(zhì)控品上標(biāo)注是人血清基質(zhì)的–

Thesearequitedifferenttofullyhuman-人基質(zhì)和全人基質(zhì)是有很大區(qū)別的?

Useof‘humanbased’serumwithantibody/antigenmethodologiescanleadtotargetvaluesshiftingbetweenreagentlots–

Extraworkneededtore-settargets–

Extratimeandcosts－免疫方法學(xué)項目的質(zhì)控使用人基質(zhì)血清會導(dǎo)致不同批號的試劑間靶值浮動，需要花時間去定值，導(dǎo)致時間和成本的浪費(fèi)Importanceofrightcontrolmaterial?

WhenusedinpeergroupreportingandEQAthisbecomesevenmoreimportant-在同群組報告和EQA中這一點(diǎn)更加重要?

Chancesarethatparticipantsthatiscomparingtoeachotherareusingdifferentreagentbatches-很可能參加數(shù)據(jù)比對者使用的試劑都是不同的，其中的抗體也不一樣–

Differentantibodiesineachbatch?

Differencesbetweenparticipantswillbegreater-不同參加者差異更大?

CVswillbehigherwithinInstrumentand/orMethodgroups-同儀器/方法群組中CVs更高Importanceofrightcontrolmaterial?

ThereforeallRANDOXcontrolsusingimmunological/immunoassaymethodsare100%

fullyhuman-RANDOX質(zhì)控中涉及到免疫學(xué)方法的質(zhì)控物都是100％全人基質(zhì)的?

ForExample:?

Immunoassay-免疫?

SpecificProtein-特定蛋白?

Lipid-血脂?

Cardiac-心肌Importanceofrightcontrolmaterial?

Ouraimistohavemuchmoreoverourcontrolrangeworkingwith247inthefuture–我們的目標(biāo)是擁有更廣范圍的247配套質(zhì)控物RangeofRANDOXQC?

SingleanalyteControls-單個分析?

ChemistryControls-生化物?

SpecificProteinControls-特定蛋白?

BloodgasControls-血?dú)?

CoagulationControls-血凝?

ImmunoassayControls-免疫?

MaternalScreeningControls-孕婦?

TDMControls-治療藥物?

LipidControls-血脂篩查?

TumourMarkerControls-腫瘤標(biāo)?

CardiacControl-心肌?

UrineControls-尿液志物?

LiquidCardiac(NT-proBNP&BNP)Controls-液態(tài)心肌質(zhì)控?

C.S.F.Controls-腦脊液?

CytokineControls-細(xì)胞因子?

UrinalysisControls-尿常規(guī)?

UrineToxicologyControls-尿毒理學(xué)質(zhì)控NewDevelopments-新發(fā)展NewFeaturesinSoftware-軟件的新特點(diǎn)?

24/7softwareisgettingacompletenewlook?

Includingmanynewfeaturesandfunctions?

Upgradestothe24/7softwarewillcomein3Phases?

Phase1almostcomplete?

全新的界面，包含很多新的特點(diǎn)和功能，軟件升級將分三階段進(jìn)行，第一階段已基本完成Phase1?

NewdesignandcoloursPhase1?

Itwillworkdifferentlythanbefore?

Let’sshowyousomeexamples:?

幾個新界面的例子FirsttheInstrumentsareshownWhenopeningitup,thelotsusedonthatinstrumentisshownAfterthattheanalytesusedinthelotnumbersareshowedMenushavebeenreplacedwith‘Tabs’forquickernavigationReportsarealsoeasilyaccessedfromthemainDataEntryScreenLevey-JenningscanbeviewedwithdateplottedbasedonbothSDor%DeviationPeerGroupscanbechangedonthesamepageasthechartallowingfortroubleshootingPopupcalendartochangedatesPhase1?

WhenTransferringDatathereisnowawindowtoshowthatthesoftwareisexchangingdatawithhostserver–

ThiswasacommentthatcamefromusersinGuangxi?

Thiswindowwillchangeagaininthefuturetoshowmoredetailhowfaralongthetransferis–

Atthemomentonlyshowingthattransferisongoing傳輸數(shù)據(jù)時有一個窗口顯示正在進(jìn)行與主服務(wù)器交換數(shù)據(jù)，這也是一位來自廣西的用戶的建議，將來升級到更新的階段，會顯示更詳細(xì)的傳輸進(jìn)度的信息，現(xiàn)在僅顯示正在傳輸Phase1?

Makingthesystemopensothattheusercanaddparameters,methods,instruments,reagentsandunits–

Theseaddeditemswillnotusedaspartofpeergroup?

系統(tǒng)更加開放，用戶可以添加參數(shù)，方法學(xué)，儀器，試劑和單位等信息；這些新增數(shù)據(jù)不會在同群組數(shù)據(jù)中使用Phase1?

Inclusionanddisplayofperformancelimits–

StandardDeviation,%Deviation,BiologicalVariation,CLIAetc...?

ImprovecommunicationtoLISandinstruments–

OnboardLIMSintegrationsoftware?

包含并顯示各評價指標(biāo)?

提高LIS系統(tǒng)和儀器的通訊功能－在線的實(shí)驗室信息系統(tǒng)管理整合軟件Phase2?

DataLogging–

Recordswhendataisenteredorremovedandbywhom?

DataReviewoption–

Abilitytoreviewall/suspectdataandmarkasreviewed?

數(shù)據(jù)錄入；記錄數(shù)據(jù)何時輸入，何時更改，以及是誰更改的，?

數(shù)據(jù)查看；查看所有或可疑數(shù)據(jù)，并做標(biāo)記Phase2?

Informationappearingonindividualdatapointswhenmouseisplacedonthem–

Date,resultetc.?

Multiplelevelsofcontrolsononechartoverlapping?

Multipleinstrumentsononecharttoseedifferences?

鼠標(biāo)點(diǎn)在某個數(shù)據(jù)上，會顯示這個數(shù)據(jù)的相關(guān)信息，例如日期，結(jié)果?

多個水平的質(zhì)控顯示在同一個圖表上，?

多臺儀器顯示在同一圖表以進(jìn)行對比Phase2?

LeveyJenningschart–

Abilitytoscrollthroughchartsbackintime-圖表可按時間滾動查看，?

Improvepanelsetuptomakeiteasier?

Improvecommunicationtopeergrouphost–

Tomaketransferringdatequicker?

Dataentrytologtimeofentry?

改進(jìn)了組合設(shè)置,使其更簡易?

改進(jìn)了與同組群主機(jī)的通訊，使數(shù)據(jù)傳輸更快捷?

根據(jù)登陸時間查詢數(shù)據(jù)錄入Phase2?

ImportfacilityoffixedmeansforRandoxcontrols-RANDOX質(zhì)控品固定均值輸入更加便捷–

Eliminatingmanualinput-取消了手工輸入?

Improvegroupco-ordinatorreport-改進(jìn)同群組報告功能–

Todisplayindividuallab‘scharts-顯示獨(dú)立實(shí)驗室圖表?

Reportforpoorresultsonlyforquickreviewofperformance-不好的結(jié)果也可以報告，僅用于快速瀏覽回顧?

Improvesearchingabilitiesthroughstatistics?

提高統(tǒng)計搜索功能Phase2?

Simplifysystemforsetup-簡化了系統(tǒng)設(shè)置–

SelectionofMultirulestoapplyforallassays–

Nothavingtosetrulesforeachone-質(zhì)控規(guī)則的選擇應(yīng)用于所有項目，不需每個項目單獨(dú)設(shè)置?

Improvenetworksetupinstallation–

Toallowforseveralusercomputersinthesamelabforthesameprogramme-提高網(wǎng)絡(luò)工作安裝功能，允許同實(shí)驗室的幾臺電腦都可以操作這個程序?

Improvedataentryscreenwithcolourcodingsystem–

Red,YelloworGreenshowingperformance?

使色彩編碼改進(jìn)數(shù)據(jù)輸入界面–

紅,黃或綠色顯示Phase3?

ProvideabilitytoarchiveexpiredlotsandassociatedQCtestresults/stats-可存檔過期批號的質(zhì)控結(jié)果和統(tǒng)計數(shù)據(jù)–

Easyaccesstorelevantandup-to-datedata-更易于查詢相關(guān)和更新的數(shù)據(jù)?

Abilitytofreetypeincommentssection–

Insteadofnumbers-自由添加備注的功能，取代數(shù)字