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LIS系统生长现状先容
- 2022-04-16
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Each laboratory uses a wide variety of laboratory LIS systems, each with its own advantages, and also has special functions formulated according to the undergraduate room's own system and environment. We will only discuss what most laboratories can do and strive to do at present. In general, the paperless process of LIS clinical laboratory automatic audit system can describe the development status of the system from three aspects.
1 临床实验室自动化
1 clinical laboratory automation
LIS系统是以磨练科的生产运动为主要内容 ，是磨练职员的机械臂与铰剪手。LIS实验室的生长离不开实验室。近年来 ，随着磨练医学的生长和磨练标本的快速增添 ，实验室自动化已成为磨练科的新趋势/。实验室自动化是指通过传输辖档同接临床实验室自动化剖析仪 ，实现样品运输分类、预处置惩罚、检测效果报告、后处置惩罚等全磨练历程的自动化。
LIS system takes the production activities of the laboratory department as the main content, and is the manipulator and scissor hand of the inspectors. The development of LIS laboratory is inseparable from the laboratory. In recent years, with the development of laboratory medicine and the rapid growth of test specimens, laboratory automation has become a new trend in laboratory medicine. Laboratory automation refers to connecting the clinical laboratory automation analyzer through the transmission system to realize the automation of the whole test process such as sample transportation classification, pretreatment, test result report and post-processing.
2 自动审核系统。
2. Automatic audit system.
磨练效果的准确性和实时性是确保磨练质量的焦点内容。品级医院的评价标准也对磨练效果的审核提出了明确的要求 ，要求必需是高年级和双重审核。从本研究效果中发明 ，由于生化标本多 ，项目录数多 ，纵然是高年级的效果审核 ，也不可阻止地会泛起过失的检查 ，给临床诊断和带来不须要的贫困。实验室信息系统(LIS)先容为这个问题提供了计划。自我国大部分医院磨练科先容以来LIS自刷新以来 ，临床生化效果的自动审计规则一直完善 ，临床学生的检测效果率显著降低。研究效果发明 ，自动审计与异凡人工审计效果的检出率之间的差别没有显著意义。效果批注 ，与人工审计相比 ，自动审计在镌汰漏检误检的条件下 ，大大节约了人工事情量 ，特殊是在过滤掉大宗非特殊检查效果标本（约占90%）时。
The accuracy and timeliness of inspection results is the core content to ensure the inspection quality. The evaluation standard of grade hospitals also puts forward clear requirements for the audit of test results, which must be senior grade and double audit. It is found from the results of this study that due to the large number of biochemical samples and the number of projects, even the result audit of senior grade will inevitably have wrong examination, which will bring unnecessary trouble to clinical diagnosis and treatment. The introduction of laboratory information system (LIS) provides a solution to this problem. Since the introduction of LIS in the laboratory departments of most hospitals in China, the automatic audit rules of clinical biochemical results have been continuously improved, and the test result rate of clinical students has been significantly reduced. The results show that there is no significant difference between the detection rate of automatic audit and abnormal manual audit. The results show that compared with manual audit, automatic audit greatly saves manual workload on the premise of reducing missed and false inspection, especially when filtering out a large number of non-special inspection results (about 90%).
自动审计规则的建设是实现自动审计的基础 ，但条件是确保生化仪器的正常运行 ，控制各生化磨练项目的质量控制。在此基础上 ，可凭证临床需要的现实事情履历设置审计规则。例如 ，可以设置CK－MB≥CK规则一旦泛起磨练效果CK-MB≥CK在情形下 ，仪器连忙提醒审核员注重；设效果的界线 ，假设血清 Ｋ＋≥6.5ｍmol/L关于危重值 ，一旦泛起磨练效果 ，仪器将连忙提醒危重值 ，并在审核职员审核前给出报警 ，避免走漏。若是磨练效果特殊异常 ，可以在负值或异常高时设置磨练项目报警 ，并给出响应的提醒。自动审计规则的制订者需要掌握仪器的事情原理 ，熟悉实验前的质量控制历程 ，并有扎实的临床医学知识 ，使审计规则合理有用。
The establishment of automatic audit rules is the basis of automatic audit, but the premise is to ensure the normal operation of biochemical instruments and control the quality control of biochemical inspection items. On this basis, audit rules can be set according to the actual work experience of clinical needs. For example, the CK-MB ≥ CK rule can be set. Once the inspection result CK-MB ≥ CK occurs, the instrument will immediately remind the auditor to pay attention; Set the limit of the result and assume that serum K + ≥ 6.5mmol/l. For critical value, once the test result appears, the instrument will prompt the critical value immediately and give an alarm before the audit by the auditor to prevent leakage. If the inspection result is particularly abnormal, you can set the inspection item alarm when the value is negative or abnormally high, and give corresponding prompts. The makers of automatic audit rules need to master the working principle of the instrument, be familiar with the quality control process before the experiment, and have solid clinical medical knowledge to make the audit rules reasonable and effective.
3 无纸化历程
3 paperless process
医院的无纸化历程是电子处置惩罚所有与诊断和相关的内容�；颊咧怀钟幸徽耪锪瓶� ，就可以开展一系列的诊疗运动 ，如挂号、验血功效检查效果盘问和打印。关于医学实验室 ，无纸化是指通过信息系统实现实验室治理历程的数字化 ，并将整个实验室的生态系统集成到实验室中LIS该系统包括但不限于打印排队抽血报告等基本功效。
The paperless process of the hospital is to electronically process all the contents related to diagnosis and treatment. With only one diagnosis and treatment card, patients can carry out a series of diagnosis and treatment activities, such as registration, query and printing of blood test function test results. For the medical laboratory, paperless refers to the digitization of the laboratory management process through the information system, and the integration of the whole laboratory ecosystem into the laboratory LIS. The system includes but is not limited to the basic functions such as printing the queue blood drawing report.