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題名 | 國內中小型醫院如何建立血液凝固PT、aPTT檢驗品質系統以符合認證之要求=How to Establish a Blood Coagulation PT and aPTT Quality System to Meet the Requirements of Accreditation in Domestic Small and Medium-sized Hospitals |
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作者姓名(中文) | 利琇美; 劉凱中; 徐瑜敏; 范光平; 張錦標; | 書刊名 | 中華職業醫學雜誌 |
卷期 | 25:4 2018.10[民107.10] |
頁次 | 頁293-302 |
分類號 | 414.7 |
關鍵詞 | 血液凝固PT; 實驗室認證; 品質; Blood Coagulation; PT; aPTT; Laboratory accreditation; Quality; CAP-LAP; ISO 15189; |
語文 | 中文(Chinese) |
中文摘要 | 心腦疾病好發於50歲以上的年紀,近年來有年輕化之趨勢,其好發率、死亡率、發病後殘疾率及復發率相當高,故預防與治療是非常的重要。臨床醫師對心腦疾病的患者以warfarin、heparin監控制病情,必須定期監控血液凝固的PT、INR、aPTT數值的變化,提供疾病治療與藥物療效,因此血液凝固檢驗的正確性更顯重要。臨床檢驗室應建立檢驗前、中、後之標準作業流程之建立,以確保血液凝固檢驗結果的準確性及精確度,可提昇檢驗品質及符合認證之要求。本文將以CAP-LAP及ISO15189認證之要求逐一說明,提供國內中小型醫院如何建立血液凝固PT、aPTT檢驗品質系統及準備認證之參考。 |
英文摘要 | Heart and cerebrovascular disease occurs in the age of 50 or older. There has been a trend of rejuvenation in recent years. The prevalence rate, mortality rate, disability rate and recurrence rate are quite high, so it's very important to do prevention and treatment. Clinicians monitor patients who have heart and cerebrovascular disease by warfarin and heparin. The changes of PT, INR and aPTT test results are needed to be monitored regularly in order to provide therapeutic and monitoring drug efficacy. Therefore, the accuracy of blood coagulation tests is more important. The clinical laboratory should establish the standard operation procedure of pre-analysis, analysis and post-analysis phases, to ensure the accuracy and precision of the blood coagulation test results. Furthermore, the establishment of the standard operation procedure is essential to improve the laboratory quality and meet the requirements of accreditation. This article will explain the requirements of CAP-LAP and ISO 15189 accreditation detailed and provide a reference for how to establish a blood coagulation PT and aPTT quality system and know-how accreditation preparation for small and medium-sized hospitals. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。