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目的探讨血站血液检验标本存在误差的主要原因以及相应的预防策略。方法采用回顾性分析的方法将我站2014年10月~2015年10月血液检验工作中出现血液检验标本误差的70例血液标本选为观察分析的对象,并探究其出现误差的主要原因,同时予以针对性地解决、预防措施。结果血站血液检验标本出现误差的主要原因有:(1)献血者本身的原因:献血者于抽血前没有禁食、处于月经期、运动状况的差异等。(2)血液样本的采集原因:血站工作人员对血液样本的采集方法存在不当行为;血液的采集量不足;血液的采集时间过长等。(3)标本的检测原因:血站工作人员在血液检测过程中存在不规范行为,如标本的处理不当、抗凝管的使用不规范;没有得到及时检测;(4)标本的送检原因:血站工作人员在送检过程中剧烈震荡标本、送检的时间过长、标本与交接单不相符等。结论促使血站血液检验标本存在误差现象的主要原因与献血者本身、血站工作人员、检验仪器等有关,因此相关的血站工作人员应对其原因进行针对性的干预,进而促进血液检验质量的提高。
Objective To investigate the main reasons for the error of blood test blood samples and the corresponding prevention strategies. Methods A retrospective analysis method was used to select 70 blood samples in our blood test from October 2014 to October 2015 for blood test. The blood samples were selected for observation and analysis, and the main reasons for their errors were investigated. At the same time To be targeted to address, preventive measures. Blood test results of the blood test specimens were the main reasons for error: (1) the reasons for blood donors themselves: blood donors in the blood before fasting, in the menstrual period, differences in exercise status. (2) blood sample collection reasons: blood collection staff on the blood sampling methods there is inappropriate behavior; insufficient blood collection; blood collection time is too long. (3) The reason of specimen detection: There is irregular behavior in the blood testing process by blood staff, such as improper handling of specimen, non-standard use of anticoagulant tube, failure to get timely detection; (4) Reason of specimen examination: Blood station staff in the delivery process of severe concussion specimens, inspection time is too long, specimens and delivery orders do not match. Conclusion The main reason for the error of blood test results in bloodstains is related to blood donors themselves, staffs at blood stations and testing instruments. Therefore, relevant blood-staffers should make targeted interventions on the causes and then promote the quality of blood tests improve.