Segawa M, Imamura S, Tsuda T, Okada J
Clinical Laboratory, Kanto Teishin Hospital, Tokyo.
Rinsho Byori. 1991 Jan;39(1):59-63.
By the construction of hospital total system, marked developments, such as efficiency and labor-saving of work, have introduced to clinical practice and medical managements. Almost the same developments were also acquired by virtue of computerization in laboratory analysis. In our hospital, the Laboratory Information System (LIS) was connected in on-line mode with the Shared Hospital Information System (SHIS) and the Medical Data Administration System (MDAS). These systems resulted in the possession of the efficiency for laboratory process and in the diminution of various kinds of errors. However, the delay in the systematization was found on the problem in the preanalytical phase, especially on the collection of specimens. It is mainly because of multiformity of the circumstances reflected in every patient and in every ward, for example, variousness of clinicians' order for laboratory tests, many procedures and intricately scheduled timetable of the collection of blood. In order to obtain the more rapid and accurate test results, the construction of computerized system is also necessary for the collection and the transformation of blood. In this paper, problems concerning with the collection (sampling) of specimens were summarized.
通过构建医院整体系统，工作效率提高和省力等显著进展已引入临床实践和医疗管理中。借助实验室分析的计算机化也取得了几乎相同的进展。在我们医院，实验室信息系统（LIS）以在线模式与共享医院信息系统（SHIS）和医疗数据管理系统（MDAS）相连。这些系统提高了实验室流程的效率，并减少了各类错误。然而，在分析前阶段的问题上，尤其是标本采集方面，发现系统化存在延迟。这主要是因为每个患者和每个病房所反映情况的多样性，例如临床医生实验室检查医嘱的多样性、采血的诸多程序和复杂的时间表。为了获得更快速准确的检测结果，血液采集和转运的计算机化系统建设也很有必要。本文总结了与标本采集（抽样）相关的问题。
