Hamilton A D, Allen K R, Waters A K
Department of Clinical Chemistry, Wharfedale General Hospital, Otley, UK.
Diabet Med. 1989 Jul;6(5):444-7. doi: 10.1111/j.1464-5491.1989.tb01202.x.
An external quality assessment scheme is described for on-ward testing of blood glucose by nursing staff using the Glucometer II/Glucostix system. This involved the distribution of two concentrations of glucose solutions to the wards at 2-week intervals. Initially, results were examined prior to the introduction of a formal training programme for use of the blood glucose meters when the hospital CV was 25% (low glucose) and 19% (high glucose). Some improvement was shown after 6 months, with CVs of 13 and 8%, and a greater improvement after 12 months with CVs of 6 and 8%, respectively. A ward report was designed to allow easy interpretation of performance by the participants in the scheme. The introduction of this report was well received and generated enthusiasm among the ward staff.
本文描述了一种外部质量评估方案，用于护士使用血糖仪II/血糖试纸系统进行血糖的后续检测。该方案包括每两周向各病房分发两种浓度的葡萄糖溶液。最初，在引入血糖仪使用的正式培训计划之前进行结果检查，当时医院的变异系数（CV）在低葡萄糖浓度时为25%，高葡萄糖浓度时为19%。6个月后有了一些改善，变异系数分别为13%和8%，12个月后改善更大，变异系数分别为6%和8%。设计了一份病房报告，以便该方案的参与者能够轻松解读检测结果。这份报告的推出受到了好评，并在病房工作人员中激发了热情。
