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使用台式分析仪进行“床边”检测时医院工作人员绩效的比较。

Comparison of hospital staff performance when using desk top analysers for "near patient" testing.

作者信息

Nanji A A, Poon R, Hinberg I

机构信息

Department of Pathology, University of Ottawa, Canada.

出版信息

J Clin Pathol. 1988 Feb;41(2):223-5. doi: 10.1136/jcp.41.2.223.

DOI:10.1136/jcp.41.2.223
PMID:3350985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1141384/
Abstract

The quality and reliability of four desk top analysers were evaluated. In the context of an outpatient clinic, intensive care unit, and a mock up of a physician's office. Seventeen nurses, 14 physicians, and 12 medical office personnel took part in the study. The instruments and tests evaluated were Reflotron (glucose, cholesterol, triglycerides, gamma-glutamyl transferase), Seralyzer (creatinine, glucose, potassium, aspartate aminotransferase), Vision (glucose, (creatinine, glucose, potassium, aspartate aminotransferase), Vision (glucose, urea, cholesterol, triglycerides alkaline phosphatase, uric acid), and DT60 (sodium, potassium, glucose, amylase, uric acid and creatinine). Of the 320 tests performed on the Vision, only two differed by more than 10% between the specialist staff and other groups. For those performed on the Seralyzer, 95 of 254 results differed by more than 10%, 19 of 199 by more than 10% for the Reflotron, and 50 of 318 by more than 10% for the DT60. In general, the nurses were more adept at using the analysers than the physicians and medical office personnel.

摘要

对四款台式分析仪的质量和可靠性进行了评估。评估环境包括门诊诊所、重症监护病房以及模拟医生办公室。17名护士、14名医生和12名医疗办公室人员参与了该研究。所评估的仪器和测试项目包括:反射仪(检测葡萄糖、胆固醇、甘油三酯、γ-谷氨酰转移酶)、血清分析仪(检测肌酐、葡萄糖、钾、天冬氨酸转氨酶)、Vision(检测葡萄糖、尿素、胆固醇、甘油三酯、碱性磷酸酶、尿酸)以及DT60(检测钠、钾、葡萄糖、淀粉酶、尿酸和肌酐)。在Vision上进行的320次测试中,专业人员与其他组之间只有两次差异超过10%。在血清分析仪上进行的测试中,254次结果中有95次差异超过10%;在反射仪上进行的199次测试中有19次差异超过10%;在DT60上进行的318次测试中有50次差异超过10%。总体而言,护士比医生和医疗办公室人员更擅长使用这些分析仪。

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本文引用的文献

1
How will the new genetics work?新的遗传学将如何发挥作用?
Br Med J (Clin Res Ed). 1983 Jan 1;286(6358):1-2. doi: 10.1136/bmj.286.6358.1.
2
Regulation of physicians' office laboratories. The Idaho experience.医师办公室实验室的监管。爱达荷州的经验。
JAMA. 1986 Jan 17;255(3):374-82.