Establishment and optimization of automatic review system for eight report items of infectious diseases in clinical laboratory
10.13602/j.cnki.jcls.2024.10.12
- VernacularTitle:临床实验室传染病八项报告自动审核系统的建立和优化
- Author:
Hui ZHOU
1
;
Wanjian GU
;
Mingde JI
;
Xin LIANG
Author Information
1. 南京中医药大学附属医院/江苏省中医院检验科,南京 210029
- Keywords:
automatic review;
system of rules;
eight report items of infectious disease
- From:
Chinese Journal of Clinical Laboratory Science
2024;42(10):778-784
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish and optimize an automatic review system for eight report items of infectious disease in clinical labo-ratory.Methods According to AUTO-15 issued by the Clinical and Laboratory Standards Institute(CLSI)and WS/T 616-2018 is-sued by the National Health Commission of China,an automatic review rule system for eight test results of infectious disease was estab-lished based on middleware(infinity)and laboratory information management system(LIS).The automatic review and judgment for the eight test results of infectious disease were carried out by using six rules:quality control,specimen status,instrument alarm,gray area range,conventional mode,and historical data comparison(Delta check).The effectiveness of the automatic review system was verified by comparing the manual results with the automatic reviews,and the test system was further optimized for validating to achieve the automatic review for the eight test items.Results An automatic review rule system consisting of six function parts(quality control,specimen status,instrument alarm,gray area range,conventional mode,and historical data comparison)was established.The sensitiv-ity and specificity of the automatic review rule system were 87％and 95％,respectively,and the positive and negative predictive values were 88％and 95％,respectively.After the manual results was adjusted with the established automatic review rules system,the approv-al rate of the eight report items of infectious disease increased from 39％to 85％in 2022,the turnaround time(TAT)time was short-ened from 209(52,215)min to 141(83,149)min,and the number of reviewers was reduced from 2 to 1.The error rate of abnormal test reports of positive results,including hepatitis B five indexes,HIV,and TP issued by the instruments was reduced to 0.04％.Con-clusion The automatic review system for eight report items of infectious disease could greatly reduce the workload of reviewers,short-en TAT,and decrease the risk of reporting errors.
