Application of patient data-based real-time quality control in internal quality control of blood cell analysis
10.13602/j.cnki.jcls.2025.04.10
- VernacularTitle:基于患者数据的实时质量控制在血细胞分析室内质量控制中的应用
- Author:
Minge LIU
1
;
Fangfang FENG
;
Xucai DONG
;
Tianzi YAN
;
Bin LI
;
Xiaoke HAO
;
Xianfei ZENG
Author Information
1. 延安大学附属西安大兴医院检验科,西安 710000;西安区域医学检验中心普检部,西安 710116
- Publication Type:Journal Article
- Keywords:
patient data-based real-time quality control;
internal quality control;
exponentially weighted moving average;
blood cell a-nalysis
- From:
Chinese Journal of Clinical Laboratory Science
2025;43(4):291-295
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of patient data-based real-time quality control(PBRTQC)in internal quality control(IQC)for blood cells analysis based on the data from patients.Methods The data of patients'blood cells,including white blood cell count(WBC),hemoglobin(Hb),red blood cell count(RBC),hematocrit(HCT),mean corpuscular volume(MCV),mean cor-puscular hemoglobin(MCH),mean corpuscular hemoglobin concentration(MCHC),and platelet(PLT)were collected from August 1,2023 to February 26,2024,and the extracted patient data were analyzed on the AI-based real-time quality control intelligent moni-toring platform.The corresponding IQC data for this period were reviewed,and the results of PBRTQC and IQC were compared and an-alyzed.The causes of the emerging warning or alarm prompts were checked and analyzed to explore the application value of PBRTQC in the IQC process of blood cell analysis.Results It is found that when the quality control product was unstable due to overlong opening time of the reagent or improper storage conditions,and the performance changes of the operating system during the detection process,the PBRTQC intelligent monitoring platform was able to issue risk warning or alarm prompt in advance.PBRTQC may have certain limi-tations,such as the error of red blood cell count,which need to be identified.Conclusion PBRTQC is superior to IQC in blood cell analysis and may play a complementary role in IQC.Meanwhile,it is necessary to exclude the possibility that PBRTQC is significantly influenced by the patient population in medical laboratories.
