Establishment and validation of autoverification rules for pediatric coagulation tests
10.13602/j.cnki.jcls.2025.11.10
- VernacularTitle:儿童凝血检验报告自动审核规则的建立与验证
- Author:
Ziqian YE
1
;
Jia WEI
1
;
Jian XUE
1
;
Zhuzhu WANG
1
;
Hanjun SHEN
1
Author Information
1. 苏州大学附属儿童医院检验科,江苏苏州 215025
- Publication Type:Journal Article
- Keywords:
auto-verification system;
pediatric coagulation test;
passing rate;
turn-around time
- From:
Chinese Journal of Clinical Laboratory Science
2025;43(11):851-856
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish and validate an autoverification system for pediatric coagulation tests and apply it in clinical prac-tice.Methods A total of 31 633 specimens collected at the Children's Hospital of Soochow University,from August 1,2023 to De-cember 31,2023,were used to establish coagulation auto-verification rules,which were subsequently validated with 6 704 specimens collected during January 1-31,2024.The samples were analyzed using the SYSMEX fully automatic blood coagulation analyzer assem-bly line.Auto-verification rules were established based on quality control status,instrument alerts,sample trait,numerical anomalies,logical rules,linear deviations,specimen integrity,and delta checks.The pass rate and consistency rate following the auto-verification were subsequently evaluated.Results A total of 37 auto-verification rules were established,covering abnormal results for PT-INR,APTT,Fib,TT,DD,FDP and AT together with aberrant reaction curves,specimen status and instrument alerts.The pass rate of auto-verification in the establishment group was 57.44％,and the concordance rate between auto-verification and manual review was 99.82％,while the pass rate of auto-verification was 59.96％in the validation set,and the concordance rate between auto-verification and manual review was 100％.Conclusion A set of auto-verification rules for pediatric coagulation reports was established and imple-mented in routine practice,significantly expediting the efficiency of report review and effectively shortening the turn-around time(TAT).
