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预防医学  2025, Vol. 37 Issue (6): 637-639    DOI: 10.19485/j.cnki.issn2096-5087.2025.06.020
  卫生管理 本期目录 | 过刊浏览 | 高级检索 |
杭州市院前医疗急救即时检验现状与质量管理对策
孙宝云1, 张军根1, 鲍淑华2, 袁轶俊1, 王建岗1, 王明佳1
1.浙江省杭州市急救中心,浙江 杭州 310021;
2.杭州市中医院,浙江 杭州 310007
The current situation and quality management countermeasures of pre-hospital medical emergency point-of-care testing in Hangzhou City
SUN Baoyun1, ZHANG Jungen1, BAO Shuhua2, YUAN Yijun1, WANG Jiangang1, WANG Mingjia1
1. Hangzhou Emergency Medical Center of Zhejiang Province, Hangzhou, Zhejiang 310021, China;
2. Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang 310007, China
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摘要 院前医疗急救即时检验(POCT)通过快速检测为临床决策提供关键支持,本文介绍POCT在院前医疗急救领域的发展背景,以及杭州市院前医疗急救POCT发展现状,分析质量管理存在的问题。杭州市院前医疗急救机构已配备POCT设备,检测项目包括血糖、心肌肌钙蛋白等。POCT室内质量控制、比对试验和能力验证开展率分别为58.2%、50.3%和42.6%;POCT质量管理存在责任主体不明确、专业人员配备不足和流程规范性欠缺等问题,提出构建分层协同管理体系、强化人员设备双准入机制、实施全流程质量控制和建设数字化管理平台等改进策略,为院前医疗急救POCT高质量发展提供参考。
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孙宝云
张军根
鲍淑华
袁轶俊
王建岗
王明佳
关键词 即时检验院前医疗急救质量管理    
Abstract:Point-of-care testing (POCT) provides key support for clinical decision-making through rapid detection. This article introduces the development background of POCT in the field of pre-hospital emergency, as well as the development status of POCT in Hangzhou City, and analyzes the problems of quality management. Pre-hospital emergency medical institutions in Hangzhou City have been equipped with POCT equipment, and the test items include blood glucose, cardiac troponin, etc. The implementation rates of internal quality control, comparison test, and proficiency testing were 58.2%, 50.3% and 42.6%, respectively. POCT quality management has problems such as unclear responsibility subjects, insufficient professional personnel, and a lack of standardization of the process. It is proposed to build a hierarchical collaborative management system, strengthen the double access mechanism of personnel and equipment, implement the whole process quality control, and build a digital management platform, so as to provide the reference for the high-quality development of POCT in pre-hospital medical emergency institutions.
Key wordspoint-of-care testing    pre-hospital medical emergency    quality management
收稿日期: 2024-10-31      修回日期: 2025-04-24      出版日期: 2025-06-10
中图分类号:  R197  
作者简介: 孙宝云,本科,副主任技师,主要从事实验室质量控制相关工作
通信作者: 鲍淑华,E-mail:18368856836@163.com   
引用本文:   
孙宝云, 张军根, 鲍淑华, 袁轶俊, 王建岗, 王明佳. 杭州市院前医疗急救即时检验现状与质量管理对策[J]. 预防医学, 2025, 37(6): 637-639.
SUN Baoyun, ZHANG Jungen, BAO Shuhua, YUAN Yijun, WANG Jiangang, WANG Mingjia. The current situation and quality management countermeasures of pre-hospital medical emergency point-of-care testing in Hangzhou City. Preventive Medicine, 2025, 37(6): 637-639.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.06.020      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I6/637
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