Development and clinical evaluation of an online automated quality control system for improving laboratory quality management

被引：2
|
作者：
Shang, Xuesong [1 ,2 ,3 ]
Zhao, Fang [1 ,2 ,3 ]
Du, Juan [1 ,2 ,3 ]
Li, Rui [1 ,2 ,3 ]
Xia, Liangyu [1 ,2 ,3 ]
Hou, Lian [1 ,2 ,3 ]
Cheng, Xinqi [1 ,2 ,3 ]
Ding, Yingying [1 ,2 ,3 ]
Li, Peng [1 ,2 ,3 ]
Liu, Meizhi [1 ,2 ,3 ]
Ma, Chaochao [1 ,2 ,3 ]
Wang, Zhe [1 ,2 ,3 ]
Ding, Jinwen [1 ,2 ,3 ]
Ge, Zengmei [1 ,2 ,3 ]
Wang, Guanhua [1 ,2 ,3 ]
Guo, Tai [1 ,2 ,3 ]
Fu, Yu [4 ]
Xiao, Meng [1 ,2 ,3 ]
Yang, Qiwen [1 ,2 ,3 ]
Qiu, Ling [1 ,2 ,3 ]
Xu, Yingchun [1 ,2 ,3 ]
机构：
[1] Peking Union Med Coll & Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Lab Med, Beijing 100730, Peoples R China
[2] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept State Key Lab Complex Severe & Rare Dis, Beijing, Peoples R China
[3] Peking Union Med Coll, Beijing, Peoples R China
[4] Sightnovo Med Technol Co Ltd, Beijing, Peoples R China
来源：
CLINICA CHIMICA ACTA | 2023年 / 541卷
关键词：
Automated quality control; Internal quality control; Quality management; Six Sigma; TAT;
D O I：
10.1016/j.cca.2023.117240
中图分类号：
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号：
1001 ;
摘要：
Background: We developed an efficient online automated quality control (AUTO QC) system and tested its feasibility on automatic laboratory assembly lines.Methods: AUTO QC is based on developed quality control software (Smart QC) and designed adaptable con-sumables before. We applied the system to two assembly lines in our laboratory. Using third-party quality control samples, we evaluated the impact of the online AUTO QC system on out-of-control rate, biosecurity risk, turn-around time (TAT) and cost.Results: AUTO QC significantly decreased the occurrence rate of the Westgard quality control rules 13S/22S/R4s and 12S, representing out-of-control and warning, respectively. The out-of-control rates were reduced by 58%, and the potential biosecurity risk of the samples decreased by 90%. The AUTO QC implementation also reduced the median TAT (by 7 min), the number of full-time employees and the cost of the quality control samples (by 45%). Conclusions: The total laboratory AUTO QC system can improve the quality and stability of QC testing and reduce cost.
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页数：7
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