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.

引用

页数：7

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