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- 저자 : 오현득 ( Hyun Duk Oh ) (검색결과 1 건)
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원저(原著) : Delta 및 Panic치 검증을 이용한 혈액검사결과의 내부정도관리에 관한 연구
김재우 ( Jae Woo Kim ),조성숙 ( Sung Suk Cho ),옥정란 ( Chong Lan Ok ),오현득 ( Hyun Duk Oh ) 대한임상병리사협회 1994 임상혈액검사학회 발표자료집 Vol.1 No.1
The diagnosis hematology test is not only the most of patient medical examination and treatment based on use, but also in representative routine CBC test a kind of patient therapy along with variable be exchange, in capillary blood have each blood component exactly calculation diagnosis and therapy important mean. Recently, computer industry development be owing to quality control the concept of delta\and panic value checks has been received the wide acceptance and practical popularity as the means of reducing the various errors. Sysmex NE-8000 is a new breed automated blood cell analyzer, which performs simultaneously the complete blood cell count and white blood cell differential count, based on the principles of light scattering and impedance electronic counting method. In the departement of clinical hematology laboratory, the established data-input and management system between Sysmex NE-8000 hematology analyzer and main computer is accomplished by RS-232C port. As the serial test results of each patient accumulated and data management system enabled us to review the cummulated data. We tried in delta and panic value checks of each parameter in routine hematology test. In our laboratory, we succeeded in detecting and correcting preanalytical errors such as label mis-identification and clerical errors, so the performance of internal quality control was greatly enhanced. We analyzed Sysmex NE-8000 scattergram & histogram and delta & panic value check of CBC have been used of quality assurance from September 15th of 1993 to January 15th of 1994, in Dong-A University Hospital. The results are as follows; 1. Among 12,363 specimens evaluated, proportion of results out of delta & panic value was 6,752 cases(54.6 %). Among the 6,752 cases, ratio of delta value check was 4,313 cases (33.4 %) and ratio of panic value check was 2,621 cases(21.2 %). 2. The proportion out of ranged delta value was WBC 1,198 cases(9.7 %), Platelet l,056cases(8.5 %), Hemoglobin 273cases(2.2 %) and panic value was WBC 609cases (4.9 %), Platelet 722cases(5.8 %), Hemoglobin 162cases(1.3 %), respectively. 3. The chief causes of delta & panic analysis were transfusion of patient, inadequate samples, platelet aggregation and clotting of samples etc.
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