JPS6298262A - Reinspection processing system for clinical inspection system - Google Patents

Abstract

PURPOSE:To speed up reinspecting operation by making various data checks and accuracy control matched with a sample to be inspected on the basis of measured values from an automatic analyzing apparatus in measurement order and in real time in a clinical inspection system. CONSTITUTION:Various data check systems for data checks on a standard sample 1, a sample 2 for accuracy control, a general sample 3, etc., are registered 33. Items which use a check system in which reinspection condition is set up are registered automatically in a reinspection sample result file 32 in real time while outputted to various data check lists. Further, the decision results of items whose check systems are not set up are outputted to general sample confirmation lists 13, which are referred to, so a sample 5 of reinspection is received efficiently on a receiving screen 22 for the sample of reinspection. Further, a reinspection sample confirmation list 15 is checked in the same way with the sample 3 on the basis of the measured value before reinspection as the last value; and the measured value before the reinspection and the measured value obtained by the reinspection are compared and confirmed at a glance and the reinspecting operation is speeded up.

Description

[Detailed Description of the Invention] [Field of Application of the Invention] The present invention relates to a re-examination processing system, and in particular, the present invention relates to a re-examination processing method, and in particular, to the re-examination processing method, the re-examination treatment method The present invention relates to a retest processing method suitable for early detection of specimens that require retesting due to an abnormality in the apparatus itself, and for rapid retesting work.

[Field of application of the invention]

With the recent development of automatic analyzers, both the number of samples processed and the number of items simultaneously measured have increased, making it difficult for laboratory technicians to compare and confirm sufficient data.

What is data confirmation in the current clinical testing system?

There are an abnormal value checklist that extracts samples that exceed preset values, a real-time previous value ratio method that compares previous values in real time, and a real-time data confirmation method that simultaneously performs various data checks in real time.

However, this conventional method has a first-order problem.

1. We are conducting various data checks on general samples and discovering abnormal samples, but the cause of the abnormality has not been found.

It is unclear whether this is due to a sample mix-up, an abnormality in the automatic analyzer itself, or an abnormality in the test reagent.

2. Only abnormal specimens are discovered, and all subsequent processing must be done at the discretion of the laboratory technician.

As mentioned above, conventional methods only detect retested specimens;
There were problems with the acceptance of retest samples, the checking of retest samples, the transcription of retest results to pre-retest samples, and the management of automatic analyzers.

[Purpose of the invention]

The purpose of the present invention is to solve the problems of the conventional method, to discover abnormal samples within analysis work time by managing automatic analyzers using quality control samples and checking various data,
The object of the present invention is to provide a reexamination processing method for performing reexamination work quickly.

[Summary of the invention]

The present invention enables early detection of abnormal samples and automatic acceptance of retest samples through automatic analyzer management and various data checks using general samples, and realizes confirmation of retest results using a retest sample checklist.

In addition, when transferring retest results to specimens before retesting, a screen is provided that enables efficient transfer, thereby realizing a comprehensive retesting process.

[Embodiments of the invention]

Hereinafter, one embodiment of the present invention will be described in detail with reference to the drawings.

FIG. 1 shows the measurement order of various specimens measured by an automatic analyzer, various data checklists in a clinical testing system, and a retest processing method for general specimens.

1 is a standard sample for analysis start management;
The work start status of the automatic analyzer is checked using the standard sample checklist in step 1, and daily variation data necessary for making a decision to start measuring general samples is provided to the laboratory technician. 2 is several types of quality control samples with different concentrations, which are measured at arbitrary intervals. Reference numeral 12 denotes a quality control checklist, in which if an abnormality is determined during the time-dependent reproducibility check of the automatic analyzer, the clinical testing system notifies the laboratory technician by an alarm or the like. In addition, the 12 quality control checklists not only notify abnormalities, but also compare them with past data, determine whether the abnormality is systematic or accidental, output it, and leave it to the laboratory technician to continue or interrupt the measurement. Various data checklists are output in the order of 1ill regular samples at the time of second quality control sample intake. This makes it possible to compare and confirm quality control data with data from other samples in chronological order. 3 is a general specimen. 1
The general sample checklist No. 3 simultaneously performs an inter-item correlation check for items that have a correlation, a previous value correlation check for items that have a correlation with fluctuations, and a limit value check. Various data check formulas for these data checks are registered in 33 re-inspection data check formula files. Here, for items that use check formulas with established retest conditions, at the same time as output to various data checklists, they are output to 32 retest sample results files.
Registration is done automatically in real time. Furthermore, for items for which check formulas have not been established, the determination results are output to the 13 general sample confirmation lists. The laboratory technician can refer to these data checklists and efficiently accept retest specimens through the 22 retest specimen acceptance screens. Here, the 33 re-examination data check formulas can be added or changed one by one depending on the experience and track record of the laboratory technician. 4 is an emergency sample, and inter-item correlation checks and limit value checks are performed using the 14 emergency sample confirmation list. 5 is a retest specimen.

The 15 retest sample confirmation list uses the measured value before the retest as the previous value and performs the same check as for general samples, and the laboratory technician compares the measured value before the retest with the measured value after the retest with a - eye.・It is now possible to confirm.

As described above, by receiving retest samples quickly and efficiently, laboratory technicians can perform retest work in a stable state without stopping the automatic analyzer.

Next, 23 is a retest sample matching processing screen, which is characterized by displaying the measured value before the retest and the measured value from the retest on the same screen, and the measurement value from the retest is used at the discretion of the laboratory technician. 624 is the retest sample transcription command screen, which differs from the retest sample matching processing screen in 23, where you enter the range of sample numbers. , to be transferred all at once to the general sample results file in 3.1. Here, when retesting a specimen whose measurement value exceeds the measurement limit value by the automatic analyzer, the test reagent is usually diluted and retested. When reexamination is performed, by registering the dilution factor in advance in the clinical testing system, the reexamination measurement value is diluted and stored.

〔Effect of the invention〕

As described above, according to the present invention, a retest specimen can be quickly discovered and a retest specimen can be received efficiently.

Re-examination can be performed while the automatic analyzer is in a stable state without stopping the automatic analyzer.

In addition, the retest sample checklist allows comparison and confirmation of measured values before and after the retest.

When using measured values from reexamination, the reexamination sample matching screen and reexamination sample transfer command screen allow for efficient replacement of the measurement values.

The above is effective in speeding up re-inspection work.

[Brief explanation of drawings]

FIG. 1 is a diagram showing the measurement order of various specimens, various checklists suitable for the specimens, and the flow of retesting processing for general specimens. 1...Standard sample, 2...Quality control sample, 3
... General sample, 4... Emergency sample, 5... Retest sample, 11... Standard sample checklist, 12.
...Quality control sample checklist, 13...-General sample checklist, 14...Emergency sample checklist,
15... Re-test sample checklist, 21... Real-time data check processing, 22... Re-test sample reception screen. 23...Retest sample matching screen, 24...Retest sample transcription command screen, 31...General sample results file, Figure 1

Claims (1)

[Scope of Claims] 1. In a clinical testing system, various data checks and quality control according to the measurement specimen using measured values from an automatic analyzer are performed in the order of measurement and in real time within the clinical testing system, and A retest processing method in a clinical testing system, which is characterized by making it possible to discover retest specimens and automatically accept retests. 2. In claim 1, a laboratory technician sequentially registers and registers check formulas for performing the various data checks.
A retest processing method in a clinical test system that is characterized by being changeable. 3. In claim 1, if a check formula for performing the data check has not been established, the data necessary for the laboratory technician's judgment can be submitted in real time using various data checklists, and the data can be quickly A reexamination processing method in a clinical testing system characterized by enabling reexamination work. 4. A reexamination processing method in a clinical testing system according to claim 1, characterized in that it is possible to perform real-time data checking of reexamination specimens by using the measured value before the reexamination as the previous value. 5. A reexamination processing method in a clinical examination system according to claim 1, characterized in that the measured value before the reexamination and the measured value at the time of the reexamination are output on the same screen so that transcription can be easily performed. 6. A retest processing method in a clinical test system according to claim 1, characterized in that for items measured by diluting a test reagent with an automatic analyzer, the measured value is multiplied by the dilution and stored.