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外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2026, Vol. 15 ›› Issue (3): 280-285.doi: 10.3969/j.issn.2095-378X.2026.03.018

• 医疗器械园地 • 上一篇    下一篇

品管圈活动在缩短HCG检测周转时间中的应用

蔡梅华1, 刘媛2, 张鹏3   

  1. 1.上海市第一妇婴保健院,同济大学附属妇产科医院设备科,上海 201204;
    2.上海市第一妇婴保健院,同济大学附属妇产科医院检验科,上海 201204;
    3.上海交通大学附属儿童医学中心采购中心,上海 200127
  • 收稿日期:2026-03-31 出版日期:2026-09-28 发布日期:2026-09-30
  • 作者简介:蔡梅华（1984—）,女,硕士,工程师,从事医疗设备管理工作;电子信箱：meiy106@163.com

Application of quality control circle activities in shortening turn-around time of HCG test

CAI Meihua1, LIU Yuan2, ZHANG Peng3   

  1. 1. Medical Equipment Department, Shanghai First Maternity and Infant Hospital, Obstetrics and Gynecology Hospital of Tongji University, Shanghai 201204, China;
    2. Clinical Laboratory, Shanghai First Maternity and Infant Hospital, Obstetrics and Gynecology Hospital of Tongji University, Shanghai 201204, China;
    3. Procurement Center, Shanghai Children’s Medical Center, Shanghai Jiao Tong University, Shanghai 200127, China
  • Received:2026-03-31 Online:2026-09-28 Published:2026-09-30

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摘要： 目的 将品管圈引入医院检验工作,以缩短人绒毛膜促性腺激素（HCG）检测周转时间（TAT）,提升检验效率与患者就医体验。方法 采用品管圈管理工具,组建多学科团队,通过现状调查、目标设定、要因分析、对策实施及效果验证等标准化步骤,对HCG化学发光免疫分析仪检测流程进行系统性优化。结果 对策实施后HCG检测TAT从（262±89.6）min降至（130±4.0）min（P<0.05）,降幅达50.4%;早孕门诊TAT从354 min降至174 min,计划生育科从221 min降至133 min;试剂损耗率由8%降至7%。结论 通过前置稀释流程优化与软件自动化改造,显著缩短HCG检测TAT,实现质量改进与成本管控的双重效益,为检验流程优化提供可推广范式。

关键词: 人绒毛膜促性腺激素检测, 品管圈, 化学发光免疫分析仪, 检测周转时间, 成本管控

Abstract: Objective To shorten the turn-around time （TAT） of human chorionic gonadotropin （HCG） test and to improve laboratory efficiency and patient experience by integrating quality control circle activities in hospital laboratory settings. Methods The quality control circle management tool was adopted. A multidisciplinary team was established and a series of standardized steps including status survey, target setting, cause analysis, countermeasure implementation, and effect verification were implemented to systematically optimize the HCG testing workflow on chemistry-immunoassay system. Results After implementation, the average TAT of HCG test was reduced from（262±89.6） min to （130±4.0） min （P<0.05）, with a decrease of 50.4%. The TAT of early pregnancy outpatient visit decreased from 354 min to 174 min, and that of family planning department decreased from 221 min to 133 min. The reagent loss rate decreased from 8% to 7%. Conclusion Through pre-dilution workflow optimization and software automation, HCG test TAT is significantly shortened, accompanied by notable enhancements in both quality and cost control, providing a replicable paradigm for laboratory process optimization.

Key words: Human chorionic gonadotropin, Quality control circle, Chemistry-immunoassay system, Turn-around time of testing, Cost control

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