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发表于 2025-8-27 13:27:21
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第三步:根本原因分析(Root Cause Analysis, RCA) 使用系统性方法追溯污染来源。常见污染源包括: 污染来源调查要点
1. 采样过程污染- 采样工具/容器是否清洁、无菌?<br>- 采样人员是否佩戴手套并规范操作?<br>- 采样环境是否受控(如洁净室、现场环境)?<br>- 不同样品间是否发生交叉污染(如使用同一工具)?
2. 运输与储存污染- 运输条件是否符合要求(温度、避光)?<br>- 样品容器是否密封良好?<br>- 储存环境是否清洁?是否存在挥发性污染物?<br>- 是否与其他样品或化学品混放?
3. 实验室处理污染- 实验台面、移液器、离心机等设备是否清洁?<br>- 试剂、溶剂、水是否纯净且未过期?<br>- 耗材(枪头、离心管)是否为无DNA酶/RNA酶、无热原?<br>- 操作人员是否遵守无菌/无污染操作规范?
4. 分析仪器污染- 进样口、色谱柱、管路、检测器是否残留前一样品?<br>- 是否执行了足够的空白运行或清洗程序?<br>- 仪器维护记录是否完整?
5. 环境污染- 实验室空气洁净度(颗粒物、微生物)是否达标?<br>- 是否存在气溶胶污染(如超声、离心)?<br>- 实验室是否存在高浓度目标物(如PCR实验室的扩增产物)?
6. 人为因素- 操作人员培训是否到位?<br>- 是否存在操作失误或违反SOP?分析工具: - 5Why分析法:连续追问“为什么”,直至找到根本原因。
- 鱼骨图(因果图):从人、机、料、法、环、测六个方面系统分析。
- 流程图分析:绘制样品从采集到分析的全流程,识别潜在污染点。
Step 3: Root Cause Analysis (RCA)
Use systematic methods to trace the source of pollution. Common sources of pollution include:
Key points of pollution source investigation
1. Pollution during the sampling process - Are the sampling tools/containers clean and sterile? <br>-Do the sampling personnel wear gloves and operate in a standardized manner? <br>-Is the sampling environment controlled (such as clean rooms, on-site environment)? <br>-Is there cross contamination between different products (such as using the same tool)?
2. Transportation and storage pollution - Do the transportation conditions meet the requirements (temperature, light avoidance)? <br>-Is the sample container well sealed? <br>-Is the storage environment clean? Are there any volatile pollutants present? <br>-Is it mixed with other samples or chemicals?
3. Laboratory pollution treatment - Are laboratory tables, pipettes, centrifuges, and other equipment clean? <br>-Are the reagents, solvents, and water pure and not expired? <br>-Are the consumables (gun head, centrifuge tube) DNase/RNAase free and pyrogen free? <br>-Do operators comply with sterile/non contaminated operating procedures?
4. Are there any residual samples from the previous sample in the injection port, chromatographic column, tubing, and detector due to contamination of the analytical instrument? <br>-Have sufficient blank runs or cleaning programs been executed? <br>-Is the instrument maintenance record complete?
5. Environmental pollution - Does the laboratory air cleanliness (particulate matter, microorganisms) meet the standard? <br>-Is there aerosol pollution (such as ultrasound, centrifugation) present? <br>-Is there a high concentration target substance in the laboratory (such as amplification products from PCR laboratories)?
6. Human factors - Is operator training in place? <br>-Is there any operational error or violation of SOP?
Analysis tools:
5Why analysis method: Continuously ask "why" until the root cause is found.
Fishbone diagram (causal diagram): a systematic analysis from six aspects: human, machine, material, method, environment, and measurement.
Process diagram analysis: Draw the entire process of sample collection and analysis, identify potential pollution points.
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