Miller L J, Clark G B
University of Iowa Hospitals and Clinics, Iowa City.
Clin Lab Manage Rev. 1994 Nov-Dec;8(6):574-6, 578-86, 588-92.
A nationwide advocacy for improving health-care quality--including the dimensions of efficiency, productivity, and customer satisfaction--is rapidly growing. This initiative is evolving in an environment of total quality management (TQM) and continuous quality improvement (CQI). Quality assessment and improvement (QI) is a quality management program through which laboratories ensure the quality of their health-care services by continually monitoring, evaluating, and resolving opportunities for improvement. Using a systematic, FOCUS-PDCA approach, the Mohs histology laboratory implemented improvement of the quality management of frozen-section slide production and turnaround time (TAT). The Mohs laboratory achieved improved technical process performance, faster TAT time, more efficacious patient care support, and increased customer satisfaction. Using a comprehensive quality assessment and improvement process can overwhelm quality management assets if it is not approached in a systematic, prioritized manner. However, when judiciously used, the process can become a key instrument for ensuring and improving high-quality laboratory services in an efficient manner.
一项旨在提高医疗质量（包括效率、生产力和客户满意度等方面）的全国性倡导活动正在迅速发展。这项倡议是在全面质量管理（TQM）和持续质量改进（CQI）的环境中不断演变的。质量评估与改进（QI）是一项质量管理计划，实验室通过持续监测、评估和解决改进机会来确保其医疗服务的质量。莫氏组织病理学实验室采用系统的FOCUS-PDCA方法，对冰冻切片玻片制作和周转时间（TAT）的质量管理进行了改进。莫氏实验室实现了技术流程性能的提升、更快的TAT时间、更有效的患者护理支持以及更高的客户满意度。如果不以系统、有优先级的方式进行，使用全面的质量评估与改进流程可能会使质量管理资源不堪重负。然而，若明智地运用，该流程可成为高效确保和改进高质量实验室服务的关键工具。
