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泰国健康实验室血液涂片检查质量评估项目

Quality assessment program for blood smear examination of health laboratories in Thailand.

作者信息

Chamroon Sunan

机构信息

Department of Medical Sciences, Ministry of Public Health, Nonthaburi, Thailand.

出版信息

J Med Assoc Thai. 2008 Jun;91(6):919-23.

Abstract

OBJECTIVE

Evaluate laboratory performance on blood smear examination among public and private health laboratories.

MATERIAL AND METHOD

External Quality Assessment Scheme (EQAS) for blood smear examination was organized by the Department of Medical Sciences. The scheme was run in 2005 by sending out six blood smears with normal and various abnormal types of blood cells. Participants were from 731 public and 181 private hospitals with hematology laboratories throughout Thailand

RESULTS

Analysis showed good performance on identification and differentiation of leukemic blast cells and atypical lymphocytes. In addition, good performance was found in platelets reports. However, unsatisfactory performance was found on identification of red blood cells morphology.

CONCLUSION

The present study suggested that the error reported of red blood cell morphology should be further investigated and the problems for improving laboratories performance solved.

摘要

目的

评估公立和私立卫生实验室在血液涂片检查方面的实验室表现。

材料与方法

医学科学部组织了血液涂片检查的外部质量评估计划(EQAS)。该计划于2005年实施,发送了六张含有正常及各种异常血细胞类型的血液涂片。参与者来自泰国各地731家设有血液学实验室的公立医院和181家私立医院。

结果

分析表明,在白血病原始细胞和非典型淋巴细胞的识别与鉴别方面表现良好。此外,血小板报告方面也表现良好。然而,在红细胞形态识别方面表现不尽人意。

结论

本研究表明,应进一步调查所报告的红细胞形态误差,并解决提高实验室表现的问题。

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