Akyar Işin
Acibadem Labmed Klinik Laboratuvarlari, Istanbul.
Mikrobiyol Bul. 2009 Oct;43(4):683-97.
One important trend in the laboratory profession and quality management is the global convergence of laboratory operations. The goal of an accredited medical laboratory is to continue "offering useful laboratory service for diagnosis and treatment of the patients and also aid to the health of the nation". An accredited clinical laboratory is managed by a quality control system, it is competent technically and the laboratory service meets the needs of all its patients and physicians by taking the responsibility of all the medical tests and therapies. For this purpose, ISO 15189 international standard has been prepared by 2003. ISO 15189 standard is originated from the arrangement of ISO 17025 and ISO 9001:2000 standards. Many countries such as England, Germany, France, Canada and Australia have preferred ISO 15189 as their own laboratory accreditation programme, meeting all the requirements of their medical laboratories. The accreditation performance of a clinical microbiology laboratory is mainly based on five essential points; preanalytical, analytical, postanalytical, quality control programmes (internal, external, interlaboratory) and audits (internal, external). In this review article, general concepts on ISO 15189 accreditation standards for the clinical microbiology laboratories have been summarized and the status of a private laboratory (Acibadem LabMed, Istanbul) in Turkey has been discussed.
实验室行业和质量管理的一个重要趋势是实验室操作的全球趋同。经认可的医学实验室的目标是持续“为患者的诊断和治疗提供有用的实验室服务,并助力国家的健康”。经认可的临床实验室由质量控制系统管理,技术上具备能力,并且通过承担所有医学检验和治疗的责任,其实验室服务满足所有患者和医生的需求。为此,ISO 15189国际标准已于2003年制定。ISO 15189标准源自ISO 17025和ISO 9001:2000标准的安排。英国、德国、法国、加拿大和澳大利亚等许多国家已选择ISO 15189作为其自身的实验室认可计划,满足其医学实验室的所有要求。临床微生物学实验室的认可表现主要基于五个要点:分析前、分析中、分析后、质量控制程序(内部、外部、实验室间)和审核(内部、外部)。在这篇综述文章中,总结了临床微生物学实验室ISO 15189认可标准的一般概念,并讨论了土耳其一家私立实验室(伊斯坦布尔阿西巴德姆实验室医学中心)的情况。