政府规定的细胞学能力测试：实用、公平且合理的标准。

Government-mandated cytology proficiency testing: practical, equitable, and defensible standards.

作者信息

DeBoy J M, Jarboe B R

机构信息

Division of Laboratory Licensure, Certification and Training, Maryland State Department of Health and Mental Hygiene, Baltimore 21201.

出版信息

QRB Qual Rev Bull. 1991 May;17(5):152-61. doi: 10.1016/s0097-5990(16)30446-8.

DOI:10.1016/s0097-5990(16)30446-8

PMID:2052350

Abstract

Maryland's Proficiency Testing (PT) Program in cytology has attempted to meet eight technical criteria by implementing PT standards that include rigorously criterion-referenced Papanicolaou smear-stained glass slides from actual patients; conducting PT in the laboratory; having PT conducted and monitored by a regulatory agency; testing cytotechnologist and pathologist in conjunction, yet employing separate grading systems based on a limited number of fully defined diagnostic categories; and using PT results to compel practitioners to obtain retraining. Maryland believes its PT program not only is effective, efficient, and legally defensible but also meets the intended purpose and goals of the Clinical Laboratories Improvement Amendments of 1988. This paper reviews the technical and administrative aspects of Maryland's state-mandated PT program and compares its standards and methods to those mandated by the federal Health Care Financing Administration.

摘要

马里兰州的细胞学能力验证（PT）计划试图通过实施PT标准来满足八项技术标准，这些标准包括：使用来自实际患者的、经过严格标准参照的巴氏涂片染色玻片；在实验室中进行PT；由监管机构进行并监督PT；同时对细胞技术人员和病理学家进行测试，但基于有限数量的完全定义的诊断类别采用单独的分级系统；以及利用PT结果促使从业者接受再培训。马里兰州认为其PT计划不仅有效、高效且具有法律依据，还符合1988年《临床实验室改进修正案》的预期目的和目标。本文回顾了马里兰州州政府规定的PT计划的技术和管理方面，并将其标准和方法与联邦医疗保健财务管理局规定的标准和方法进行比较。