Clinical Biochemistry, Leeds General Infirmary, Leeds LS1 3EX, UK.
Ann Clin Biochem. 2012 Jan;49(Pt 1):9-16. doi: 10.1258/acb.2011.011126. Epub 2011 Oct 31.
Clinical laboratories have an important role in improving patient care. The past decades have seen enormous changes with unpredictable improvements in analytical performance, range of tests and capacity to manage large volumes of work. At the same time, there has been a dramatic fall in the rate of laboratory errors. However, there is now a growing awareness that the testing process includes the time before samples reach the laboratory and after reports have been printed and that these areas need to be included in the quality assessment of the total testing process. Laboratory quality should include a focus on patient safety and clinical effectiveness. Services should be patient-centred, timely, efficient and equitable, and finally, should be moulded to ensure optimal outcomes. There is a need to define quality indicators that will ensure there is appropriate choice and selection of tests, use of the appropriate assay standardization and the correct interpretation of the assay results at the appropriate time. These are the areas in which a quality laboratory can, and should, now involve itself.
临床实验室在改善患者护理方面发挥着重要作用。在过去的几十年中，分析性能、检测范围和处理大量工作的能力都取得了巨大的进步，而且这些进步是不可预测的。与此同时，实验室错误率也大幅下降。然而，人们现在越来越意识到，检测过程包括样本到达实验室之前以及报告打印之后的时间，并且这些领域需要包含在对整个检测过程的质量评估中。实验室质量应侧重于患者安全和临床效果。服务应该以患者为中心，及时、高效、公平，最后，还应进行优化以确保获得最佳结果。现在需要定义质量指标，以确保适当选择和选择检测项目、使用适当的检测标准化以及在适当的时间正确解释检测结果。这是质量实验室现在可以并且应该参与的领域。
