Dorsey D B
Arch Pathol Lab Med. 1989 Dec;113(12):1329-34.
Early concepts of quality in clinical laboratory services stressed accuracy and precision. In the 1960s voluntary and mandated programs for laboratory accreditation followed. The increasing complexity of laboratory standard setting led to the promulgation of voluntary consensus standards in the 1970s. This was followed by a national reference system to minimize bias among clinical laboratories. The concept of total quality control emphasized that quality assurance must be a way of life for laboratorians, and concerns about growing laboratory volume led to the idea that managing laboratory utilization is also a component of quality assurance. Recent conferences have expanded the concept of laboratory quality to encompass everyone who participates, even remotely, in the provision of services. Now quality is evaluated by how well the patient is served.
临床检验服务中早期的质量概念强调准确性和精密度。20世纪60年代，出现了实验室认可的自愿性和强制性项目。实验室标准制定的日益复杂导致20世纪70年代发布了自愿性共识标准。随后建立了国家参考系统，以尽量减少临床实验室之间的偏差。全面质量控制的概念强调质量保证必须成为检验人员的一种生活方式，对实验室工作量不断增加的担忧导致了这样一种观点，即管理实验室的利用率也是质量保证的一个组成部分。最近的会议扩大了实验室质量的概念，将每个参与服务提供的人，即使是远程参与的人，都纳入其中。现在，质量是通过对患者服务的好坏来评估的。
