Plebani Mario, Laura Sciacovelli
Department of Laboratory Medicine, University-Hospital , Padova, Italy.
EJIFCC. 2011 Mar 14;22(1):1-5. eCollection 2011 Mar.
Patient safety is the foundation of good care. In the last decades, a body of evidence has been accumulated to demonstrate that pre- and post-analytical phase are more vulnerable to errors in laboratory medicine than the analytical phase. Aims of the project of the IFCC Working Group on "Laboratory Errors and Patient Safety" (WG-LEPS) are: a) to develop a series of Quality Indicators (QIs), specifically designed for clinical laboratories, b) to create a common reporting system for clinical laboratories based on standardized data collection, and c) to define state-of the-art and Quality Specifications (QSs) for each QI Preliminary results demonstrate that a Model of Quality Indicators can serve as a tool to monitor and control the pre-, intra- and post-analytical activities. However, only after enrolling a more consistent number of clinical laboratories, it should be possible to assure consistency to the data collected and reliability to the QIs identified and to related QSs.
患者安全是优质医疗的基础。在过去几十年里，大量证据已积累起来，表明在检验医学中，分析前和分析后阶段比分析阶段更容易出现错误。国际临床化学和检验医学联合会（IFCC）“检验误差与患者安全”工作组（WG-LEPS）项目的目标是：a）制定一系列专门为临床实验室设计的质量指标（QIs），b）基于标准化数据收集为临床实验室创建一个通用报告系统，c）为每个质量指标定义最新技术水平和质量规范（QSs）。初步结果表明，质量指标模型可作为监测和控制分析前、分析中和分析后活动的工具。然而，只有在纳入数量更多且更具一致性的临床实验室之后，才有可能确保所收集数据的一致性以及所确定的质量指标及其相关质量规范的可靠性。
