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非洲实验室中的静脉穿刺术与质量

Phlebotomy and quality in the African laboratory.

作者信息

Mbah Henry A

机构信息

Senior Technical Advisor Lab, FHI-360, Nigeria.

出版信息

Afr J Lab Med. 2014 Aug 18;3(1):132. doi: 10.4102/ajlm.v3i1.132. eCollection 2014.

DOI:10.4102/ajlm.v3i1.132
PMID:29043181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5637764/
Abstract

Phlebotomy, the act of drawing blood through venepuncture, is one of the most common medical procedures in healthcare, as well as being a basis for diagnosis and treatment. A review of the available research has highlighted the dearth of information on the phlebotomy practice in Africa. Several studies elsewhere have shown that the pre-analytical phase (patient preparation, specimen collection and identification, transportation, preparation for analysis and storage) is the most error-prone process in laboratory medicine. The validity of any laboratory test result hinges on specimen quality; thus, as the push for laboratory quality improvement in Africa gathers momentum, the practice of phlebotomy should be subjected to critical appraisal. This article offers several suggestions for the improvement of phlebotomy in Africa.

摘要

静脉穿刺采血,即通过静脉穿刺抽取血液的操作,是医疗保健中最常见的医疗程序之一,也是诊断和治疗的基础。对现有研究的回顾凸显了非洲静脉穿刺采血实践方面信息的匮乏。其他地方的多项研究表明,分析前阶段(患者准备、标本采集与识别、运输、分析前准备和储存)是检验医学中最容易出错的环节。任何实验室检测结果的有效性都取决于标本质量;因此,随着非洲提高实验室质量的努力势头渐强,静脉穿刺采血实践应受到严格评估。本文为改善非洲的静脉穿刺采血提出了若干建议。

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本文引用的文献

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Audit of clinical-laboratory practices in haematology and blood transfusion at Muhimbili National Hospital in Tanzania.坦桑尼亚穆希姆比利国家医院血液学和输血临床实验室操作审计
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Critical review of the Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA): suggestions for harmonization, implementation and improvement.逐步实验室改进流程以达到认证的关键评估(SLIPTA):协调、实施和改进的建议。
Trop Med Int Health. 2012 Mar;17(3):361-7. doi: 10.1111/j.1365-3156.2011.02917.x. Epub 2011 Nov 18.
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Preanalytical quality improvement: from dream to reality.分析前质量改进:从梦想变为现实。
Clin Chem Lab Med. 2011 Jul;49(7):1113-26. doi: 10.1515/CCLM.2011.600. Epub 2011 Apr 25.
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Improving quality management systems of laboratories in developing countries: an innovative training approach to accelerate laboratory accreditation.改进发展中国家实验室质量管理体系:一种创新的培训方法,以加速实验室认可。
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The World Health Organization African region laboratory accreditation process: improving the quality of laboratory systems in the African region.世界卫生组织非洲区域实验室认证程序:提高非洲区域实验室系统的质量。
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