Department of Medical Biochemistry, University of Health Sciences, Istanbul Training and Research Hospital, Istanbul, Turkey.
Department of Medical Biochemistry, Erzurum Maresal Fevzi Cakmak State Hospital, Erzurum, Turkey.
Clin Chem Lab Med. 2020 Oct 20;59(5):837-843. doi: 10.1515/cclm-2020-1426. Print 2021 Apr 27.
The utilization of reliable quality indicators (QIs) proven to be suitable for monitoring and improvement tools is one of the best choices to minimize of the risk of errors in all laboratory processes called as total testing process (TTP). In 2008, a Working Group "Laboratory Errors and Patient Safety" (WG-LEPS) established by International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) developed the Model of Quality Indicators (MQI) complying with requirements of the ISO 15189:2012 standard for laboratory accreditation. They have also been dealing with harmonizing the QIs in most laboratories worldwide since then. The present study was set out to investigate the frequency of using IFCC WG-LEPS' pre-QIs by Turkish laboratories and to assess the conformity of them, by taking into account Turkey's conditions.
A survey consisting nine questions was applied in 81 laboratories using SurveyMonkey.
According to the survey results, most of the laboratories reported they have used pre-QIs in the quality standards of health prepared by Turkish Ministry of Health (MOH). A part of IFCC WG-LEPS' pre-QIs were being utilized by more than 80% of the laboratories, the rest of which only used by 10% of laboratories.
The majority of the medical laboratories have been using the pre-QIs included in the guidelines of Quality Standards prepared by the MOH. The pre-QIs are partially compatible with IFCC WG-LEPS' pre-QIs. The definitions of IFCC WG-LEPS' pre-QIs may also be revised to make them more clear and understandable by IFCC WG-LEPS. The insufficiency of Health Information Management Systems (HIMS) limits the use of pre-QIs proposed by IFCC WG-LEPS. Finally, the education of relevant personnel about the use of HIMS and pre-QIs is very crucial to harmonize and to extend the use of IFCC WG-LEPS' pre-QIs in Turkish medical biochemistry laboratories.
利用经过验证适用于监测和改进工具的可靠质量指标 (QI) 是将所有称为总测试过程 (TTP) 的实验室过程中的错误风险降至最低的最佳选择之一。2008 年，国际临床化学和实验室医学联合会 (IFCC) 成立的一个名为“实验室错误和患者安全”(WG-LEPS) 的工作组制定了符合 ISO 15189:2012 实验室认证标准要求的质量指标模型 (MQI)。从那时起，他们还一直在协调全球大多数实验室的 QI。本研究旨在调查土耳其实验室使用 IFCC WG-LEPS 预 QI 的频率，并考虑到土耳其的情况，评估它们的一致性。
使用 SurveyMonkey 在 81 个实验室中进行了一项包含九个问题的调查。
根据调查结果，大多数实验室报告称，他们在土耳其卫生部 (MOH) 制定的卫生质量标准中使用了预 QI。IFCC WG-LEPS 的一部分预 QI 被超过 80%的实验室使用，其余的仅被 10%的实验室使用。
大多数医学实验室一直在使用 MOH 质量标准指南中包含的预 QI。预 QI 与 IFCC WG-LEPS 的预 QI 部分兼容。IFCC WG-LEPS 预 QI 的定义也可能会进行修订，以便 IFCC WG-LEPS 更清楚、更易于理解。健康信息管理系统 (HIMS) 的不足限制了 IFCC WG-LEPS 提出的预 QI 的使用。最后，对相关人员进行关于 HIMS 和预 QI 使用的教育对于协调和扩大 IFCC WG-LEPS 在土耳其医学生物化学实验室中的预 QI 的使用至关重要。
