Chaudhry Ahmed Shabbir, Inata Yu, Nakagami-Yamaguchi Etsuko
Department of Medical Quality and Safety Science, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Department of Intensive Care Medicine, Osaka Women's and Children's Hospital, 840 Murodo-cho, Izumi, Osaka 594-1101, Japan.
J Clin Biochem Nutr. 2023 Sep;73(2):108-115. doi: 10.3164/jcbn.23-22. Epub 2023 Jul 7.
Quality improvement in clinical laboratories is crucial to ensure accurate and reliable test results. With increasing awareness of the potential adverse effects of errors in laboratory practice on patient outcomes, the need for continual improvement of laboratory services cannot be overemphasized. A literature search was conducted on PubMed and a web of science core collection between October and February 2021 to evaluate the scientific literature quality of clinical laboratory quality improvement; only peer-reviewed articles written in English that met quality improvement criteria were included. A structured template was used to extract data, and the papers were rated on a scale of 0-16 using the Quality Improvement Minimum Quality Criteria Set (QI-MQCS). Out of 776 studies, 726 were evaluated for clinical laboratory literature quality analysis. Studies were analyzed according to the quality improvement and control methods and interventions, such as training, education, task force, and observation. Results showed that the average score of QI-MQCS for quality improvement papers from 1981-2000 was 2.5, while from 2001-2020, it was 6.8, indicating continuous high-quality improvement in the clinical laboratory sector. However, there is still room to establish a proper system to judge the quality of clinical laboratory literature and improve accreditation programs within the sector.
临床实验室的质量改进对于确保准确可靠的检测结果至关重要。随着人们越来越意识到实验室操作中的错误对患者预后可能产生的不良影响，持续改进实验室服务的必要性再怎么强调也不为过。2021年10月至2月期间，在PubMed和科学网核心合集上进行了文献检索，以评估临床实验室质量改进的科学文献质量；仅纳入符合质量改进标准的英文同行评审文章。使用结构化模板提取数据，并使用质量改进最低质量标准集（QI-MQCS）对论文进行0至16分的评分。在776项研究中，726项被评估用于临床实验室文献质量分析。根据质量改进和控制方法及干预措施（如培训、教育、特别工作组和观察）对研究进行分析。结果显示，1981年至2000年质量改进论文的QI-MQCS平均得分为2.5，而2001年至2020年为6.8，表明临床实验室领域的质量持续高质量改进。然而，仍有空间建立一个合适的系统来评判临床实验室文献的质量，并改进该领域的认证计划。
