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[检验医学误差来源SFBC工作组:目标与主要工作领域]

[SFBC Working Group on sources of errors in laboratory medicine: objectives and key areas of work].

作者信息

Zendjabil Mustapha, Assami Hichem, Bourbonneux Valéry, Brunel Valéry, Capaldo Clément, Collet Nicolas, Guergour Dorra, Grzych Guillaume, Masri Wafa, Outreville Jonathan, Raverot Véronique, Rousseau Nathalie, Lefèvre Charles R

机构信息

Groupe de Travail « Sources d'Erreurs en Biologie Clinique », Société Française de Biologie Clinique, France, Faculté de Médecine, Université Oran 1 Ahmed Ben Bella & Service de Biochimie, CHU d'Oran, Algérie.

Groupe de Travail « Sources d'Erreurs en Biologie Clinique », Société Française de Biologie Clinique, France, Laboratoire de Biochimie - Toxicologie, Hôpital du Kremlin-Bicêtre, APHP, France.

出版信息

Ann Biol Clin (Paris). 2024 Sep 19;82(4):446-450. doi: 10.1684/abc.2024.1911.

Abstract

Laboratory medicine plays a crucial role in patient care, contributing to approximately 70 % of clinical decisions. In collaboration with clinicians, laboratory medicine specialists perform analyses that are useful for diagnosis, screening and prevention. Laboratories are known for their efficiency, which is reached through a rigorous quality system. However, errors can occur, especially given the complexity of the total testing process. These errors may lead to severe consequences, such as incorrect diagnoses or delays in treatment. Errors can occur at every stage of the total testing process, those related to the pre-analytical phase being the most prevalent. To reduce medical errors related to laboratory processes, it is essential to provide training for medical and paramedical staff, optimize production automation, and leverage technological advancements. These considerations have led to the creation of a French Working Group on Sources of Errors in Laboratory Medicine, under the aegis of the French lean society of clinical chemistry and laboratory medicine (Société Française de Biologie Clinique - SFBC). The objectives of this working group are to produce an educational handbook on sources of errors in laboratory medicine, provide training for clinical chemists, and conducting applied research projects to better understand the mechanisms behind specific errors. Ultimately, the aim is to minimize errors and enhance the quality of laboratory tests.

摘要

检验医学在患者护理中发挥着至关重要的作用,约70%的临床决策都离不开它。检验医学专家与临床医生合作,开展有助于诊断、筛查和预防的分析工作。实验室以其高效而闻名,这得益于严格的质量体系。然而,错误仍有可能发生,尤其是考虑到整个检测过程的复杂性。这些错误可能会导致严重后果,如错误诊断或治疗延误。在整个检测过程的每个阶段都可能出现错误,其中与分析前阶段相关的错误最为普遍。为减少与检验流程相关的医疗错误,为医护人员和辅助医护人员提供培训、优化生产自动化并利用技术进步至关重要。这些考虑促成了在法国临床化学和检验医学精益协会(Société Française de Biologie Clinique - SFBC)的支持下成立了法国检验医学错误来源工作组。该工作组的目标是编写一本关于检验医学错误来源的教育手册,为临床化学家提供培训,并开展应用研究项目,以更好地理解特定错误背后的机制。最终目的是尽量减少错误,提高检验质量。

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