Carney C N
Acta Cytol. 1984 Sep-Oct;28(5):535-40.
Because of its very nature, cytopathology has not lent itself well to quality control. At the University of North Carolina, we practice an internal quality control system based on peer review, interprofessional dialogue and utilization of follow-up information. Recently reported cytology specimens are rescreened and correlated with related surgical specimens. This review is summarized in a weekly conference, at which retrospective accuracy judgments are made for each case under the supervision of the medical director and head cytotechnologist. Diagnostic accuracy is thus monitored. Accuracy is also improved since education is simultaneously monitored. A practical proficiency-testing program built into this system is described.
由于细胞病理学自身的性质，它一直不太适合进行质量控制。在北卡罗来纳大学，我们实行一种基于同行评审、跨专业对话以及利用后续信息的内部质量控制体系。最近报告的细胞学标本会被重新筛查，并与相关手术标本进行关联。这一审查会在每周的会议上进行总结，在医学主任和首席细胞技术专家的监督下，对每个病例做出回顾性的准确性判断。由此监测诊断准确性。由于同时也在监测教育情况，准确性也得到了提高。本文描述了该体系中纳入的一个实用的能力测试项目。
