Cada R L, West D K
Health Lab Sci. 1978 Apr;15(2):112-20.
This survey examined quality assurance practice in matched pairs of rural and urban hospital clinical laboratories. Questions directed at personnel qualifications, laboratory management, internal quality control mechanisms, and proficiency testing enrollment revealed no major differences between the rural-urban pairs. Deficiencies observed were either generic or size-related. Most laboratories were directed by physicians; however, almost half spent 5 or less hours per week in the laboratory. All respondents employed at least one individual professionally certified at the "technologist" level. Virtually all respondents insisted they employ a laboratory management system for ensuring quality performance, although 20% did not document their practice. Internal quality control practice varied widely. Many respondents recognized shortcomings related to volume and budget, and requested specific training courses for technical personnel. At least 20% of the laboratories were not enrolled in any recognized proficiency testing program, an integral part of the total quality assurance process.
这项调查研究了城乡医院临床实验室配对组合中的质量保证实践情况。针对人员资质、实验室管理、内部质量控制机制以及能力验证参与情况所提出的问题显示，城乡配对组合之间没有重大差异。所观察到的不足之处要么是一般性的，要么与规模相关。大多数实验室由医生管理；然而，几乎一半的实验室每周在实验室花费的时间为5小时或更少。所有受访者都至少聘用了一名具有“技术专家”级专业认证的人员。几乎所有受访者都坚称他们采用了实验室管理系统来确保质量表现，尽管20%的受访者没有记录他们的做法。内部质量控制实践差异很大。许多受访者认识到与工作量和预算相关的缺点，并要求为技术人员提供特定的培训课程。至少20%的实验室未参加任何认可的能力验证计划，而能力验证计划是全面质量保证过程不可或缺的一部分。
