Kaminsky F C, Burke R J, Haberle K R, Mullins D L
Productivity Sciences, Inc., Greenfield, Massachusetts 01301.
Acta Cytol. 1995 Mar-Apr;39(2):222-31.
As a consequence of widespread dissatisfaction with the high incidence of false negatives in cytologic smear screening, the Clinical Laboratory Improvement Amendments of 1988 were enacted by Congress with specific requirements for quality assurance in the screening of cytologic smears for cervical cancer. This paper examines the process of cervical cytologic screening from a total quality management perspective and suggests the use of several statistical techniques from industrial total quality management for describing and monitoring the process of cytologic smear screening. Several examples are included, and a general approach to implementing these techniques is suggested.
由于对细胞学涂片筛查中高假阴性率普遍不满，1988年美国国会颁布了《临床实验室改进修正案》，对宫颈癌细胞学涂片筛查的质量保证提出了具体要求。本文从全面质量管理的角度审视了宫颈细胞学筛查过程，并建议使用工业全面质量管理中的几种统计技术来描述和监测细胞学涂片筛查过程。文中包含了几个例子，并提出了实施这些技术的一般方法。
