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[全科医疗中的实验室操作——就质量保证项目而言,我们处于什么状况?]

[Laboratory operations in general practice--where do we stand, concerning quality assurance projects?].

作者信息

Landaas S

机构信息

Klinisk kjemisk avdeling, Ullevål sykehus, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1996 Jan 10;116(1):63-6.

PMID:8553341
Abstract

In 1992 a project was started by the Norwegian Medical Association to secure the quality of laboratory work performed on physicians' own premises in Norway. The project is now well established in all 19 counties and more than 90% of the practices participate on a voluntary basis. In each county a central clinical chemistry laboratory with a specially engaged laboratory adviser is responsible for assisting the general practitioners and specialists with the laboratory work performed on their own premises. The assistance includes visits, telephone contacts and education courses. An external quality control scheme is carried out by a national centre, which distributes samples of unknown concentrations to all the participants. The whole project is coordinated by a steering committee, which arranges national meetings annually. Working groups have been appointed to elucidate more complicated and time-consuming subjects, such as guidelines for internal quality control, evaluation of equipment and education programmes. A set of written manuals for all kinds of working procedures has recently been prepared and adjusted individually to each physician's premises.

摘要

1992年,挪威医学协会启动了一个项目,以确保在挪威医生自己的诊所里进行的实验室工作的质量。该项目目前在所有19个郡都已稳固开展,超过90%的诊所自愿参与。在每个郡,一个设有专门聘请的实验室顾问的中央临床化学实验室负责协助全科医生和专科医生进行他们自己诊所里的实验室工作。协助工作包括实地走访、电话联络和教育课程。一个国家中心实施外部质量控制计划,该中心向所有参与者分发未知浓度的样本。整个项目由一个指导委员会协调,该委员会每年安排全国性会议。已任命了多个工作组来阐明更复杂和耗时的主题,如内部质量控制指南、设备评估和教育计划。最近编写了一套针对各种工作程序的书面手册,并根据每位医生的诊所情况进行了个别调整。

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BMJ. 1998 Feb 21;316(7131):621-4. doi: 10.1136/bmj.316.7131.621.