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微生物学服务的质量认知:传染病专家的一项调查

Quality perceptions of microbiology services. A survey of infectious diseases specialists.

作者信息

Peddecord K M, Baron E J, Francis D, Drew J A

机构信息

Graduate School of Public Health, San Diego State University, CA 92182-4162, USA.

出版信息

Am J Clin Pathol. 1996 Jan;105(1):58-64. doi: 10.1093/ajcp/105.1.58.

DOI:10.1093/ajcp/105.1.58
PMID:8561089
Abstract

Opinions about the quality of their primary microbiology laboratory were received from more than 500 practicing infectious diseases specialists by a nationally distributed questionnaire. Approximately 92% of the respondents' primary laboratories were hospital-based. These sophisticated users rated the quality of their microbiology laboratories to be generally high, with bacteriology receiving highest scores and parasitology the lowest scores. Fortunately, the serious problems, such as failing to call a critical result and culture mishandled in the laboratory, were experienced rarely. Laboratories directed by pathologists with specialty microbiology training, PHD microbiologists, and infectious diseases specialists were judged to be of highest quality. American Board of Medical Microbiology certification of the laboratory director was related to higher overall quality perceptions. Whereas physician-customer opinions may not directly measure a laboratory's analytic quality, they are an important performance measure on which laboratories can base quality improvement activities in both service and analytical aspects of performance.

摘要

通过一份全国范围内分发的调查问卷,收集了500多名执业传染病专家对其主要微生物学实验室质量的看法。大约92%的受访者的主要实验室设在医院。这些经验丰富的用户认为他们的微生物学实验室质量总体较高,其中细菌学得分最高,寄生虫学得分最低。幸运的是,诸如未报告危急结果和实验室培养操作不当等严重问题很少出现。由接受过专业微生物学培训的病理学家、微生物学博士和传染病专家指导的实验室被认为质量最高。实验室主任获得美国医学微生物学委员会认证与更高的总体质量认知相关。虽然医生客户的意见可能无法直接衡量实验室的分析质量,但它们是一项重要的绩效指标,实验室可以据此在服务和分析绩效方面开展质量改进活动。

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