Galel S A, Richards C A
Stanford Health Services, Transfusion Service, CA, USA.
Am J Clin Pathol. 1997 Apr;107(4 Suppl 1):S43-9.
Laboratory quality can be defined as "doing the right thing right." The chance of doing the right thing right is greater if basic process control systems are implemented in laboratories. The elements of process control were reviewed, and practical suggestions for organizing procedures, training, determining competency, maintaining equipment, and implementing self-assessment and process improvement activities were offered. Although process control can improve the reliability of internal operations, the quality of patient care can be further improved by extending this level of control outward to include interaction with patients. Finally, to expand the concept of quality, quality activities must be extended toward a multidisciplinary model of coordinated care.
实验室质量可定义为“正确地做正确的事”。如果实验室实施基本的过程控制系统，正确地做正确的事的几率就会更大。本文回顾了过程控制的要素，并提供了关于组织程序、培训、确定能力、维护设备以及开展自我评估和过程改进活动的实用建议。虽然过程控制可以提高内部操作的可靠性，但通过将这种控制水平向外扩展以包括与患者的互动，可以进一步提高患者护理质量。最后，为了扩展质量概念，质量活动必须朝着多学科协调护理模式延伸。
