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医院实验室中的差错管理——全面质量控制与清单

[Management of errors in hospital laboratories--Total Quality Control and lists].

作者信息

Sumi K, Matsuoka A

机构信息

Department of Clinical Pathology and Clinical Laboratories, Hyogo College of Medicine, Nishinomiya.

出版信息

Rinsho Byori. 1997 Oct;45(10):959-64.

PMID:9369073
Abstract

Errors in the daily routine work of a hospital laboratory vary. Therefore, measures to prevent errors must be devised. It is important to perform Total Quality Control (TQC) and to provide reliable diagnostic information and this does not stop at quality control of mere assay value, but extends to consideration of the correspondence to a patient. It is absolutely necessary to reduce errors in a laboratory and to perform TQC steadily. Therefore, the concept of TQC is divided roughly as follows 1) Safe management, 2) Technical management, 3) Information management, 4) Materials management. These categories are then subdivided even further. These categories relate to error management because it is considered that the manuals for technical and information management are important. It is necessary to create an error processing ledger to collect information for error management for TQC and for prevention of errors in investigating causes and to record all processes according to the contents of the error. Such records can be used to prevent recurrences. Thereby, not only prevention of errors but also improvements in the accuracy and reliability of information offered are thought to become possible.

摘要

医院实验室日常工作中的误差各不相同。因此,必须制定预防误差的措施。进行全面质量控制(TQC)并提供可靠的诊断信息非常重要,这不仅止于单纯检测值的质量控制,还延伸到考虑与患者的对应情况。在实验室减少误差并持续进行TQC绝对必要。因此,TQC的概念大致分为以下几类:1)安全管理,2)技术管理,3)信息管理,4)材料管理。这些类别还会进一步细分。这些类别与误差管理相关,因为技术和信息管理手册被认为很重要。有必要创建一个误差处理台账,为TQC的误差管理收集信息,以便在调查原因时预防误差,并根据误差内容记录所有过程。这样的记录可用于防止再次发生。从而,不仅可以预防误差,还认为有可能提高所提供信息的准确性和可靠性。

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