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1、浅议临床医学检验质量控制徐林明徐林明(苏州工业园区唯亭卫牛院江苏苏州215121)【摘要】通过提高临床医学检验质量控制(简称“质控”。)，可提高对患者病情诊断的准确性。从理论上来讲，医学检验质控有两个外延：一是室间质量控制和室内质量控制，二是检验精密度和准确度。通过提高检验结果准确度，能够减少患者的误诊率，因此，提高检验质量和精确度，是提高医务人员诊疗水平的关键。我国大中型医院的实验室，在质控方面，正朝向制度化、规范化、系统化发展，建立了明确而有序的初期质控、中期质控、晚期质控等质控措施。其中包括：加强与临床医护人员合作关系，规范化检验申请单、患者准备、标木的采集与标木
2、运送等操作程序以及各种影响标木采集、运送的因素和解决方法；定期检修仪器，严格试剂来源，提高检验人员的工作态度；加强检验后的审核及规范性报告等。经过广大医学检验工作者和管理者，以及医护人员的努力，临床医学检验质控己取得了相应的成绩，也愈来愈受到人们的关注。【关键词】医学检验质量控制【中图分类号】R446【文献标识码】A【文章编号】2095-1752(2014)10-0039-02AnAnalysisoftheQualityControlApplicationinClinicalMedicalExaminationsXULin-ming(WeiTinHospital,Suz
3、houIndustrialPark,Suzhou215122,China.)[Abstract】Byimprovingclinicaltestingqualitycontrol(referredtoasHqualitycontrol•”),Canimprovetheaccuracyofdiagnosisofthediseaseinpatients.Theoreticallyspeaking,therearetwoepitaxialMedicalLaboratoryqualitycontrol:Oneroombetweenqualitycontrolandinternal
4、qualitycontrol,andsecond,totesttheprecisionandaccuracy.Byincreasingtheaccuracyofthetestresults,itispossibletoreducetherateofmisdiagnosisofpatients’therefore’improvethequalityandaccuracyoftesting’diagnosisandtreatmentisthekeytoraisingthelevelofmedicalstaff.Ourmedium-sizedhospitallaborator
5、ies,qualitycontrol,apositivetowardstheinstitutionalization,standardization’systematicdevelopment,theestablishmentofaclearandorderlyinitialqualitycontrol,mediumqualitycontrol,qualitycontrolandotheradvaneedqualitycontrolmeasures.Theseinclude:strengtheningpartnershipswithclinicalstaff,stand
6、ardizedtestrequisition,patientpreparation,specimencollectionandspecimentransportandotheroperationalproceduresandthevariouseffectsofspecimencollection,transportfactorsandsolutions;regularmaintenanceequipment,rigorouspreparationofreagentsjmprovetheattitudeofinspectors;strengthenexamination
7、assessmentandregulatoryreporting.Afteramedicalexaminationthemajorityofpeoplewhoworkandmanagementpersonnel,aswellastheeffortsofmedicalstaff,clinicalexaminationhasbeenmadeinthecorrespondingqualitycontrolresults,andmoreandmorepeople'sattention•【Keywords]medicalLaboratoryqual
