Judith A. Pachciarz PhD, MD (Laboratory Service Chief and Pathologist), Mary I. Abbott MD, Betty Gorman MD (Service Chief), Carol E. Henneman MD, Mary Kuhl RN, PHN (Quality Assurance Director)
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本文描述了H. Claude Hudson综合健康中心(洛杉矶)如何实施持续的质量改进计划，以降低不可接受的非代表性巴氏(Pap)涂片(缺乏宫颈内成分)的高比例。文献回顾和电话调查表明，最佳的巴氏涂片技术包括使用宫颈细胞刷。对几种细胞刷进行了评估，并选择了一种在整个设施内使用。向临床医生提供了使用细胞刷的正确宫颈取样技术。在5个月期间，不具代表性的巴氏涂片率下降了约12%;这要归功于细胞刷技术在非怀孕患者中的统一实施、在职教育和团队合作。
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