临床微生物学质量保证计划:台湾经验。

W C Tsai, J L Wu, K T Luh
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引用次数: 0

摘要

在过去的二十年中,发达国家建立了质量保证计划,以促进临床实验室的高质量表现。在台湾,这样的临床微生物实验室计划自1987年7月开始实施。本研究得到行政院卫生署支持,由作者发起。对第一年临床实验室的人力状况、设施设备和工作表现进行了调查,并提出了实验室质量标准。从那时起,在继续教育计划下,我们每年举办大约4次研讨会、专题讨论会、讲习班、短期课程或小组讨论。每届会议约有150人参加,他们来自地方医院(初级保健医院)、地区医院(二级保健医院)和医疗中心(三级保健医院)。每年两次向各实验室寄送熟练度检验标本或外部未知标本,每次约3份,用于评价各实验室的诊断能力和服务质量。结果表明,实验室的工作质量有了很大的提高。同时,出版了临床标本质量控制方法、检验程序、介质和试剂、人员管理和报告汇编等实验室手册,作为各级实验室基本要求的指导方针。对于偏远地区的地方医院实验室,选择几家拥有高质量实验室的区域医院或医疗中心作为后备。我们的评估显示,目前台湾大多数临床微生物实验室的服务水平和质量已接近所谓“发达国家”的水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical microbiology quality assurance program: a Taiwan experience.

Quality assurance programs have been established during the last two decades in developed countries to promote high quality performance in clinical laboratories. In Taiwan, such a program for clinical microbiology laboratories has been in place since July 1987. It has been supported by the Department of Health, Executive Yuan, R.O.C. and was set up by the authors. The manpower status, facilities and equipment, and performance of clinical laboratories were investigated during the first year and standards of laboratory quality were recommended. Since then, under a continuing education program, we have conducted seminars, symposia, workshops, short-courses or panel discussions approximately 4 times a year. There have been about 150 participants per session and they have come from local hospitals (primary care hospitals), regional hospitals (secondary care hospitals) and medical centers (tertiary care hospitals). Proficiency test specimens or external unknown specimens were sent to all the laboratories twice a year and approximately 3 specimens were used each time for the evaluation of each laboratory's diagnostic capability and quality of service. Results indicated that there were tremendous improvements in the quality of laboratory performance. At the same time, several laboratory manuals describing the methods of quality control of clinical specimens, test procedures, media and reagents, personnel management and a compilation of reports etc. were published as guidelines of basic requirements for each level of the laboratories. For local hospital laboratories in remote areas, several regional hospitals or medical centers with high quality laboratories were selected to serve as back-ups. Our evaluation has shown that the performance and quality of service provided by most clinical microbiology laboratories in Taiwan have now reached nearly the level of those found in the so-called "developed countries".

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