病理技术质量控制常见的问题与对策分析

Analysis of regular pathological technical quality control problems and countermeasures

目的：探讨病理技术质量控制常见问题并提出解决对策。方法2013年病理科仅按照相关规章制度完成病理检查工作，根据以往工作经验提供相应质量管理；2014年初，病理科组织全体工作人员深入讨论现阶段病理检查质量管理现状（问题），查阅相关资料并结合本科室实际情况提出针对性的解决对策。结果2014年病理检验错漏率（0.30％）显著低于2013年（病理检验错漏率2.66％），其中两年度主要错漏原因均为样本处理方法不当：切片不完整、染色不当所占比例分别为80.90％、72.73％（ P＜0.05）。结论根据病理检查工作表现出的相关问题提供质量控制措施有利于降低错漏率及提高疾病诊断正确率，利于患者获得满意疗效及预后，保障其生活质量及生命安全。

Objective To investigate regular pathological technical quality control problems and propose countermeasures.Methods In the year of 2013, Department of Pathology completed pathology work in accordance with the relevant rules and regulations , providing quality management based on past experience .In early 2014, the entire staff of the Department of Pathology in-depth discussed of pathological tissue status quo （ the problem ） quality management stage , access to relevant information and combine Bachelor room situation made targeted countermeasures .Results Pathological examination omission rate in 2014（0.30%） was significantly lower than that in 2013（2.66%）, and the two major mistakes reasons annual sample processing methods were inappropriate：sliced incomplete , improper staining , and the proportion was 80.90% and 72.73%respectively（P〈0.05）.Conclusions Provision of quality control measures based on pathological examination can help to reduce mistakes and improve the rate of correct diagnosis rate , which will help patients obtain satisfactory outcome and prognosis , quality of life and to protect their lives and safety of the work .