市级新生儿疾病筛查中心质量评价措施与方法

Measurements of quality evaluation on the newborns' diseases screening center

山东省于 2 0 0 1年在全国率先制定了市级新生儿疾病筛查中心的质量评价标准、评审办法等 ,对 16个市级新生儿疾病筛查中心进行了质量检查评价。质量评价体系内容包括 :市、地卫生行政部门对辖区内新生儿疾病筛查工作的组织管理 ;市级妇幼保健机构的组枳管理 ,人员、房屋、仪器设备情况 ;各级有接生能力的医院、卫生院、妇幼保健机构执行血样采集、递送常规情况 ;市级妇幼保健机构对血样的验收、实验室分析、实验室质量控制、可疑阳性、阳性患儿的管理以及诊断治疗预后等的质量评价 ;各有关部门筛查资料逐级报告情况 ,开展宣传教育活动以及筛查率、阳性召回复查率等。评价方法为质量检查与定期复核相结合 ,资料的上报与分析相结合 ,在质量检查评价中将质量保证的具体内容与要求量化 ,形成了以质量为核心的全省范围内的新生儿筛查体系。

In 2001, Shandong Province firstly set out the quality evaluation standard and appraisal methods concerning the newborns' disease screening center in China. 16 newborns' diseases screening centers has accepted the quality examination and evaluation. The system of quality evaluation included that the structure and management of the health administrative department at the city and district level on the work of the local newborns' diseases screening; structure and management of the maternity and child healthcare agencies at city level and its staff, houses and apparatus and facilities; the blood sampling and delivering in the hospitals with the ability of delivery at all levels; the acceptance of blood samples, lab analysis and quality control, and the management of the suspicious positive and positive children and quality evaluation of their diagnosis, treatment and prognosis; the data report of departments concerned and popularization and education and screening rate and the rate of positive results of children's recalling and so on. The evaluation methods that combined the quality examination and regular audit, integrated the data report and analysis form the whole provincial newborns' screening system centered by quality, which ensured the concrete contents of quality and quantifying requirements.