英国质量保证学会(IQA)理事会前成员 ALLAN SAYLE是国际审核界有名的专家和作家,有感于当前质量审核实践上出现的若干不良趋向,于今年2月在美国巴尔帝摩举行的ASQC第四届审核年会发表午餐讲话,呼吁对质量审核进行反思、“大修”。虽然...英国质量保证学会(IQA)理事会前成员 ALLAN SAYLE是国际审核界有名的专家和作家,有感于当前质量审核实践上出现的若干不良趋向,于今年2月在美国巴尔帝摩举行的ASQC第四届审核年会发表午餐讲话,呼吁对质量审核进行反思、“大修”。虽然他的某些观点尚有争议,用词也未免尖刻,但从这篇讲话所“引起长时间的欢呼声”来判断,他所揭露的问题的确在有些地方不同程度地存在,并有愈演愈烈之势,应该引起各国质量界的认真重视。英《质量世界》95年4月号全文发表了这篇讲话,全译约1.5万字。今节要于下,希望能引起我国质量体系认证与审核工作者重视,采取有效预防措施,避免在我国刚刚起步的ISO9000事业误入歧途。展开更多
Abstract： The pre and post analytical phase in a testing cycle contributes up to 93% of total laboratory errors. However, pre-analytical phase is primarily responsible for errors. Hence, it is of precise importance f...Abstract： The pre and post analytical phase in a testing cycle contributes up to 93% of total laboratory errors. However, pre-analytical phase is primarily responsible for errors. Hence, it is of precise importance for the laboratory to study error occurrence rates during the testing cycle and implement a quality improvement plan to release an accurate result. The present study was conducted during the period Jan-Nov 2014 in the Central Clinical Lab in Osmaniye State Hospital, Turkey. During period of 11 months, 626897 samples were monitored for major preanalytical problems at the receiving counter of the Central Clinical Laboratory. Among all preanalytic laboratory errors, 35.4% of the errors were associated with clotted sample, 25.5% errors with inadequate sample, and 25.3% errors with hemolysed sample in the laboratory. Assessment considering the departments showed that emergency unit had the highest error rates （hemolysis： 52.5%, lipemic： 42.9%, damaged： 34.6%, clotted： 34.2%, inadequate： 26.8%, wrong material： 17.6%, wrong barcode： 16.7%）. There was significant difference among the departments in terms of preanalytic errors （p 〈 0.001）. Based on these observations, major preanalytic errors are of great concern and needs corrective approach via proper educational programs to related personals. If this area is ignored, that can lead to negative patient outcome. However, a better specimen quality and patient satisfaction are achieved with the high quality personal-based education regarding pre-analytical errors.展开更多
文摘英国质量保证学会(IQA)理事会前成员 ALLAN SAYLE是国际审核界有名的专家和作家,有感于当前质量审核实践上出现的若干不良趋向,于今年2月在美国巴尔帝摩举行的ASQC第四届审核年会发表午餐讲话,呼吁对质量审核进行反思、“大修”。虽然他的某些观点尚有争议,用词也未免尖刻,但从这篇讲话所“引起长时间的欢呼声”来判断,他所揭露的问题的确在有些地方不同程度地存在,并有愈演愈烈之势,应该引起各国质量界的认真重视。英《质量世界》95年4月号全文发表了这篇讲话,全译约1.5万字。今节要于下,希望能引起我国质量体系认证与审核工作者重视,采取有效预防措施,避免在我国刚刚起步的ISO9000事业误入歧途。
文摘Abstract： The pre and post analytical phase in a testing cycle contributes up to 93% of total laboratory errors. However, pre-analytical phase is primarily responsible for errors. Hence, it is of precise importance for the laboratory to study error occurrence rates during the testing cycle and implement a quality improvement plan to release an accurate result. The present study was conducted during the period Jan-Nov 2014 in the Central Clinical Lab in Osmaniye State Hospital, Turkey. During period of 11 months, 626897 samples were monitored for major preanalytical problems at the receiving counter of the Central Clinical Laboratory. Among all preanalytic laboratory errors, 35.4% of the errors were associated with clotted sample, 25.5% errors with inadequate sample, and 25.3% errors with hemolysed sample in the laboratory. Assessment considering the departments showed that emergency unit had the highest error rates （hemolysis： 52.5%, lipemic： 42.9%, damaged： 34.6%, clotted： 34.2%, inadequate： 26.8%, wrong material： 17.6%, wrong barcode： 16.7%）. There was significant difference among the departments in terms of preanalytic errors （p 〈 0.001）. Based on these observations, major preanalytic errors are of great concern and needs corrective approach via proper educational programs to related personals. If this area is ignored, that can lead to negative patient outcome. However, a better specimen quality and patient satisfaction are achieved with the high quality personal-based education regarding pre-analytical errors.
