医学实验室认可进程中分析前过程的流程优化与监控  

Optimization and monitoring for pre-analysis process in medical laboratory accreditation

作　　者：肖林林[1] 杜颖 刘维薇[2] 魏取好[1] 冯景[1] XIAO Linlin;DU Ying;LIU Weiwei;WEI Quhao;FENG Jing(Department of Clinical Laboratory,South Campus,Shanghai Jiaotong University Affiliated Sixth People's Hospital,Shanghai 201499,China;Department of Clinical Laboratory,Tongji University Affiliated Tenth People's Hospital,Shanghai 200040,China)

机构地区：[1]上海交通大学附属第六人民医院南院检验科,上海201499 [2]同济大学附属第十人民医院检验科,上海200040

出　　处：《检验医学》2018年第4期343-347,共5页Laboratory Medicine

摘　　要：目的探讨医学实验室认可进程中分析前过程的流程优化方式和监控对策,以提升管理效率,确保检验质量。方法依据CNAS-CL02:2012《医学实验室质量和能力认可准则》(ISO 15189:2012),充分利用实验室内审机制,逐一对分析前过程的各个环节进行分析,找出问题,分析问题,采取有效措施整改并评估优化效果。结果分析前过程各环节进行技术优化和管理优化后,与其相关的关键质量指标均有明显改善,医生和患者满意度均有所提升。结论 ISO 15189:2012认可进程中结合认可体系对分析前过程进行流程优化和流程监控,有助于提升医学实验室的管理效率,保障检验质量,提高医患满意度。Objective To investigate the optimization and monitoring strategies for pre-analysis process in medical laboratory accreditation,and to improve management efficiency and ensure determination quality.Methods According to CNAS-CL02:2012 Guidelines for Quality and Competence of Medical Laboratories(ISO 15189:2012),laboratory internal audit mechanism was used to find and analyze the problems in preanalysis process and take effective measures.The optimization effect was assessed.Results After the optimization of technology and management,the key quality indices of pre-analysis process were improved,and the satisfaction from doctors and patients was improved.Conclusions ISO 15189 combined with pre-analysis process optimization and monitoring can improve management efficiency,in order to ensure determination quality and improve doctors'and patients'satisfaction.

关 键 词：实验室认可 分析前过程 流程优化 

分 类 号：R446.61[医药卫生—诊断学]