查詢結果分析
來源資料
頁籤選單縮合
題名 | 臺灣地區衛生所臨床檢驗品質保證之研究=The Effectiveness of a Quality Assurance Program for Clinical Laboratories of the Bureau of Public Health in Taiwan |
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作者 | 徐文杏; 高照村; 何憲武; | 書刊名 | 慈濟醫學 |
卷期 | 11:3 1999.09[民88.09] |
頁次 | 頁263-270 |
分類號 | 414.91 |
關鍵詞 | 品質保證; 持續教育; 精練度測試; 及格率; Quality assurance; Continuing education; Proficiency testing; Acceptable rate; |
語文 | 中文(Chinese) |
中文摘要 | 目的:探討各衛生所臨床檢驗之品質現況並促進臨床血液、生化及尿液檢驗之品 質保證。材料及方法:行政院衛生署委託中華民國醫事檢驗學會,負責執行八十七年度臺灣 地區衛生所臨床檢驗品質測試,執行期限為民國八十六年七月一日至民國八十七年六月三十 日。 總計有 211 家衛生所參與。內容包括:(一)舉辦輔導作業說明會,以利輔導原則、 方法及技巧之傳授。(二)舉辦人員持續教育,以利檢驗品質之提升。(三)舉辦精練度測 試,以瞭解各單位之品質現況。 結果:尿液化學檢查、尿液 HCG 驗孕檢查、血液組及生化 組檢查之回收率分別為 73.0%、60.2%、56.9% 及 85.3%。 各組及格成績的標準為 80 分, 及格率分別為尿液化學檢查 92.2%、 尿液 HCG 驗孕檢查 95.2%、 血液組 55.9% 及生化組 66.7%。 尿沈渣檢查結果普遍不理想,僅供參考用,未列入結果之評定。血液組的成績不佳 , 部分儀器測得的結果不甚理想,低於 60 分者佔 30.8%。 生化組之成績亦不理想,其中 cholesterol 及 urea nitrogen 的及格率只有 43.0% 及 53.9%。結論:由整體評估看來, 衛生所尿沈渣、血液及生化檢驗能力之改善及提升為當務之急。由臨床檢驗精練度測試可看 出各單位之檢驗能力,因此精練度測試及人員再教育之持續舉辦,應有必要。如此將可提升 衛生所檢驗品質,促使品保績效較差的單位有所改善,以確保民眾之健康福祉。 |
英文摘要 | Objective: To investigate the quality of clinical laboratory assessments and to promote quality assurance (QA) in the fields of clinical hematology, clinical chemistry and urinalysis. Materials and Methods: The National Health Administration, Taiwan ROC, assigned the execution of a QA survey program for clinical laboratories of the Bureau of Public Health in Taiwan to the Assciation of Laboratory Medicine from July 1997 to June 1998. A total of 211 clinical laboratories were included in the program. A meeting was held to help the directors understand the principles, methods and techniques of guidance. Two symposiums for continuing education on QA were held before the proficiency testing. Results: The response rates for proficiency testing for urine chemical tests, urine HCG pregnancy test, clinical hematology and clinical chemistry were 73.0%, 60.2%, 56.9% and 85.3%, respectively. The criteria for acceptance for urine chemical tests, urine HCG pregnancy test, clinical hematology and clinical chemistry were all set as a score above 80 and the acceptable rates in these fields were 92.2%, 95.2%, 55.9% and 66.7%, respectively. Due to wide distribution of data, the results of urine sediment tests were not evaluated. The scores for proficiency testing for clinical hematology were poor. Scores below 60 were recorded in 30.8% of clinical laboratories. Proficiency testing scores for clinical chemistry were also poor. The acceptable rates for cholesterol and urea nitrogen were only 43.0% and 53.9%. Conclusion: The results of this study show that the level of QA in urine sediment tests, clinical hematology and clinical chemistry must be improved immediately. Laboratories with poor QA performance need to identify problems quickly and enhance technical training to improve their quality. A QA program may be used to assess laboratories' ability to perform tests competently. Therefore, it will be worthwhile to continue proficiency testing schemes and reeducation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。