内部质量控制 - - 过去,现在和未来的趋势
Carmen Ricós1, Pilar Fernandez-Calle1,2, Carmen Perich1
1External Quality Programs Committee and Analytical Quality Commission, Spanish Society of Laboratory Medicine (SEQCML), Barcelona, Spain.
Advances in laboratory medicine
|June 26, 2023
概括
内部质量控制 (IQC) 模型已经显著发展,从标准偏差极限到生物变异和西格玛指标,提高了实验室诊断中的患者安全.
科学领域:
- 临床实验室科学 临床实验室科学
- 医疗保健中的质量管理
背景情况:
- 内部质量控制 (IQC) 对于确保实验室测试结果的准确性和可靠性至关重要.
- IQC模型的演变反映了分析技术的进步和对临床需求的越来越深入的理解.
研究的目的:
- 提供从20世纪中叶到现在的IQC模型的历史概述.
- 分析各种IQC方法的优缺点.
- 预测IQC未来的方向,以提高患者的安全性.
主要方法:
- 对IQC程序发表的文献进行批判性分析.
- 对IQC模型开发的历史审查.
- 讨论不同IQC策略的优点和局限性.
主要成果:
- 早期的IQC模型依赖于对照材料的标准偏差极限.
- 后来的模型包括生物变异和患者特定数据.
- 现代方法包括西格玛指标和工作负载调整的IQC,重点是减少患者的伤害.
结论:
- IQC模型逐渐得到改进,提供了更复杂的质量评估.
- 解决当前IQC实践的弱点对于最佳实验室性能至关重要.
- 未来的IQC策略应该通过尽量减少分析错误来优先考虑患者的安全.
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