实验室医学中的外部质量控制. 进展和未来的发展情况
Carmen Ricós1, Pilar Fernández-Calle1,2, Carmen Perich1
1Sociedad Española de Medicina del Laboratorio (SEQCML), Barcelona, Spain.
Advances in laboratory medicine
|June 26, 2023
概括
外部质量评估 (EQA) 计划已经显著发展,改善了实验室的性能,并确保了准确的患者测试. 了解不同的EQA模型,如使用可切换控制器的模型,是可靠诊断结果的关键.
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
- 分析化学 分析化学
背景情况:
- 自20世纪中叶以来,外部质量评估 (EQA) 计划对于识别和解决实验室结果的差异至关重要.
- 早期的EQA倡议突出了实验室之间的显著差异,促使开发标准化的方法.
研究的目的:
- 审查过去四十年来各种外部质量控制计划的历史发展和演变.
- 分析不同EQA程序模型的优缺点.
- 讨论EQA参与对实验室的实际影响.
主要方法:
- 基于历史数据和实践经验,对不同EQA程序模型进行批判性分析.
- 关于EQA战略和协调努力的演变的文献综述.
- 检查对照样品类型 (可交换或不可交换) 对实验室性能评估的影响.
主要成果:
- EQA 计划已经从简单的识别差异向专注于实验室测试的临床实用性发展.
- 关键的发展包括建立共同的性能规范,使用EQA作为教育工具,并使用可切换的控制材料.
- 自2000年以来,EQA组织者的协调努力和协作论坛已经出现.
结论:
- 参与EQA与可切换参考方法分配值提供了对结果不准确性和临床影响的准确见解.
- 使用非可交换对照的EQA评估了实验室相对于同行使用相同分析方法的性能.
- 持续发展和协调EQA计划对于确保可靠和临床相关的实验室诊断至关重要.
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