微生物质量控制（英文版）.pdf

Microbiology Quality Control Quality Systems in the Clinical Lab. • Quality Assurance (QA) Quality Control Quality Improvement (QC) (QI) Quality Control ??? • Continual monitoring of working practices, equipment reagents so as to detecting correcting defects • = Maintains reliable / timely analytical • performance (result / outcome) • = More patient-care-oriented approach Stages of laboratory activities • The QC program must ensure optimum patient specimens and result integrity throughout the 3 stages processes: • 1. Pre-analytical • 2. Analytical • 3. Post-analytical Three stages of activities Table 1- Three stages of activities that affect outcome of laboratory testing: Stage Activities Test ordering Order transcription Preanalytical Patient preparation Specimen collection Specimen identification Specimen transport Analytical Sample testing (ID ST) Result transcription Post-analytical Result intrepretation Action taken on basis of result A quality outcome can be interrupted or destroyed at any point in the process. Fishbone diagram- display important components of a process Report Specimen prep authorized Specimen transport Phone call Diagnosis