全面品质管制(ppt 16).pptVIP

何謂品質 ISO定義:一個產品或一項服務的整體特色和性質，此特色和性質讓使用者 覺得滿意的程度。 臨床檢驗服務定義:在約定的費用與時間內，以及約定的條件下和事後必須的處置，交付可靠的訊息 Quality Management Step in the control process Choose what is to be controlled (quality characteristic) Choose a unit of measurement (method) Set a standard for the quality characteristic Choose a sensing device which can measure the quality characteristic in terms of the unit measurement Measure the actual performance Interpret the difference between the actual quality and the standard Take action (if any) on the difference Control Material Calibrator: To establish a standard curve 利用已知濃度的試劑(standard/calibrator) ，測定其與反應試劑作用之能量變化；並將此能量變化值與該已知濃度值，做成函數關係圖。 Control: To investigate the standard curve 利用已知濃度範圍的試劑(control serum) ，測定其與反應試劑作用之能量變化；並對照該反應之standard curve ，將能量變化值換算成濃度值後，比較是否在原已知範圍濃度內 Selection of control material The analysts concentration should be at medically significant The material should be available in large quantities The material matrix should be as much like the human sample as possible Constituents should be stable for a long period of time Selection of control material Material should have low vial-to-vial variability After the vial has been opened and the material prepared it should be stable during the period of use The material should be ready-to-use or require minimum preparation Control should be immediately available in emergency situations The control material should be reasonably priced External Proficiency Testing 為Youdon 於1967年提出的 品管圖，以正常(低值)及異常(高值)兩種品管同時測定，製成雙值 管理圖(Twin Plots Method) 低值畫在水平軸，高值畫在垂直軸，形成正方形圖，正方形的中心點，即為兩個平均值的交叉點 College of American Pathologists External quality control 1946 with Belk and Sunderman 1947 College of American Pathologists (CAP) Performance limits and grading a:1966~1969—within+2S as acceptable ，exceeding +2S as not acceptable b:1970—within +1S as good ，within+2S as acceptable ， beyond +2S as not acceptable * 来自 中国最大的资料库下载 * 来自 中国最大的资料库下