Clinical Medical Testing Quality Control Measures Essay1
Abstract Due to the rapid development and continuous progress of medicine, clinical testing technology has also been improved along with the continuous improvement of the clinical diagnosis and treatment of diseases and medical test results play an indispensable role in the impact.
Clinical medical testing is a kind of use of modern physics, modern science methods, and through medical instruments and experimental technology for clinical treatment and diagnosis of the disciplines provided.
It has a far-reaching impact on medical work, and plays a crucial role in the future development of China's medical career.
Therefore, this paper will analyze the work of clinical medical testing in our hospital, and explore the measures to improve the quality of its testing through the conclusions drawn.
Keywords: clinical medicine; measures; test quality control
A clinical medical testing
Clinical medical testing can not only affect the clinical diagnosis and treatment of diseases, medical test results.
At the same time, it can also make people strengthen the control and treatment of disease awareness.
Clinical medical testing is an important means of prevention and treatment of disease diagnosis and treatment, which plays a leading role for the entire health care system.
Clinical laboratory technology is a door for clinical specimens for the correct collection and determination, so that clinical diagnosis and treatment can use these conclusions to correctly take the appropriate diagnostic and treatment means, to achieve good medical purposes.
Medical testing is the patient's body fluids, blood, secretions or exfoliated cells and other specimens for laboratory tests, in order to obtain the pathogen and pathological changes in the examination and extraction of information on the medical means.
With the deepening of the reform of China's health care system, clinical testing and even the entire medical career requirements are increasingly high, the technical requirements for clinical testing is also getting stronger.
Two problems in clinical medical testing
1, test conditions and technology is not reasonably equipped
For clinical medical testing, the quality of testing technology is the key, there is no good testing technology, then any test after the problem of error will likely exist.
In addition, the equipment is not advanced and aging problems, also affects the conclusions of medical testing.
2, non-disease factors
Non-disease factors also have problems, because health care workers did not inform the patient in a timely manner, caused by the failure to get timely test results.
Physicians in the specimen collection process is not strict problems, collection methods, quantities, time and environment, there are standardized problems, will have a serious impact on the test results, thus affecting the accuracy of the test results.
3, the laboratory room inspection is not standardized
Room inspection also affects the test results.
Specifically reflected in the part of the physician did not apply for the patient's condition to send the test, and many of the inspection items of the inspection purpose is not strong.
Part of the quality management personnel weak theoretical knowledge, the use of improper practical operation, also makes the body of error judgment is inevitable.
4, document management of normative errors
Document management, is the basic guidelines for the inspection work, only scientific and standardized document management model and system can ensure the normal operation of the inspection work, as well as the validity of the test results.
Some managers have a weak sense of document management, for its concept and meaning is not familiar with the preparation of the establishment of the file there are unclear classification, writing is not standardized, the original records are missing and other issues, which seriously affects the chances of error, as well as the loss of remedial conditions.
5, inspectors, patients, physicians between the Department of disharmony.
Currently, the doctor-patient conflict has become increasingly prominent, especially in recent times, the frequent occurrence of social disputes between doctors and patients, some even endangered the lives of doctors.
At the same time, there will be disharmony between the inspector and the physician, but because of its non-professionalism for the test technology, making the highly specialized, difficult test means do not understand, easy to confuse the project detection phenomenon.
The examiners want clinicians to understand these difficult technical expertise, the lack of good communication between the two sides, the two sides have communication barriers in the test work, resulting in contradictions in the test work, and then lead to errors.
Three quality control before clinical medical testing
Before the test, the patient's name, gender, age, sampling site and other related inspection steps should first be verified for the patient's own situation to inform the patient in advance of the contraindications and related precautions.
At the same time, sample collection control, take blood collection as an example, the collection time is usually early in the morning, should be fasting, fasting time in 16 hours or less, blood sampling should be made to keep the patient sitting or lying down, blood samples should be collected, should be let the patient rest for 5-10 minutes beforehand, sampling, pressure pulse to be less than 60 seconds.
Should maintain the test instrument, always check how the test instrument operation status.
Daily maintenance and routine maintenance is also very important to regularly check the functional movement of the instrument, to ensure that each instrument can be used normally, once the problem, should stop using in a timely manner, and replacement, to avoid affecting the test work.
In the preparation of test reagents, to prepare for the test program to ensure that the process.
In the process of clinical testing, it should be in accordance with the necessary operating procedures to carry out the test.
IV Measures for problems in clinical testing
1, strengthen the management of equipment and improve the testing environment.
Equipment management should be strengthened and improve the equipment environment, according to technical requirements, equipped with appropriate instruments.
To keep up with international technological development, the introduction of advanced technology, the use of high-precision equipment to ensure the effectiveness of the test.
Should improve the management of equipment, the implementation of specialized management and maintenance.
The test room on the test personnel to strictly carry out the operating procedures, should be strictly managed to prevent the test personnel to prevent unnecessary errors.
To ensure the integrity of the instrument and the accuracy of the equipment detection.
2, the development of document management specification.
To develop strict management specifications and strict implementation, the implementation of a person responsible for the system, a sound document management system.
Implementation, should allow experienced physicians to fill out the test form, to ensure that the information on the test form is filled out correctly before being submitted for issuance, and to be issued by the director of the laboratory in person, can be submitted to the next step.
After the test, the file should be managed to ensure that the file is error-free.
3, improve the laboratory room before the inspection, improve the quality
Physicians and test personnel should improve their own quality, the clinicians required to improve the relevant knowledge, test personnel also have to strengthen the business knowledge, improve their own quality.
For medical emergencies, to have a good emergency response capabilities, for new knowledge, new equipment should be mastered as soon as possible.
Strengthen the specimen collection ability, standardization, standardization, systematic collection of work, strict and conscientious work to reduce the operation of the test results in error, so that the quality of testing can be improved.
4, to promote communication between the test personnel and clinicians.
The laboratory staff and clinicians should be more exchanges and interactions, the hospital should be scheduled or not regularly carry out exchanges between departments, organized by the corresponding activities of the fellowship.
Activities, advocating more work between the departments to report.
Laboratory staff and physicians should learn more about each other and understand each other's professional knowledge, accumulate clinical knowledge and work experience, enhance the ability of all aspects.
5, for the impact of non-disease factors
The impact of non-disease factors, patients should be informed of the results of the examination in a timely manner, to understand the patient's mood.
Everything from the patient, more and more communication between patients, more for the sake of patients.
Patients should be reminded of the relevant contraindications from time to time to avoid patients unknowingly consuming contraindicated foods in error, overdose of drugs, resulting in unnecessary accidents.
At the same time, focus on the sample collection time, method, standardization, to ensure that there is a good cooperation between doctors and patients.
References
[1] Zhou Yinong. Standardizing clinical teaching management to cultivate qualified medical talents[J]. Medical Information.2010
[2]Yang Dan. Initial exploration of the application of case teaching method in surgical internship teaching[J]. Contemporary Medicine. 2010.01.
[3]Chen Meilan. Problems and countermeasures facing clinical teaching in the new period[J]. China Medical Guide.2009.10
Clinical Medical Testing Quality Control Measures Paper 2
Abstract With the rapid development of medical testing technology, more and more disease treatment must be based on the results of the medical testing, so in the treatment of clinical medicine, medical testing occupies an important position.
The quality of medical testing requirements are also increasingly high, otherwise it will delay the patient's optimal treatment time, so the quality of medical testing is a crucial control measure, strictly guarantee the accuracy of the quality of this paper focuses on the study of the quality control of medical testing measures, as detailed below.
Keywords: clinical medicine; medical testing; quality control measures; accuracy
1 clinical medical testing in the current problems
Clinical medical testing can help some of the medical is not a very good understanding of the population correctly recognize the hazards of the disease, and to help correct the attitude of these groups of people for the correct treatment, and at the same time, the clinical medical testing is the disease Correct diagnosis and treatment, correct prevention, as well as correct health care after healing the fundamental basis, so the existence of medical testing is very important to ensure the accuracy of medical testing is very necessary, but our hospitals are still often inaccurate medical testing, the main several reasons:
1.1 Clinical laboratory personnel factors such reasons are mainly for some need to be examined by the patients in the This reason is mainly for some patients need to pay special attention to things before the test, for example, before the test health care personnel did not do some good work to inform the patient, so that the patient before the test did not pay attention to their own diet, taking drugs or even did not pay attention to emotional changes, etc., these factors will be on the quality of the clinical medical test results caused by the impact of different degrees.
In addition, in the medical personnel need to test the part of the sample collection, due to some of the factors did not pay attention to, such as: sample collection methods, sample collection time, site or even the collection of the environment is inappropriate, will have an impact on the quality of medical testing, may also cause delays in the patient's treatment, resulting in serious medical accidents.
It can be seen that the health care workers in the preparation of medical testing is also a medical test quality errors caused by the steps, the need to improve the attention of the majority of health care workers.
1.2 medical testing personnel factors in the medical testing, individual testing personnel knowledge of the power and technical level is not very high, coupled with the testing equipment 'backward, very likely to cause the test quality is not high, the test results are not accurate.
1.3 factors of inappropriate measures before the medical test before the test began, the need to collect detailed patient information, patients need to check the parts, as well as patients in the test before the start of the need to pay attention to the details and do the test contraindications, to avoid the impact on the test results.
1.4 Maintenance of medical testing instruments in the process of clinical testing, testing instruments whether the normal operation of the quality of medical test results play a critical, so if the relevant personnel do not regularly maintenance and maintenance of the instrument, will cause the function of the test instrument decline, the test results caused by the unpredictable impact.
2 how to effectively improve the quality of medical test results
As the results of medical testing for the treatment of patients has a very important role in reducing the chances of misdiagnosis, improve the quality of medical care, to protect the interests of patients, and to improve the social reputation of a hospital and the economic benefits, so to carry out the medical testing is an inevitable trend of development, to improve the quality of medical test results is essential measures. Is an essential measure in order to achieve a win-win goal, to improve the quality of medical test results of the measures need to step up the implementation.
2.1 hospitals should first raise the importance of medical testing hospitals first need to do is to increase the importance of medical testing in the spirit of the moment to doctors and nurses to raise awareness of education, to do *** with the quality of test results.
Maintenance personnel to strengthen the maintenance of testing equipment, improve the test level of the laboratory, nurses need to assist the doctor to do a good job before the test of the preparatory work, in particular to ensure that the patient's state before the test is the best state of the test, the doctor in the process of the test seriously and carefully, the test need to pay attention to all the details of the implementation of the test seriously, seriously analyze the test results, to develop a treatment program in line with the patient's physical condition. The first step is to make sure that you have the best possible results.
It can be said that only all health care workers to strengthen the importance of medical testing, in the psychological and behavioral aspects of the real patient responsibility, in order to fundamentally improve the quality of medical test results.
2.2 hospitals need to train health care workers in a variety of ways medical testing of all participants is to ensure the quality of medical test results of the most important factors, in order to improve the quality of test results, the hospital is first of all involved in medical testing of all health care personnel to raise the level of professionalism to a certain height, medical testing of human resources training, training includes improving the health care personnel to improve the understanding of the quality control work, and to improve the quality of medical testing. For quality control work awareness, and in the process of training to improve the professional standards of health care personnel, so that they can learn a set of theories on quality control and related technical training, training can include self-study, learning from each other, hospitals to organize training courses and organizations to carry out practical learning and so on.
In order to improve the professionalism of health care workers, hospitals should actively carry out this activity.
2.3 Hospitals should strengthen the maintenance of medical testing instruments and maintenance of medical testing instruments can be normal operation of the quality control work can be carried out normally has an important impact.
So the environmental requirements for the test room is also very high, such as the test room environment is clean, glass instruments and test instruments, whether the cleanliness of the samples will be affected, whether the instrumentation is in the best working condition, whether the test method will have an impact on the results of the test, etc.
So the hospital should strengthen the maintenance of medical testing instruments and maintenance.
Therefore, in order to ensure that the quality control work is carried out smoothly, the hospital needs to do a good job in the preparation of the laboratory, to provide an optimal environment for medical testing.
3 Summary
The development of clinical medicine can not be separated from the development of clinical medical testing, in order to ensure that the two are in the best state of development, we need to fully consider all aspects of the factors that need to be taken into account to grasp the details of medical testing needs to pay attention to the issue of the details of the professional level of standardized operation, only in this way can we improve the accuracy of the work of clinical medical testing.
References
[1] Cong Yulong. Clinical laboratory pre-analytical quality management and countermeasures. Chinese Journal of Laboratory Medicine, 2009: 483-487.
[2]Zhou Qiongxian. Effective Communication between Experimental Laboratory Medicine and Clinical Medicine to Improve the Quality of Clinical Tests. Laboratory Medicine and Clinical, 2011: 2415-2416.