Medical testing thesis
Introduction: medical testing is the use of modern physical and chemical methods, means of medical diagnosis of a discipline, the main study of how to provide a basis for clinical diagnosis and treatment through laboratory technology, medical instrumentation and equipment. Below I share medical testing thesis, welcome to refer to!
With the development of social and economic, scientific and technological progress, the people's culture and living standards improve, people's understanding of medical services and requirements are increasingly high, legal awareness is also increasing. Therefore, medical disputes occur from time to time. In terms of the nature of the work of the laboratory, is more likely to cause medical disputes in the department.
"Medical Accident Regulations" in Chapter II, Article 10: patients have the right to copy or copy their hospital records, temperature, medical orders, laboratory tests. So the quality of the test report is the life of the laboratory. Test personnel on the patient's specimens for a variety of projects to analyze and test, and the accuracy and reliability of the results, directly affecting the clinician's diagnosis and treatment of patients.
With the implementation of medical malpractice regulations and the introduction of the reversal of the burden of proof, clinicians and patients on the quality of testing has raised higher requirements. How to prevent and deal with medical disputes in the hospital laboratory for the following summary:
1. quality service, do a good job of "key" prevention
"Hospital civilized language norms" manual to strengthen the language of medical personnel, civilized language, attitude and kind, eliminate the impact of the service taboo on the relationship between doctors and patients. The service taboos affecting the doctor-patient relationship, to achieve "three good", that is, the quality of business, professional ethics, good service attitude. The focus is to prevent the following patients with a tendency to dispute, including high technical requirements, special psychological, high cost of examination patients.
Medical personnel with a tendency to disputes, including poor overall quality, sense of responsibility is not strong enough, poor service attitude. Dispute-prone time periods, including staff, independent handling of the problem of time, such as handover, duty time, holiday time. Have a tendency to dispute the common test items. The focus of the Department of Laboratory is the quality of the test, such as the accuracy of the results, reliability,
timeliness, the reasonableness of the project fee, etc., the Department of Laboratory must have evidence to prove that the operation of the standardized, the results of the report in a timely manner, the fee is reasonable.
2. Propaganda and education-oriented, improve the legal awareness of the test personnel, the relevant legal norms into practice
According to the "Regulations on the Treatment of Medical Accidents" on the definition of medical malpractice, medical institutions and medical personnel in the existing technical conditions, based on the relevant laws, regulations, rules and regulations, and technical specifications of medical activities. Even if there is unavoidable . Personal injury, also does not constitute medical malpractice. Therefore, inspectors must carefully study the Regulations and relevant laws and regulations.
For example, the Medical Practitioner Law, Drug Administration Law, Maternal and Child Health Law, Blood Donation Law, Infectious Disease Prevention and Control Law, Occupational Disease Prevention and Control Law, Medical Institutions Regulations, Blood Products Regulations, the National Clinical Laboratory Operating Procedures and certain departmental and local norms. The implementation of the "Regulations on the Treatment of Medical Accidents" on the work of the hospital laboratory is both pressure and promote the standardization of the construction of opportunities and motivation.
How to improve the quality of testing, close relationship with the clinical, *** with the prevention of medical errors, strengthen the laboratory self-improvement, self-restraint, self-protection awareness is an important part of the future work of the laboratory, laboratory staff must study and familiar with the "Regulations on the Handling of Medical Accidents", including the relevant laws, regulations and provisions.
3. Establishment of complete regulations and operating norms
Laboratory managers should be based on the actual situation of the laboratory to seriously study the development of strict rules and regulations, to achieve the rules and regulations, to have a chapter to follow, have a chapter to follow. At the same time should be based on the laboratory to carry out various types of experimental projects, combined with the latest version of the "clinical test operating procedures" and the latest test technology, the development of standard operating procedures with the laboratory to adapt to the preparation of the operating manual. Laboratory work in accordance with standardized procedures, medical staff to implement standardized operation, which is to prevent and reduce the test
test medical disputes is very important part. Standardized operating procedures is the fundamental work of the laboratory, "medical malpractice regulations" in the medical malpractice that one of the basic conditions is the medical staff in medical activities in violation of the operating procedures, and standardized operation is to ensure that the test results are accurate and error-free fundamental.
Therefore, we not only need to establish strict SOP (operating procedures) document (including specimen collection, transportation, storage requirements. Experimental methods, principles, steps, reagents and instruments, experimental working conditions, standards, interferences, analyte reference values, quality control measures, etc.), but also should be strictly implemented. This whole quality management system, the strict implementation of the operating procedures is an important basis for evidence.
4. Do a good job of indoor quality control and inter-room quality evaluation
Indoor quality control is to improve the quality of the test basis, each determination of the specimen should be used to monitor the quality of the results of this determination of the known value of the object, only to obtain the results of the quality control results in the range of the provisions of the results of the determination of the results of the clinical specimen is reliable, otherwise it must be calibrated instrument, and then used in clinical trials. Otherwise, the instrument must be calibrated and then used for clinical specimen testing.
For tests without constant quality control, pay attention to the response curve of the test, and whether the precision of the results is good. Inter-room quality assessment is a measure of the gap between this laboratory and other laboratories exist, is a comprehensive evaluation of the accuracy of the results of the testing laboratory indicators, the test staff should be taken seriously, and strive to achieve good results.
We must take seriously every indoor, inter-room quality control and make a good record, there are items out of control should be out of control analysis, out of control corrective measures and records. Excellent indoor quality control and inter-room quality assessment results, is an important reference in the event of disputes for evidence.
5. Strict specimen collection, delivery and storage
Qualified test specimens are the basis for accurate test results. The collection of clinical specimens, usually by the nurse or clinician to implement, the laboratory before little attention, and only care about the test,
But often occurring clinical specimens due to incorrect collection methods, and get the wrong test results. In order to avoid this situation, the laboratory should take the initiative to often guide clinical workers, and if possible, can also provide specimens collection and preservation of knowledge manual, easy to clinical retrieval.
Through these efforts to strive to provide good clinical standards of delivery of specimens, to avoid unqualified specimens and repeat the collection of specimens to prevent the occurrence of medical disputes. In order to avoid errors in test results, test specimens should be retained for at least 3 days.
Especially the qualitative type of test specimens, such as hepatitis, AIDS and other pathogens indicators of the determination of the positive results of the specimen should be kept at least 7-10 days, so that when the patient has doubts about the results of the test, to be able to take out the specimen again for determination.
6. The original record of test results should be emphasized
The results of various testing programs are legally binding. The high risk and unpredictability of medical work makes the original records play an important role in the process of medical disputes. If a medical staff to change the results of medical disputes, if the test staff did not do a good job of the original records, there will be a lack of clarity of responsibility and other issues and attract trouble.
So the original records of the results of the project should be carefully recorded, such as instrument type, reagent batch number, expiration date, negative and positive control, specimen acceptance, etc., which is part of the test work, is a reflection of the quality of testing and management of direct evidence. Therefore, the establishment of a sound system of original records, so that it is standardized, scientifically, the burden of proof is imperative, vital.
7. Strengthen the awareness of self-protection
There are many factors affecting the test results, there are objective, subjective, but also man-made such as specimen collection errors, the name of the Zhang Guanzhi; specimen retention time is incorrect; or after the collection of too long a period of time; or with the wrong tube and so on, resulting in inaccurate results caused by medical disputes. Therefore, it is important to put the name of the specimen on the report card. Therefore, it must be stated on the report form that the results are only responsible for the specimen measured
. When receiving the specimen, the unqualified specimen should be returned. When the test results do not match, the necessary communication with the clinical contact and recommended review. As the specimen is placed for a long time some of the chemical composition changes, the specimen can not be detected in a timely manner, according to the requirements of the correct preservation. The test report form should be clearly written, the description of the results should be scientifically rigorous. The report card on the test of the signature of the best manual signature, check the correctness of the report issued after the appropriate.
8. Attention to the review of suspicious reports
Clinical testing, for numerical test reports, such as routine blood, biochemical testing, the results of special abnormalities, the first to contact the clinician, if the results do not match the clinical diagnosis, the specimen must be re-tested; such as re-measurement of the results of the previous no significant differences, then the two If the results are not consistent with the clinical diagnosis, the specimen must be retested; if there is no significant difference between the results of the second measurement and the previous one, the results of the two measurements will be fed back to the clinician together and the results of the review will be indicated on the report card of the results of the review in order to attract the clinician's attention, and the blood will be re-drawn for review if necessary.
If the results are significantly different from the previous time, it indicates that there is a mistake in their work or there is a problem with the instrument, which has to be further resolved before the test report can be issued.
9. Strengthen the sense of responsibility, strengthen the contact and communication with clinical departments
The test work is an important part of the hospital's medical work. Improve the quality of testing is the focus of the work of the Laboratory Department, for the clinical departments to provide rapid and accurate test results is our responsibility to test workers. Therefore, in the daily work of each specimen, we must be highly responsible for serious treatment, put quality first.
In the work of clinicians often encountered accusations that our laboratory work service is not in place, the results are not accurate and other phenomena. At this time, we first check their own work is done, on the other hand, the test staff should continue to strengthen communication with clinicians, the purpose of the test, use, meaning, analysis and interpretation of the results of the collated, sent to clinicians; in the abnormal test results in a timely manner to contact the clinician to verify the results of the patient's condition with the patient's condition; and clinicians to communicate with regular exchanges of views, timely clinical feedback information carefully summarized, and the results will be used to improve the quality of the test. Regular communication with clinicians, exchange of views, timely clinical feedback information seriously summarized, in order to continuously improve the quality of testing. If our work is not done well, we should listen with an open mind and make timely improvements. The positive results should be kept confidential for the patients, and the privacy of the patients should not be disclosed.
10. Improve the writing of the test report
Formally, the test report should follow the "Basic Norms for Medical Records Writing (Trial)" requirements, complete, accurate and timely. Do not alter or falsify the test report. For the report review process, the need to modify the place, can not be scribbled, but the wrong content should be deleted with a horizontal line, retaining the handwriting legible, and then write the correct content on the side. In terms of content, the description of the test report should strive to be scientific, objective and rigorous, and it is best to state "responsible only for the specimen tested". For all the results of the test should be carefully registered one by one, so that in the event of loss of the report card, can be given in a timely manner to make up the report.
Focus on preventing the quality of the test report card, to avoid the test report medical disputes. Focus on the "three check three" work, that is, check the patient's name bed number, specimen type and test items. Seriously check the test report, and detailed registration, the implementation of the signature responsibility system. Every day, whether ordinary patients or emergency patients, in order to prevent the loss of the application form, specimens and test results, to do a good job of each link in the time record, the record with the specimen together with the transmission of the measures.
Send specimens to record the specimen sender time year, month, day, hour, minute, department, name, number, number, bed number, specimen type, test items, etc., sender and receiver signature. Test results of high or low, sometimes negative and sometimes positive or difficult to explain the results of the report, not easily issued, should be contacted with the clinical department, explain the situation and carefully review the report can be issued only after a detailed record of the results of the specimen on the registry and the signature of the recipient
Name and processing. Emergency specimens are handled in a timely manner, timely telephone notification, so that the report can be issued within. Specimens are retained after testing for review and verification.
11. Strengthen communication, *** with the progress
In short, the correct prevention of medical disputes in the work of the test, the need to test personnel to cultivate good professional ethics, improve the attitude of service, strict compliance with relevant laws, regulations, rules and technical specifications, and constantly enhance the quality of consciousness, and strengthen the communication with clinicians, to enhance the work of self-protection awareness. Enhance the work of self-protection awareness, and strive to do a good job of these, can effectively prevent the occurrence of medical disputes in the testing work.
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