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Performance criteria and quality indicators for the pre-analytical phase

机译:分析前阶段的绩效标准和质量指标

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摘要

The definition, implementation and monitoring of valuable analytical quality specifications have played a fundamental role in improving the quality of laboratory services and reducing the rates of analytical errors. However, a body of evidence has been accumulated on the relevance of the extra-analytical phases, namely the pre-analytical steps, their vulnerability and impact on the overall quality of the laboratory information. The identification and establishment of valueable quality indicators (QIs) represents a promising strategy for collecting data on quality in the total testing process (TTP) and, particularly, for detecting any mistakes made in the individual steps of the pre-analytical phase, thus providing useful information for quality improvement projects. The consensus achieved on the developed list of harmonized QIs is a premise for the further step: the identification of achievable and realistic performance targets based on the knowledge of the state-of-the-art. Data collected by several clinical laboratories worldwide allow the classification of performances for available QIs into three levels: optimum, desirable and minimum, in agreement with the widely accepted proposal for analytical quality specifications.
机译:宝贵的分析质量规范的定义,实施和监控在提高实验室服务质量和降低分析错误率方面发挥了根本作用。但是,关于分析外阶段的相关性,即分析前的步骤,它们的脆弱性以及对实验室信息整体质量的影响,已经积累了大量证据。识别和建立有价值的质量指标(QIs)是一种有前途的策略,可用于在整个测试过程(TTP)中收集质量数据,尤其是用于检测在分析前阶段的各个步骤中所犯的任何错误,从而提供有关质量改进项目的有用信息。在已制定的统一质量保证清单上达成的共识是下一步工作的前提:基于最新知识确定可实现的现实目标。全球多个临床实验室收集的数据允许将可用QI的性能分为三个级别:最佳,理想和最小,这与分析质量规格的广泛接受的建议相符。

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