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首页> 外文期刊>International Journal of Reliable and Quality E-Healthcare >The Implementation of Cloud-Based Telemedical Applications for External Quality Control Purposes in the Field of Cytopathology
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The Implementation of Cloud-Based Telemedical Applications for External Quality Control Purposes in the Field of Cytopathology

机译：在细胞病理学领域中出于外部质量控制目的的基于云的远程医疗应用程序的实现

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摘要

The aim of this study was to analyze in details the implementation of an accredited proficiency testing scheme by cytopathology labs wishing to establish external quality control measures according to ISO 15189:2012. The proficiency testing scheme was based on simple Cloud-based telemedical applications and was enthusiastically accepted by all colleagues due to its simplicity and its low cost. Six major cytopathology laboratories contributed fifty conventional pap smears with histological confirmation from their registries voluntarily. Twenty board-certified cytopathologists reviewed the smears voluntarily and recorded their diagnoses. Four major diagnostic categories ofcytological reports were used forstatistical purposes. In addition to diagnosis, reviewers also commented on overall smears quality. Ten smears in which diagnostic interobserver accordance was almost perfect were selected for further study. A characteristic video from each one of the 10 selected smears was transferred via a simple cloud application to password-protected accounts for remote review by independent cytopathologists. Contributor's and reviewer's diagnoses were collected, recorded and statistically evaluated. The statistical evaluation of each participation's results were a valuable external quality control tool for each participating laboratory and its members.
机译：这项研究的目的是详细分析希望根据ISO 15189：2012建立外部质量控制措施的细胞病理学实验室认可的能力验证计划的实施情况。能力测试计划基于简单的基于云的远程医疗应用程序，并且由于其简单性和低成本而受到所有同事的热烈欢迎。六个主要的细胞病理学实验室自愿提供了50份常规宫颈涂片涂片，并获得了其注册表的组织学确认。二十名获得董事会认证的细胞病理学家自愿检查了涂片并记录了诊断。细胞学报告的四个主要诊断类别用于统计目的。除诊断外，评论者还对整体涂片质量进行了评论。选择十个涂片检查者之间的诊断一致性几乎完美，以供进一步研究。通过简单的云应用程序将来自10个选定涂片中每个涂片的特征视频转移到受密码保护的帐户，以供独立的细胞病理学家进行远程检查。收集，记录和评估了贡献者和审阅者的诊断。对每个参与结果的统计评估对于每个参与实验室及其成员都是有价值的外部质量控制工具。

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