CAJ | 학술논문

通过与台湾4家医院检验科和1家能力验证组织的交流，了解台湾实验室品质管理的方法，对实验室质量管理的改进和实验室认可的推动提供指导。台湾实验室品质管理可归纳为3种模式：第一种是基于信息化的无缝式管理模式，即通过信息化功能将品质管理的要求嵌入实验室每一工作环节，可操作性极强，极大提高了管理效率；第二种是基于关键岗位责任制的管理模式，采用应聘上岗方式，变被动为主动工作，通过层层管控，传帮带教，提高品质管理的参与率；第三种是基于绩效考核的管理模式，是建立在到位的政府管控加上有序的市场化运作基础上，运用以人为本的激励机制，推动实验室的良性发展。台湾医院检验科以科学化、人性化的方法改进品质管理，使得实验室人员积极主动地参与到建立质量管理体系中，不断提升检验品质，满足临床需求。
통과여태만4가의원검험과화1가능력험증조직적교류，료해태만실험실품질관리적방법，대실험실질량관리적개진화실험실인가적추동제공지도。태만실험실품질관리가귀납위3충모식：제일충시기우신식화적무봉식관리모식，즉통과신식화공능장품질관리적요구감입실험실매일공작배절，가조작성겁강，겁대제고료관리효솔；제이충시기우관건강위책임제적관리모식，채용응빙상강방식，변피동위주동공작，통과층층관공，전방대교，제고품질관리적삼여솔；제삼충시기우적효고핵적관리모식，시건립재도위적정부관공가상유서적시장화운작기출상，운용이인위본적격려궤제，추동실험실적량성발전。태만의원검험과이과학화、인성화적방법개진품질관리，사득실험실인원적겁주동지삼여도건립질량관리체계중，불단제승검험품질，만족림상수구。
Through visiting 4 clinical laboratories and 1 proficiency testing organization in Taiwan,we have a better understanding of Taiwan quality management methods,which can help as with improving our quality management and promoting laboratory accreditation.Taiwan quality management can be classified into 3 models.The first is seamless management model based on information system.The quality management requirements are fitted into each working procedure by information integration function.This has the advantage of practice and substantially improves efficiency. The second is to manage the duties of important positions.To achieve the participation of quality management,the passive work is changed into positive work by competing position provision and by stepwise control.The third is performance appraisal based on government management and control and orderly market.This model makes use of human potential encouraging mechanism,and effectively promotes the development of laboratories.Clinical laboratories in Taiwan improves their quality management by scientific methods and human-centered views.Laboratory staffs are encouraged to actively get involved in the establishment of quality management system,which improves the test quality and meets the clinical requirements.