中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2015年
36期
2943-2946
,共4页
尚红%崔巍%张曼%杨红英%孙自镛%段勇%陈鸣%袁宏%关明
尚紅%崔巍%張曼%楊紅英%孫自鏞%段勇%陳鳴%袁宏%關明
상홍%최외%장만%양홍영%손자용%단용%진명%원굉%관명
临床检验%技术能力%质量控制
臨床檢驗%技術能力%質量控製
림상검험%기술능력%질량공제
Clinical laboratory%Testing excellence%Quality control
目的 通过对全国各省市自治区的县乡级医院检验技术人员的规范化培训,提高中国县乡医院的临床检验水平.方法 中华医学会检验分会于2010至2013年启动了全国性的“城乡对口支援临床检验技术标准的制订及培训项目”.项目培训前对全国31个省(区、市)445所县乡级医院检验科进行了抽样问卷调研,项目完成6个月后,对其中9个省份的250家参与培训的县乡医院进行抽样调查.结果 在2010至2013年间,项目全面规范化培训了全国31个省市自治区3 570家医院的基层县级医院和乡镇卫生院的检验科主任及技术骨干.培训后评估测验的平均及格率由培训前的16.2%上升至83.7%.29.6%的医院新开展了临床生化项目,开展临床血液学检验、临床免疫学检验和临床微生物检验新项目的医院数量分别占24.4%、21.2%和16.4%.室内质量控制和室间质量评价项目也显著增加,其中,增加临床生化检验质量控制项目的医院最多,分别达12.8%和10.0%;开展临床微生物检验质量控制项目的医院也达到4.4%和2.8%.与此同时,生物安全管理水平也有所提高,开展生物安全风险评估的医院从41.2%增加到了76.4%.结论 通过本项目,县乡级医院临床检验能力得到有效提升,室内质量控制和室间质量评价体系不断健全.
目的 通過對全國各省市自治區的縣鄉級醫院檢驗技術人員的規範化培訓,提高中國縣鄉醫院的臨床檢驗水平.方法 中華醫學會檢驗分會于2010至2013年啟動瞭全國性的“城鄉對口支援臨床檢驗技術標準的製訂及培訓項目”.項目培訓前對全國31箇省(區、市)445所縣鄉級醫院檢驗科進行瞭抽樣問捲調研,項目完成6箇月後,對其中9箇省份的250傢參與培訓的縣鄉醫院進行抽樣調查.結果 在2010至2013年間,項目全麵規範化培訓瞭全國31箇省市自治區3 570傢醫院的基層縣級醫院和鄉鎮衛生院的檢驗科主任及技術骨榦.培訓後評估測驗的平均及格率由培訓前的16.2%上升至83.7%.29.6%的醫院新開展瞭臨床生化項目,開展臨床血液學檢驗、臨床免疫學檢驗和臨床微生物檢驗新項目的醫院數量分彆佔24.4%、21.2%和16.4%.室內質量控製和室間質量評價項目也顯著增加,其中,增加臨床生化檢驗質量控製項目的醫院最多,分彆達12.8%和10.0%;開展臨床微生物檢驗質量控製項目的醫院也達到4.4%和2.8%.與此同時,生物安全管理水平也有所提高,開展生物安全風險評估的醫院從41.2%增加到瞭76.4%.結論 通過本項目,縣鄉級醫院臨床檢驗能力得到有效提升,室內質量控製和室間質量評價體繫不斷健全.
목적 통과대전국각성시자치구적현향급의원검험기술인원적규범화배훈,제고중국현향의원적림상검험수평.방법 중화의학회검험분회우2010지2013년계동료전국성적“성향대구지원림상검험기술표준적제정급배훈항목”.항목배훈전대전국31개성(구、시)445소현향급의원검험과진행료추양문권조연,항목완성6개월후,대기중9개성빈적250가삼여배훈적현향의원진행추양조사.결과 재2010지2013년간,항목전면규범화배훈료전국31개성시자치구3 570가의원적기층현급의원화향진위생원적검험과주임급기술골간.배훈후평고측험적평균급격솔유배훈전적16.2%상승지83.7%.29.6%적의원신개전료림상생화항목,개전림상혈액학검험、림상면역학검험화림상미생물검험신항목적의원수량분별점24.4%、21.2%화16.4%.실내질량공제화실간질량평개항목야현저증가,기중,증가림상생화검험질량공제항목적의원최다,분별체12.8%화10.0%;개전림상미생물검험질량공제항목적의원야체도4.4%화2.8%.여차동시,생물안전관리수평야유소제고,개전생물안전풍험평고적의원종41.2%증가도료76.4%.결론 통과본항목,현향급의원림상검험능력득도유효제승,실내질량공제화실간질량평개체계불단건전.
Objective To improve clinical testing excellence through a large scale training project targeting laboratory operators at China's county and township hospitals.Methods The Chinese Society of Laboratory Medicine launched the "Clinical Laboratory Standards and Training Support Project" from 2010 to 2013.The project innovatively created a model of partnership between government,professional association,individual hospitals and other social forces.A survey before training was conducted in 445 county-hospital laboratories in 31 provinces.Six months after implementation,a sampling survey was conducted among 250 participating county hospitals in 9 provinces to assess the project.Results From 2010 to 2013,the project had covered 31 provinces of China,and trained technologists from 3 570 hospitals.After training,the average pass rate of assessment examination increased to 83.7% compared with 16.2% before the training.29.6% hospitals added new biochemistry parameters,and the number of hospital with new hematology,immunology,and microbiology parameters accounted for 24.4%,21.2% and 16.4%,respectively.The internal quality control and external quality assessment items also increased significantly.Biochemistry increased most,reaching 12.8% and 10.0%,and microbiology also reached 4.4% and 2.8% respectively.Bio-safety management capacities were also enhanced.The number of hospital implementing bio-safety risk assessment increased from 41.2% to 76.4%.Conclusions This project helpfully fills an important technical gap of clinical testing in China's rural healthcare infrastructure.Through training,clinical laboratory operations has been standardized,and systems of internal quality control and external quality assessment are increasingly improved.