Current location - Education and Training Encyclopedia - Education and training - Quality and safety work plan of clinical laboratory
Quality and safety work plan of clinical laboratory
Quality and safety work plan of clinical laboratory

With a flick of a finger, the days passed quietly. What will meet us is a new life and new challenges. Let's make a plan for future study together. Want to learn to make a plan but don't know who to consult? The following is the quality and safety work plan of the clinical laboratory I compiled for your reference, hoping to help friends in need.

Work Plan for Quality and Safety of Clinical Laboratory 1 20xx Clinical Laboratory will, with the correct leadership and support of hospital leaders and the full cooperation of all departments, take hospital work as the center and combine our work to continuously improve medical quality, ensure medical safety, improve the quality of general practice and strive to complete various tasks of the department. The specific work plan is as follows.

First, strengthen laboratory construction and improve internal management.

1, carry out the system construction of clinical laboratory, establish and improve various standard systems, processes and measures, learn inspection quality manuals and operating procedures, clarify the responsibilities of operators in each position, conduct regular assessments and check the implementation.

2. Improve the detail management of the department, enhance safety awareness and standardize the operation process. Make every rule and regulation of the department be implemented and implemented in every link of the department.

Two, strict quality control, improve the inspection accuracy.

1, the quality control goal of the clinical laboratory, and continue to do a good job in the daily quality control of biochemical inspection items. Strengthen the quality control of routine items in temporary inspection, and make records, analysis of out-of-control reasons and corrective measures.

2. Incorporate the quality control results of inspection items into the quality assessment index of the department, improve the accuracy of inspection, and reduce the laboratory error rate of the department to the lowest point.

Three, strengthen the management of instruments and equipment, improve work efficiency

To do a good job in maintaining the existing experimental instruments, it is required that the staff of each department should study hard, master the operating skills of the instruments, maintain and maintain the instruments in strict accordance with the requirements, carefully study all kinds of faults of the instruments, and respond positively in time to ensure the normal operation of all kinds of instruments in the department, which not only saves maintenance costs, but also ensures the normal operation of daily inspection work and improves work efficiency.

Fourth, increase the workload and business income.

1, specimen quantity, 300,000 person-times are planned to be completed by the end of 20xx.

2. Operating income, the planned economic income at the end of 20xx is 40 million.

Verb (abbreviation of verb) actively carries out new projects

In the year of 20xx, we will continue to strengthen the combination with the examination of the president, actively promote the development of new projects, facilitate the diagnosis of patients and provide reliable diagnosis basis for clinicians.

Six, personnel training and business learning

Standardization and institutionalization of clinical laboratory business learning. Carry out various forms of business learning throughout the year. Do a problem every week and learn to take notes.

All the staff of the clinical laboratory are willing to contribute to the development of Shuyang County People's Hospital, and let the clinical laboratory go up and down a storey still higher. Make your own efforts for the smooth promotion of the hospital.

In order to strengthen the quality management of clinical laboratory, the quality and safety work plan of Clinical Laboratory 2 takes "grade hospital evaluation" as the center, and the continuous improvement of medical quality and medical safety guarantee as the core content of clinical laboratory management, so as to provide high-quality, efficient, safe, convenient and economical medical services for the people. In order to ensure the "Grade Hospital Evaluation" to pass smoothly, our laboratory will strive to establish an effective quality management system in the laboratory from the aspects of document preparation, personnel enthusiasm mobilization, personnel quality improvement, quality control in the whole inspection process (before, during and after inspection), external quality evaluation and management evaluation according to the relevant standards of grade hospital evaluation. , combined with their own reality, pragmatic, and constantly explore and improve.

First, strictly implement the standard operating procedures.

All laboratories strictly implement quality manuals, program documents and work instructions. Quality team and quality control team should supervise and inspect regularly, find problems and put forward continuous rectification measures in time.

Second, management should attach great importance to it.

The establishment of quality management system is by no means a job that can be completed in a short time. Effective operation must be the active participation and full cooperation of all employees. Therefore, the department should fully mobilize the enthusiasm of all employees.

Third, improve the quality of personnel.

The quality and ability of personnel is one of the key links that affect the quality of laboratory inspection. Strengthening personnel training is an effective means. Each laboratory should carry out bio-safety training according to the development needs, the complexity of work, job changes and other different situations, constantly learn new knowledge, and improve the technical level of inspectors. The training forms are flexible and changeable, and can take the forms of internal business study, training and inviting experts to teach.

Fourth, effective control of the whole inspection process.

Inspection work is a multi-link work chain, from issuing inspection application form, patient preparation, specimen collection and inspection, specimen receiving and inspection, until the inspection report is delivered to the applicant (or patient). Errors in any link will directly affect the reliability of the test results. Therefore, it is necessary to control the whole process. In order to ensure the effectiveness, the whole inspection process is divided into three independent links: before inspection, during inspection and after inspection, so that its independence is strengthened and highlighted.

1, quality control before inspection

Pre-inspection process refers to the process from issuing the application form to sending the specimen to the laboratory. Because the pre-inspection process mostly occurs outside the laboratory, it is easy to be ignored and difficult to control, which makes this stage the weakest link in the three processes. Clinical laboratory can make use of the business study and training of the whole hospital, print and distribute specimen collection manuals, etc. Explain the importance and methods of pre-inspection process to clinical medical staff, so that they can understand the different requirements of different inspection items for specimen collection, matters needing attention and influencing factors of test results, and collect specimens correctly and standardly in strict accordance with regulations or supervise patients to keep specimens correctly. In addition, necessary training should be given to the specimen transport personnel to avoid the untimely and irregular inspection affecting the inspection quality.

2. Quality control in inspection.

Inspection refers to the process of specimen detection in the laboratory, including the receiving process of specimens.

(1) Attach importance to the acceptance of specimens.

The clinical laboratory should establish a special registration of specimen acceptance and rejection, and the inspectors should check and sign the clinical specimens. The verification contents should include: whether the application form is filled correctly and completely, whether the application form is consistent with the unique identification of the specimen, whether the quality of the specimen meets the needs of the application project, and whether the specimen is submitted for inspection in time. Reject unqualified samples and explain the reasons for rejection to the inspector. If necessary, you can contact the clinical medical staff directly and ask for a reissue of the sample. Qualified and unqualified samples shall be recorded and kept.

(2) Close the instruments and reagents.

Qualified equipment and reagents are the premise to ensure the inspection quality. The laboratory will strictly control the selection, evaluation and management of reagent suppliers, reagent procurement and warehousing, storage conditions and use records of reagents, to prevent unqualified reagents from entering the laboratory and unqualified reagents and expired reagents from being used for testing. In terms of testing instruments, it is also necessary to formulate standardized instruments and equipment management documents, establish instruments and equipment files, and keep them by special personnel, standardize the management of inspection, purchase, use, calibration and maintenance of instruments and equipment, and ensure that the operating conditions of instruments and equipment are consistent with the requirements of the user manual.

(3) Strict laboratory standardized operating procedures.

Our department will work out standardized operating procedures for all instruments, equipment and testing items with reference to the national operating procedures for clinical testing and the operating instructions for instruments and kits. Strictly implement standardized operating procedures to standardize and program the operation process and reduce operational errors.

(4) Do a good job in indoor quality control.

Through indoor quality control, the fluctuation law of instrument and reagent errors can be found, and corrective measures can be taken in time to ensure the stability and reliability of test results. The laboratory will establish a standardized document (SOP) for indoor quality control, conduct indoor quality control on all items except stool routine, establish original quality control records and quality control charts, with monthly quality control summary, and use rules such as 12s, 13s, 22s, 4 1s, 10x to judge out of control and establish out of control.

3. Quality control after inspection.

Post-inspection process refers to the process of inspection, issuance, clinical application and specimen preservation of inspection results.

(1) Check the test results.

Establish a double audit system, with the operator as the reporter of the first trial, and then the authorized person in charge will conduct the second trial. In case of missed inspection, false inspection, irregular writing and inconsistent patient data, check or contact the informant in time and correct it in time. For questionable or abnormal results, they can only be issued after review.

(2) Distribution of test results

The distribution of inspection results must be timely and confidential. After approval, the report will be published uniformly.

(3) Preservation of test specimens.

The clinical laboratory should preserve the specimens with preservation significance after inspection, and formulate standardized documents, clearly stipulating the preservation method, preservation conditions and preservation time, so as to ensure that the original specimens can be traced back during the preservation period. Doing this well is not only conducive to the recheck of inspection results, but also conducive to the self-protection of inspectors. Our department tentatively reserves all blood samples for 7 days.

Five, actively participate in the assessment of ventricular interstitial work.

The result of interstitial evaluation is a concrete reflection of laboratory quality level, indoor quality control and reliability of test results. Through the results of ventricular interstitial assessment, we can find inaccurate factors that are not easy to find in the laboratory itself, understand the systematic errors in actual work, and make targeted corrections to ensure the accuracy of the test results. This year, our department will participate in the three ventricular interstitial assessments organized by Yunnan Clinical Laboratory Center, including biochemistry, immunity, blood routine and urine routine, to ensure that all the quality assessment results are qualified and strive for Excellence. And analyze and deal with out-of-control projects.

Six, the main work arrangement of laboratory safety

1. Improve personal protective equipment, and strive to equip departments with biosafety requirements with standardized protective clothing (such as isolation gown, work clothes and apron), gloves, protective glasses, goggles, eye washing devices, protective covers (masks) and emergency shower equipment (washing facilities).

2. Perfect laboratory hardware facilities: complete the laboratory decoration, define the laboratory partition, and use the laboratory green.

3, continue to conduct a comprehensive safety inspection of laboratory instruments and equipment:

(1) Are all instruments and equipment certified for safe use?

(2) Before the maintenance of instruments and equipment, whether decontamination work has been carried out?

(3) Are biosafety cabinets and fume hoods regularly inspected and maintained?

(4) Are autoclaves and other pressure vessels regularly inspected?

(5) Are the centrifuge barrels and rotors inspected regularly?

(6) Is there a safe container for storing broken glass and a container for discarding sharp objects?

4. Health and safety of staff

(1) Put the first aid kit in an important place;

(2) Posting biosafety signs in prominent and necessary positions;

(3) Work out an immunization plan related to laboratory work together with the hospital staff's sense control room;

(4) Carry out correct biosafety operation training and encourage laboratory members to report potential exposure events.

5, this year's laboratory safety training plan:

(1) Emergency plan after occupational exposure and leakage of hazardous chemicals;

(2) A comprehensive understanding of laboratory safety.

20xx Clinical Laboratory 3 Quality and Safety Work Plan Under the correct leadership and support of hospital leaders and with the full cooperation of all departments, all clinical laboratory staff will work with Qixin, take hospital work as the center, and combine the work of our department to continuously improve medical quality, ensure medical safety, improve general medical quality, and strive to complete various tasks of the department. The specific work plan is as follows.

First, strengthen laboratory construction and improve internal management.

1, carry out the system construction of clinical laboratory, establish and improve various standard systems, processes and measures, learn inspection quality manuals and operating procedures, clarify the responsibilities of operators in each position, conduct regular assessments and check the implementation.

2. Improve the detail management of the department, enhance safety awareness and standardize the operation process. Make every rule and regulation of the department be implemented and implemented in every link of the department.

Two, strict quality control, improve the inspection accuracy.

1, the quality control goal of the clinical laboratory, and continue to do a good job in the daily quality control of various biochemical inspection items. Strengthen the quality control of routine items in temporary inspection, make records, analyze the causes of out-of-control and take corrective measures.

2. Incorporate the quality control results before the inspection items into the department quality assessment indicators, improve the accuracy of inspection, and minimize the laboratory error rate of the department.

Third, strengthen the management of instruments and equipment to improve work efficiency.

1, do a good job in the maintenance of existing experimental instruments, requiring each subject.

Work summary/plan

The staff in the laboratory study hard, master the skills of instrument operation, maintain the instrument in strict accordance with the requirements, and can seriously study all kinds of faults of the instrument, actively respond to them and solve them in time, which ensures the normal operation of all kinds of instruments in the undergraduate department, saves maintenance costs, ensures the normal operation of daily inspection work and improves work efficiency.

2. With the introduction of new equipment, the hospital leaders decided to strive to introduce Olympus 640FR automatic biochemical analyzer in 20xx.

Fourth, increase the workload and business income.

1, specimen quantity, and it is planned to complete 50,000 person-times by the end of 20xx.

2. Operating income: the planned economic income at the end of 20xx is 2.8 million yuan.

Verb (abbreviation of verb) actively carries out new projects

In 1 and 20xx, we will continue to strengthen the combination with gold domain testing, actively publicize and carry out new projects to facilitate the medical diagnosis of Founder and provide reliable diagnosis basis for clinicians.

Six, personnel training and business learning

Laboratory business learning is standardized and institutionalized, and various forms of business learning are planned throughout the year. Do a problem every week and learn to take notes.

All the staff of the clinical laboratory are willing to make their own efforts and contributions to the development of Panshi Hospital in Cao Xian County, so that the clinical laboratory can go to work at a higher level. Strive for the superior leadership to review and promote the smooth passage of the hospital.