Medical inspection directly affects the quality of inspection work, medical quality and the overall quality of the whole hospital. The following is the topic of my physical examination paper, I hope you can get some insights from it!

Thesis title, a medical laboratory: how to improve the work of medical laboratory?

As an auxiliary department of the hospital, laboratory plays an important role in the quality management of the hospital. The cooperation between laboratory and clinical departments directly affects the quality of work, medical care and the overall quality of the whole hospital. Therefore, the cooperation between laboratory and clinical departments is very important. This paper expounds the cooperation between laboratory and clinical departments.

Key words: clinical laboratory; Clinical; coordinate

China library classification number R473.6 document identification number A1672-3783 * * 2012 * * 05-0121.

With the development of medicine, it is required that inspectors communicate with clinical medical staff in an academic and informational way, transform limited experimental data into efficient diagnostic information, and participate in clinical diagnosis and treatment more and more directly. Especially in recent years, advanced experimental techniques and instruments are gradually popularized in China, which not only improves the accuracy and accuracy of experimental results, but also provides many new indicators for clinic. Obtain patient data, condition changes and treatment plans from clinical departments to ensure the quality evaluation after analysis and put forward reasonable suggestions for clinical diagnosis. In order to improve medical laboratory work, it is necessary to strengthen the communication and cooperation between laboratory technicians and clinicians.

1 main problems between clinical departments and clinical departments

1. 1 The clinical laboratory is basically out of touch with the clinic: the doctors in the clinical department do not know the inspection situation, and the inspectors do not know the clinical data. On the one hand, the doctor's examination application form is not standardized, including missing or unclear items such as name, gender, age, diagnosis, examination purpose, doctor's signature and hospitalization number, on the other hand. When the inspectors find that the results are abnormal, they don't contact the clinic, don't pay attention to the clinical evaluation of the test results, and don't care whether the clinical departments are satisfied with the test results.

1.2 Clinical nurses don't understand the collection standards and precautions of test specimens: inspectors don't know the process of clinical specimen collection, patients don't know the preparation before specimen collection, and nurses don't know the influence of drugs on test results.

1.3 Lack of communication between clinical laboratory and clinicians and nurses: With the extensive use of advanced equipment, clinical medical staff do not understand the development of laboratory medicine, and quite a few of them do not understand the data detected by new instruments. The clinical laboratory lacks communication with clinicians and nurses when carrying out new experiments and new inspection items.

2 The importance of communication between clinical laboratory and clinic

2. 1 relationship between laboratory doctors and clinical departments: laboratory medical experts participate in expert outpatient and hospital consultations in clinical departments, and keep close contact with the clinic regularly, which is conducive to improving the quality of laboratory work. On the one hand, it can improve the level of diagnosis and treatment, on the other hand, it can provide reliable reference opinions for clinic, which is beneficial to the treatment effect. Therefore, the clinical inspection of outpatients and inpatients is an important first window and an indispensable part of the inspection work.

2.2 The clinical laboratory regularly holds discussion meetings with the clinical departments to communicate in time: the clinical departments reflect the problems existing in the inspection items, and the clinical departments give explanations and explanations, analyze the essence and root causes of the problems, provide correct basis for solving the problems, and strive for the cooperation and understanding of the clinical departments.

2.3 Training for clinical staff: often organize clinical nursing staff to explain the correct collection and transmission methods of specimens and explain matters needing attention. Clinicians and nursing staff who have just joined the work should be required to practice in the laboratory for a period of time to understand the working procedures and projects of the laboratory, and how to refer to the results of the test sheet and the analysis of the allowable error of the normal value.

3. Strengthen the cooperation and communication between clinical laboratory and clinic.

3. 1 The inspection department should attach great importance to quality management before inspection to ensure the accuracy of inspection results.

* * *1* * requires patients to actively cooperate and be vegetarian for three days before collecting specimens.

***2*** For patients who have a glucose tolerance test or have blood sugar 2 hours after meals, the doctor should inform them of the precautions in detail. Only by striving for the cooperation of patients can we do these tests well.

***3*** Correct choice of anticoagulant, pay attention to the ratio of blood to anticoagulant. Improper use of anticoagulant or incorrect ratio of blood to anticoagulant will seriously affect the test results.

3.2 Clinical laboratory should go deep into the clinic at any time, actively listen to clinical feedback, and realize the development with the clinic. Laboratory staff often go deep into the clinic, keep abreast of clinical feedback, guide clinicians to correctly and reasonably select test items, transform limited test information into efficient diagnostic information, and constantly improve their working methods. Insist on communication with clinical departments. Clinical departments put forward opinions and suggestions on laboratory inspection quality and inspection items. Strengthen the contact with the clinic, often listen to the feedback from the clinical director, promote each other, and make the work of the clinical laboratory progress continuously.

3.3 The clinical laboratory should understand the clinical needs and actively carry out new projects and technologies: with the emergence of new technologies, new methods, new theories and new projects, clinicians are required to fully understand the new technologies and indicators of laboratory medicine, and the clinical laboratory has the responsibility to publicize and explain them to the clinic in time. As an inspector, we must understand the clinic, actively participate in clinical consultation, learn clinical knowledge, listen to the evaluation of the test results by clinicians, explain the doubts of clinicians, make the inspectors see the importance of the test results in the clinical diagnosis and treatment process, enhance the quality of the test, explain clinical suggestions and professional problems to the laboratory in depth, and feedback them to the laboratory staff for improvement in time, which is of great significance to improve their medical knowledge.

3.4 Strengthen cooperation with nurses to ensure the quality of test specimens: In order to reduce the influence of specimen factors on the test results, on the one hand, we can contact and communicate with clinical nurses in time to obtain their approval and support. When the specimens do not meet the requirements and affect the test results, we should make correct and reasonable explanations to the clinic and review the specimens when necessary; On the other hand, the inspection department must transmit the correct collection methods and precautions of specific specimens to the collectors in detail in the form of standard operating procedures or flow charts.

Strengthening the cooperation between clinical laboratory and clinic is an important means to improve the level of clinical diagnosis and treatment, and also an important way to promote the win-win development of disciplines. The clinical laboratory must publicize, popularize and apply this work to the clinic in time, constantly strengthen communication with the clinic, and find a meeting point that can strengthen communication. This will not only benefit patients, but also promote the development of laboratory medicine itself and help laboratory medicine better serve the clinic.

refer to

[1] Ye Zhuangyao. Strive to strengthen the combination of laboratory and clinic [J]. China Journal of Laboratory Medicine

Cong Yulong. Quality management and countermeasures before clinical experiment analysis [J]. China Journal of Laboratory Medicine

[3] Zhang Meihe. Attention should be paid to examination and clinical communication [J]. China Journal of Laboratory Medicine

[4] Wang Rugang. Evaluation of clinical laboratory management effect after the implementation of the Measures for the Management of Clinical Laboratories in Medical Institutions [J]. Medical examination and clinic

[5] Cong Yulong, Qin Xiaoling. Several main problems and countermeasures in laboratory management [J]. China Journal of Laboratory Medicine

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