Due to the rapid development and continuous progress of medicine, clinical laboratory technology is also constantly improving, which plays an indispensable role in clinical diagnosis and treatment of diseases and medical laboratory results.

Clinical medical examination is a subject that provides clinical treatment and diagnosis by using modern physical and chemical methods and medical instruments and experimental techniques.

It has a far-reaching impact on medical work and plays a vital role in the future development of China's medical career.

Therefore, this paper will analyze the clinical medical inspection work in our hospital, and discuss the measures to improve its inspection quality through the conclusion.

Clinical medicine; Measures; Inspection quality control

Clinical medical examination

Clinical medical examination can not only affect the clinical diagnosis and treatment of diseases, but also affect the results of medical examination.

At the same time, it can also strengthen people's awareness of disease control and treatment.

Clinical medical examination is an important means of disease prevention, diagnosis and treatment, and plays a leading role in the whole medical system.

Medical laboratory technology is a course to correctly collect and measure clinical specimens, so that clinical diagnosis and treatment can use these conclusions to correctly adopt corresponding diagnosis and treatment methods and achieve good medical purposes.

Medical examination is a medical means to detect samples of patients' body fluids, blood, secretions or exfoliated cells in order to obtain pathogens and pathological changes and extract data.

With the deepening of China's medical and health system reform, the requirements for clinical laboratory work and even the whole medical cause are getting higher and higher, and the technical requirements for clinical laboratory are getting stronger and stronger.

Second, the problems existing in clinical medical examination

1, the inspection conditions and technical equipment are unreasonable.

For clinical medical inspection, the quality of inspection technology is the key. Without good inspection technology, any subsequent inspection may have errors.

In addition, the equipment is not advanced and aging, which also affects the conclusion of physical examination.

2. Non-disease factors.

Non-disease factors are also problematic, because medical workers did not inform patients in time, resulting in failure to get test results in time.

The problems of doctors' lax control in the process of specimen collection and standardization of collection methods, quantity, time and environment will have a serious impact on the test results, thus affecting the accuracy of the test results.

3. The inspection in front of the laboratory is not standardized.

Pre-tricuspid valve examination also affects the examination results.

Specifically, some doctors did not apply for examination according to the patient's condition, and many examination items had no purpose.

Some quality management personnel have weak theoretical knowledge and improper practical operation, which also makes it inevitable to misjudge the system.

4. There are normative errors in document management.

Document management is the basic principle of all inspection work. Only a scientific and standardized document management mode and system can ensure the normal operation of inspection work and the effectiveness of inspection results.

Some managers have insufficient knowledge of document management and are not familiar with the concept and significance of document management. There are some problems such as unclear classification, nonstandard writing and lack of original records when compiling and filing papers, which seriously affect the probability of errors and the condition of no remedy.

5. There is disharmony among inspectors, patients and doctors.

At present, the contradiction between doctors and patients has become increasingly prominent, especially in recent days, medical disputes have occurred frequently in society, and some even endanger the life safety of doctors.

At the same time, there will be disharmonious factors between inspectors and doctors, but because of their unprofessional inspection technology, they don't know much about professional and difficult inspection methods, which is easy to confuse project inspection.

However, inspectors hope that clinicians can understand these difficult professional skills. There is a lack of good communication between the two sides, and there are communication obstacles between the two sides in the inspection work, which leads to contradictions in the inspection work and leads to errors.

Quality control before clinical medical examination

Check the patient's name, gender, age, sampling location and other related inspection steps before the examination, and inform the patient of the contraindications and related precautions in advance according to his own situation.

At the same time, sample collection control, taking blood collection as an example, generally takes place in the early morning, and should be carried out on an empty stomach, and the fasting time should be within 16 hours. Patients should rest for 5-65 minutes and 438+00 minutes in advance when taking blood, and the pulse pressure should be less than 60 seconds.

The inspection instrument shall be maintained and its running status shall be checked at any time.

Routine maintenance and routine maintenance are also important. Check the functions and actions of instruments regularly to ensure that each instrument can be used normally. Once there is a problem, stop and replace it in time, so as not to affect the inspection work.

When preparing test reagents, it is necessary to prepare test items to ensure the process.

In the process of clinical inspection, the inspection should be carried out according to its necessary operating procedures.

Problems and countermeasures in clinical laboratory work

1. Strengthen equipment management and improve inspection environment.

Strengthen equipment management, improve equipment environment, and equip appropriate instruments according to technical requirements.

It is necessary to keep up with the development of international technology, introduce advanced technology and use high-precision equipment to ensure the effectiveness of inspection.

The management of equipment should be perfect, and it should be managed and maintained by special personnel.

The inspection room should strictly operate the inspectors and strictly manage the inspectors to prevent them from making unnecessary mistakes.

Ensure the integrity of the instrument and the accuracy of equipment testing.

2. Formulate document management standards.

It is necessary to formulate strict management norms and strictly implement them, implement the system of special person in charge, and improve the copy management system.

During the implementation, an experienced doctor should fill in the checklist to ensure that the information in the checklist is correct before submitting it for issuance, and the director of the clinical laboratory should sign it himself before submitting it to the next link.

After the inspection, the documents should be managed to ensure that the documents are correct.

3, improve the laboratory inspection, improve quality.

Doctors and inspectors should improve their own quality and ask clinicians to improve their relevant knowledge. Inspectors should also strengthen their professional knowledge and improve their own quality.

For medical emergencies, we should have good emergency ability and master new knowledge and equipment as soon as possible.

Strengthen the ability of specimen collection, make the collection work standardized, standardized and systematic, do the related work strictly and conscientiously, reduce the error of inspection results in operation and improve the inspection quality.

4. Promote communication between inspectors and clinicians.

There should be more communication and interaction between laboratory staff and clinicians, and hospitals should carry out communication between departments regularly or irregularly and hold corresponding networking activities.

During the activity, it is advocated to do more work reports between departments.

Laboratory staff and doctors should learn more professional knowledge from each other, accumulate clinical knowledge and work experience, and improve their abilities in all aspects.

5, the influence of non-disease factors

For the influence of non-disease factors, it is necessary to inform the patient of the test results in time and learn more about the patient's mood.

Everything starts from the patient, communicate with the patient more and think more about the patient.

Patients should be reminded of relevant taboos from time to time, so as to prevent patients from accidentally eating taboo foods and taking too much medicine without knowing it, causing unnecessary accidents.

At the same time, pay attention to the time, methods and norms of sample collection to ensure good cooperation between doctors and patients.

refer to

Zhou Yinong. Standardize clinical teaching management and train qualified medical talents [J]. Medical information. 20 10

[2] Yang Dan. Application of case teaching method in surgical practice teaching [J]. Contemporary medicine. 20 10.0 1.

[3] Chen Meilan. Problems and countermeasures of clinical teaching in the new period [J]. guide of china medicine.2009+00

Quality control measures of clinical medical examination papers II

With the rapid development of medical laboratory technology, more and more diseases must be treated according to the results of medical laboratory, so medical laboratory plays an important role in clinical medical treatment.

The quality requirement of physical examination is getting higher and higher, otherwise it will delay the best treatment time of patients, so the quality of physical examination is a crucial control measure to strictly ensure the quality accuracy. On this basis, this paper focuses on the quality control measures of medical examination, as follows.

Clinical medicine; Physical examination; Quality control measures; Accuracy (sex)

1 Problems in clinical medical examination

Clinical medical examination can help some people who don't know much about medicine to correctly understand the harm of diseases, and help these people to correct their attitudes and carry out correct treatment. At the same time, clinical medical examination is also the fundamental basis for correct diagnosis and treatment of diseases, correct prevention and correct health care after rehabilitation. Therefore, the physical examination is of great significance, and the accuracy of the physical examination must be guaranteed. However, there are still many inaccurate physical examinations in hospitals in China, mainly for the following reasons:

1. 1 The factors of laboratory staff are mainly aimed at some things that need patients' special attention before the examination, such as the medical staff did not inform the patients well before the examination, which led to the patients not paying attention to their own diet before the examination, taking drugs or even paying attention to emotional changes. These factors will have different degrees of influence on the quality results of clinical medical examination.

In addition, when medical staff collect samples from the parts that need to be detected, some neglected factors, such as sampling method, sampling time, sampling place and even inappropriate sampling environment, will affect the quality of medical examination, and even delay the treatment of patients in serious cases, resulting in serious medical accidents.

It can be seen that the medical staff's physical examination preparation is also a step that leads to errors in the quality of physical examination, which needs the attention of the majority of medical staff.

1.2 physical examination personnel factors During physical examination, the knowledge strength and technical level of individual physical examination personnel are not very high, and the inspection equipment is' backward', which is likely to lead to low inspection quality and inaccurate inspection results.

1.3 factors of improper measures before physical examination. Before examination, it is necessary to collect detailed patient data, the parts that patients need to examine, the details that patients need to pay attention to before examination and the contraindications for examination, so as not to affect the examination results.

1.4 During the maintenance of medical inspection instruments, whether the inspection instruments operate normally is very important for the quality of medical inspection results. Therefore, if the relevant personnel do not regularly maintain and maintain the instrument, the function of the inspection instrument will decline, which will have an unpredictable impact on the inspection results.

2 How to effectively improve the quality of medical test results

Physical examination results play a very important role in the treatment of patients, reducing the probability of misdiagnosis, improving medical quality, protecting patients' interests, and improving the social reputation and economic benefits of hospitals. Therefore, it is an inevitable trend to carry out physical examination, and improving the quality of physical examination results is also an essential measure. In order to achieve a win-win goal, we must strengthen measures to improve the quality of physical examination results.

2. 1 The first thing a hospital should do is to pay more attention to physical examination mentally and always educate doctors and nurses to improve the quality of test results.

Maintenance personnel strengthen the maintenance of inspection instruments and improve the inspection level of the inspection room. Nurses need to assist doctors in all the preparations before examination, especially to ensure that the patient's state before examination is the best. Doctors are very careful in the examination process, conscientiously implement all the details that need attention, carefully analyze the examination results, and formulate a treatment plan that conforms to the patient's physical condition.

It can be said that only when all medical staff pay more attention to physical examination and are truly responsible for patients in psychology and behavior can the quality of physical examination results be fundamentally improved.

2.2 Hospitals need to train all medical staff in various ways, which is the most important factor to ensure the quality of medical test results. In order to improve the quality of test results, the hospital should first raise the professional level of all medical personnel involved in medical examination to a certain height and carry out training for medical examination personnel. The training content includes improving medical staff's understanding of quality control. And in the process of training, improve the professional level of medical staff, let them learn a set of theories about quality control and carry out relevant technical training. Training methods can include self-study, mutual learning, training courses organized by hospitals and practical learning.

In order to improve the professional level of medical staff, hospitals should actively carry out this activity.

2.3 Hospitals should strengthen the maintenance of medical inspection instruments. The normal operation of medical inspection instruments has an important influence on the normal development of quality control.

Therefore, the environmental requirements of the inspection room are also very high, such as whether the environment of the inspection room is clean, whether the cleanliness of glass instruments and inspection instruments will affect the samples, whether the instruments and equipment are in the best working condition, whether the inspection methods will affect the inspection results, and so on.

Therefore, in order to ensure the smooth development of quality control, it is necessary for hospitals to make good preparations for laboratories and provide an optimal environment for medical examination.

3 abstract

The development of clinical medicine is inseparable from the development of clinical laboratories. In order to ensure the best development of the two, it is necessary to fully consider various factors, grasp the details that need to be paid attention to in medical examination, and carry out standardized operation at the professional level. Only in this way can the accuracy of clinical laboratory work be improved.

refer to

[1] Cong Yulong. Quality management and countermeasures before clinical examination and analysis. China Journal of Laboratory Medicine, 2009: 483-487.

[2] Zhou Qiong-Xian. Effective communication between laboratory medicine and clinical medicine to improve the quality of clinical laboratory. Laboratory medicine and clinic, 2011:2415-2416.