Graduation Thesis of Medical Laboratory —— Strategies to Improve the Quality of Primary Medical Laboratory
Abstract of graduation thesis of medical laboratory specialty
Abstract: With the development of science and technology, advanced medical equipment and inspection technology began to increase, which also put forward higher requirements for laboratory staff. Laboratory staff should not only keep pace with the times, but also be able to correctly analyze various specimens in order to provide the most accurate data for clinical treatment. This paper discusses the problems existing in the quality of physical examination at the grass-roots level.
Contents of graduation thesis of medical laboratory specialty
Keywords: grass roots; Medicine; Check the quality; Improve; think
Medical examination plays a vital role in clinical diagnosis in the field of modern medicine, which can provide the most powerful basis for doctors to diagnose diseases. With the progress of society and the reform of medical system, the clinical medical inspection technology has made great progress, and the accuracy of inspection is very important to the quality of medical care. If the examination results are inaccurate, it may lead to misdiagnosis of the patient's condition, miss the best treatment opportunity and cause serious damage to the patient's life safety [1]. Therefore, Changhe Central Health Center in Cixi City, Zhejiang Province discussed how to improve the quality of primary clinical medical examination.
1 Problems in physical examination quality
1. 1 The political level and professional quality of the inspectors are low.
Medical laboratory is nominally an auxiliary department of the hospital, but it is an essential department in the medical activities of the hospital. Doing a good job in quality control of important links in clinical medical examination and ensuring the accuracy of results can improve the relationship between doctors and patients and enhance the therapeutic effect. However, the staff lack their own professional knowledge and do not care about quality inspection. In daily work, if you lack the sense of responsibility, you can't care and communicate with patients properly, you can't know the current situation of patients in time, and it is difficult to provide valuable reference for disease diagnosis. Some experienced inspectors have not learned new professional knowledge, and the original professional knowledge has become outdated, which reduces the inspection level and increases the possibility of operational errors. Hospitals should carry out regular training for this situation for everyone to exchange and learn [2]. The clinical awareness of medical inspectors is also seriously inadequate. The requirements of modern medicine for medical experiments are not only the collection and detection of specimens, but also the treatment and prevention of human diseases or the evaluation of human health indicators, as well as the reasonable interpretation of laboratory results. Contact between clinical departments should also be increased in order to understand the condition and confirm the accuracy of clinical diagnosis.
1.2 Clinical test specimens are not standardized.
Whether the clinical test specimens are taken correctly or not is directly related to the quality of clinical test. Total quality control includes three stages respectively. There are more or less errors before, during and after the experiment, and the error before the experiment accounts for 68% of the total error, which makes the collection of clinical test specimens before the experiment particularly important. At present, some medical inspectors are unable to choose the best sampling time according to different projects because of their lack of operational skills and professional knowledge. If the medical examiner doesn't realize it and chooses the wrong one, it will affect the examination results. In addition, the physical examiner should also choose the corresponding anticoagulant blood vessels according to different items. If the sampling method cannot be strictly followed, the test results will be affected. In the process of specimen acceptance, standard measures should also be taken for acceptance. Specimens whose quality does not meet the requirements shall be returned according to the rejection system and recorded. If the samples submitted for inspection cannot be detected in time, they shall be saved as required [3].
1.3 cannot strictly carry out the operation process.
Strict operating rules are needed in the experiment, but in the process of product quality inspection, even skilled workers can't get exactly the same results by repeatedly using the same method and the same sample due to the influence of inspection methods, professional quality of personnel, equipment conditions and hospital environment, which shows that there are errors in the actual inspection process. However, some inspectors can't operate strictly according to the operating rules in the experiment, which greatly increases the error range. Inspectors need to master the precautions of inspection and the use of inspection instruments and reagents in detail, and strictly abide by the inspection operation procedures. Strengthen system management, ensure that management has rules to follow, strictly supervise employees, and clearly distinguish rewards and punishments, and fully mobilize the enthusiasm and initiative of department employees. Supervise and manage the experiment process, prevent any problems in the experiment and ensure the accuracy of the test results. At the same time, it is also beneficial for inspectors to find problems in their work and improve their personal ability. Especially for some tests with low detection cost, this method is worth applying [4].
1.4 phased quality monitoring cannot be guaranteed.
Quality control before analysis must be done well, and the collected and processed specimens should be monitored after eliminating the possible influence of various factors on the test results. Certification to understand the quality control work of analysis, but also participate in the evaluation of clinical laboratory core departments of health departments. Before work, check and maintain the instruments and equipment used to ensure that the instrument errors in the experiment are minimized. The quality control after analysis must be done well, the outlet pipe should be carefully checked, and the inspection results should be checked repeatedly. The examination results must not be checked because of the medical examiner's own factors. The communication between physical examiners and clinicians should also be well guaranteed. If they can't coordinate with each other, it may affect the smooth progress of the work.
1.5 experimental report cannot be registered or ignored in time.
After the experiment, the results should be registered in time and the report should be sent to patients or relevant departments. If the experimental report cannot be delivered in time, it is likely to delay the treatment opportunity. Some hospitals may ignore or ignore the experimental results, so they don't register. In fact, from the experimental results, on the one hand, registration can be convenient for patients and clinicians to ask, on the other hand, it can provide scientific basis for clinic, and valuable scientific basis can be obtained through these data for research [5].
2 Measures to improve inspection quality
2. 1 Improve efficiency
With the progress of the times and the development of science and technology, many new types of equipment have appeared. Modern instruments have the characteristics of automation and networking, and can strictly implement quality control, which not only improves work efficiency, but also improves inspection quality. The standardized application of product suite and systematic training of inspectors make the inspection work more standardized, standardized and unified. Modern automatic analytical instruments can perform hundreds of routine and unconventional tests at the same time. Therefore, the traditional management mode should be continuously improved with the intervention of high-tech equipment, and the concept should be updated in time. The sharing of resources is mainly based on opening and using modern instruments, adjusting professional groups and standardizing laboratories in clinical departments, so that reports can be completed more quickly. Centralized management of instruments and equipment can make full use of the working efficiency of existing equipment, reduce the analysis cost, reduce the sample turnover and inspection and analysis time of patients, provide diagnostic data for clinicians in time, and improve the rehabilitation level of patients.
2.2 Strengthen quality control
Indoor quality control should be done strictly and seriously to ensure the accuracy of the determination results, and the differences between the detection conclusions of batches and daytime samples during the experimental operation should be recorded. The process and implementation of the experiment should be comprehensively monitored and managed. In case of out-of-control events, it is necessary to control and analyze the causes in time, take corrective measures, fill in relevant reports, improve working methods and improve inspection quality.
2.3 The daily management and normal use of the instrument shall be guaranteed.
At present, clinical laboratories pay more and more attention to automation, mainly using instruments that are registered and qualified by domestic administrative departments. Therefore, it is necessary to set up a special group to improve the management, registration and signing of documents. Team members should use the instruments according to the instructions, keep records of their operation and maintenance, and maintain them regularly to ensure the normal operation of the inspection instruments [6].
2.4 improve the level and strengthen learning.
The learning contents are mainly professional knowledge, operation skills and safety awareness. Clinical laboratory should conduct regular training and monthly assessment, reward those who perform well and punish those who perform poorly.
3 Conclusion
To sum up, clinical medical examination plays a very important role in modern medicine and is of great significance for the diagnosis and detection of clinical diseases. With the progress of society and the reform of medical system, the clinical medical inspection technology has made great progress, and the accuracy of inspection is very important to the quality of medical care. If the examination results are inaccurate, it may lead to misdiagnosis of the patient's condition, miss the best treatment opportunity and cause serious damage to the patient's life safety. Nowadays, clinical laboratory work is in a period of technological change, and many recent medical achievements are based on laboratory technological innovation. At present, there are some problems in the quality of primary clinical medical examination, but as long as hospitals implement relevant systems and stick to them? Patient-centered? The concept of medical inspection quality can be improved smoothly.
Literature of graduation thesis of medical laboratory specialty
[1] Chen Chuan, Fan Hong, Chen Bo, et al. Investigation and analysis of clinical laboratory resources at the grass-roots level [J]. Modern Preventive Medicine, 2013,3 (2): 32-33.
[2] Zhang Guowei, Sugar Singing and Zhao Xia. Suggestions on laboratory work in primary hospitals [J]. Primary care forum, 20 13, 17 (17): 2263-2264.
Liu Bing, Chen Yulin, Chen Huagen. Discussion on strengthening laboratory and clinical communication in primary hospitals [J]. International Journal of Laboratory Medicine, 2012,33 (12):1528-1530.
[4] Liu Jian, Cao Qi, et al. Analysis of clinical medical laboratory management in primary CDC [J]. China Journal of Health Laboratory Technology, 20 12 (3): 79.
Song Ying, Wang Qing, Li Yong, et al. 20 10 Analysis of blood test quality in some primary hospitals in Shanghai [J]. Laboratory Medicine, 2012,27 (10): 840-843.
[6] Ada, Liu Dan, Huang Zezhi, et al. Research and practice on the reform of theoretical teaching mode of "Fundamentals of Clinical Laboratory" in laboratory technology specialty [J]. International Journal of Laboratory Medicine, 2013,34 (21): 2934-2935.
Analysis of English teaching for medical laboratory undergraduates
Abstract of graduation thesis of medical laboratory specialty
Medical English teaching for medical laboratory majors aims at cultivating students' ability to read English documents, write scientific papers in English and conduct international academic exchanges. This paper mainly discusses the characteristics and existing problems of medical laboratory English teaching, and discusses the methods to improve the quality of medical laboratory English teaching.
Contents of graduation thesis of medical laboratory specialty
Medical English; English teaching; physical examination
English is the most widely used language in the world and one of the major international languages. 85% of scientific and technological materials, frontier articles of medical disciplines and working languages of international conferences are English [1]. Therefore, for high-level talents, they need not only rich medical professional knowledge, but also strong English application ability. The core work of undergraduate English teaching is how to improve students' medical English level. This paper discusses the characteristics, existing problems and methods to improve the teaching quality of medical English. In 2004, the Ministry of Education issued relevant requirements for college students' English teaching. In college English curriculum requirements, college English teaching is divided into three levels: general requirements, higher requirements and higher requirements. About what? More demanding? The contents are as follows: students can basically understand the radio and television programs of English-speaking countries and the lectures of their major; Be able to have a smooth and accurate dialogue or discussion on general or professional topics [2]. In order to achieve this goal, medical colleges and universities have intensified the reform of English teaching. Capital Medical University began to recruit undergraduate students majoring in laboratory medicine on 20 10, and offered medical English course in the first undergraduate teaching. There have been three graduates so far, and the teaching experience of laboratory medical English is summarized as follows:
1 updated the teaching mode and enriched the teaching content.
In many colleges and universities, teachers still occupy an absolute dominant position in medical English teaching. The teaching mode is outdated and the content is single, so it is difficult to meet the learning needs of medical students. The teaching and research section abandons the old model of teaching texts and exercises, brings students into the classroom, allows students to participate in it, and makes students truly become the masters of the classroom. At the beginning of the course, the teacher divided the students into study groups. Pre-class preparation, class discussion and homework are all done in groups. For example, when teaching literature reading, students' groups consult the literature as required before class, and summarize the problems encountered, including what literature databases are available, how to choose keywords, how to obtain the full text and so on. In class, teachers and classmates discuss and solve the problems they encounter, and ask each group to share their experiences; After class, the group will summarize the content of the class. This fully mobilized students' enthusiasm and enhanced cooperation among students. Using multimedia courseware and video teaching mode can improve the teaching effect and students' interest, and then improve the teaching quality [3]. The display of videos, animations and pictures related to the teaching content can display the teaching content more vividly, attract students' attention, improve students' classroom concentration and improve teaching effect. In specific teaching practice, replacing blackboard writing with PPT has become the main form of modern teaching. By creating the best situation and displaying perceptual materials, the teaching effect can be improved. For example, using animation and English to explain the formation of thrombosis can make students understand and be influenced by the English environment, which improves the interest of the class and has obvious effect on improving students' attention.
2 to enhance the status of professional English teaching
At present, general English occupies a major position in English teaching in most medical colleges, which is reflected in the teaching hours, and the ratio with medical English exceeds 4∶ 1[2]. This ratio is far from enough for students to master medical English. The teaching and research section has set the teaching of professional English as one academic year, which has increased the development space of medical English teaching. Professional foreign language is a practical course, so teachers attach great importance to students' participation in the teaching process. Participation mainly includes listening and reading the vocabulary of the text, and choosing sentences with appropriate difficulty in the text for students to do English-Chinese exercises. Only when students really participate in the teaching process can their knowledge be consolidated and improved. In literature teaching, while reading articles of various types, genres and styles to students, students are encouraged to use online tools to collect and read foreign language materials, and analyze and discuss the achievements and problems encountered in extracurricular reading in class, so as to achieve the effect of * * *.
3. Hire medical teachers to carry out professional English teaching.
English teachers have always been responsible for English teaching in colleges and universities in China. However, medicine is a highly specialized and complex science. Even if the English level is very high, it is difficult to be qualified for professional English teaching without knowing medical professional knowledge. Therefore, the teaching and research section selects young teachers with high English level and medical professional background to undertake professional English teaching, and through the training of these teachers, it fully makes up for the shortage of English teachers' professional knowledge and directly improves the teaching effect of medical English. At present, there are 12 professional English teachers in the teaching and research section, including 5 doctors of medicine and 7 masters with good medical background; At the same time, 100% of these teachers have CET-6 certificates, and their English level is relatively high.
4. Writing English textbooks closely combined with clinical practice.
Starting from clinical needs and teaching arrangements, the teaching and research section determines the selection and sequencing of examples in teaching materials. For undergraduates majoring in laboratory medicine, they pay more attention to the choice of medical popular science knowledge. It also meets the professional courses and actual needs, such as blood routine examination, body fluid examination, coagulation function examination, microbial examination, tumor marker examination and so on. The selected articles are all from the front-line clinical work, and medical lexicology is a vocabulary for clinical application. Although it was compiled with reference to the original foreign textbooks, it did not translate the foreign textbooks into full text, and adopted a compilation mode that was in line with the study habits of China students, so as to improve students' interest in learning [4]. According to the actual needs of students, 2 ~ 3 literature reading classes are arranged each semester to solve the problem of students' consulting literature and provide help for students to consult literature. Each chapter consists of two parts: medical English reading and vocabulary. Usually, teachers will test students' basic English through long sentences. For students who do not have the ability to analyze long sentences independently, teachers can help them analyze and understand the relevant content and structure, thus strengthening their basic English. One of the main ideas of modern education is that teachers are the dominant and students are the main body. In specific teaching practice, students ask questions and teachers answer them, which can greatly arouse students' learning enthusiasm [5]. In vocabulary learning, 30 groups of key professional vocabulary constitute a unit. Learning these professional words is of great benefit to expanding students' vocabulary and improving their reading ability of English medical documents, and it also plays a positive role in students' memory and use of these medical documents. After three sessions of clinical laboratory professional English teaching, while referring to and drawing lessons from other professional medical English education experiences, we found many shortcomings and faced the following challenges:
(1) The current medical English syllabus needs to be revised urgently. At present, there are some shortcomings in the medical English syllabus, among which it is particularly urgent to clarify the teaching objectives and teaching results and put forward specific requirements for English listening, speaking, reading and writing in each class every semester. Only when there are rules to follow can the teaching model be standardized and the established training goals be achieved.
(2) Improve teachers' English specialization. At present, the medical English majors in the teaching and research section are all medical majors, and their language attainments are not deep. Therefore, it is urgent to strengthen the construction of medical English teachers. Encourage them to learn medical English listening, speaking, reading, translating and writing, and organize English teachers to guide English teaching. In short, strengthening the combination of course content and medical professional knowledge, stimulating students' enthusiasm for learning, attaching importance to innovative and diverse participatory and experiential teaching methods, and actively taking measures to improve teachers' important position in English teaching are the directions of testing professional English teaching efforts.
Literature of graduation thesis of medical laboratory specialty
Apollo, Li Shasha, Lin Zhenlang. On the methods and experiences of medical English teaching in medical colleges [J]. Zhejiang Medical Education, 2009,8 (1):13-15.
[2] You Yongchao. The present situation and future development of medical English teaching [J]. Journal of Guiyang College of Traditional Chinese Medicine, 2007,29 (1): 23-25.
[3] Cai Gengchao. On medical English teaching [J]. China medical education technology, 20 10/0,24 (3): 295-298.
[4] Zhao Hui, Lu Hong, Kun Li, et al. Reflections on Laboratory Medical English Teaching [J]. Continuing Medical Education, 2015,29 (4): 57-58.
[5], Song Bei, Kang, et al. Establishment and practice of English teaching mode for medical laboratory [J]. Continuing medical education, 2016,30 (1): 41-43.
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