In the development of modern medicine, with the rapid development from medical examination to laboratory medicine, in the clinical diagnosis and treatment of patients, the results of laboratory medicine provide important objective diagnosis and curative effect judgment basis for clinical medical diagnosis and treatment. The following is the medical examination paper I compiled for you for your reference.
medical laboratory paper 1
research on quality control of clinical medical laboratory
abstract of medical laboratory paper
abstract: objective: to explore the problems and countermeasures in the quality control of clinical medical laboratory. Methods: This time, 2 cases of medical examination patients admitted to our hospital from May 213 to May 215 were randomly divided into two groups, and the effects of routine examination management (control group, n=1) and targeted management based on the problems existing in the examination process (observation group, n=1) were compared. Results: The accuracy rate of the samples selected by the observation group was 98%, which was significantly higher than that of the control group (85%), and the difference was statistically significant (P < .5)。 The satisfaction degree of patients in the observation group was 98%, which was significantly higher than that in the control group (86%), and the difference was statistically significant (P < .5)。 Conclusion: In view of the problems existing in laboratory quality management, it can improve the inspection quality to formulate targeted countermeasures, including specimen collection, inspection instruments, equipment and reagents, inspectors and other aspects of management.
Contents of medical laboratory papers
Keywords: medical laboratory; Quality control; Problems; Countermeasures
In modern medicine, clinical examination is an important content, which can provide accurate reference for diagnosis, treatment, monitoring and prognosis evaluation of diseases. With the outstanding development achievements of medical science and technology, medical examination technology has also been continuously developed, and the accuracy of examination results is the key to ensure effective diagnosis and control of diseases, which is directly related to medical quality. Therefore, attaching importance to quality control of medical examination is of great significance to improving treatment effect and improving doctor-patient relationship [1]. In this survey, clinical laboratory patients were randomly divided into groups, and the results of strengthening quality control management and routine management were compared. The results are summarized as follows.
1 materials and methods
1.1 general materials
2 clinical examination patients (14 males and 96 females) admitted to our hospital from May 213 to May 215 were selected for chemical examination, microbiological examination, immunological examination and hematological examination respectively. They were randomly divided into observation group and control group with 1 cases in each group, and there was no significant difference between the two groups (P> .5), comparable.
1.2 methods
The control group applied the routine management scheme in the inspection process, while the observation group paid attention to the existing problems, formulated targeted solutions and implemented them. The gymnastics steps were as follows:
1.2.1 Quality control problems:
(1) Specimen collection problems: the subjects' diet, exercise and drugs used can all affect the inspection results. At the same time, the geographical location of the patients, When collecting specimens, patients should be instructed to stop using drugs and collect specimens in quiet or normal activities. However, if the operation is improper, such as injecting blood directly into the test tube without pulling out the needle after venous blood collection, hemolysis will occur. Taking blood from the vein of the infusion arm will dilute the blood sample.
(2) Problems with test and inspection equipment: Improper maintenance and aging of instruments can affect the sensitivity of detection and cause problems in accuracy; Problems in the inspection process are caused by the limited level of inspectors or the failure to master the functions, standard operations and precautions of the instruments; For example, when the reagent is replaced, the relevant instrument parameters have not changed, and the consciousness of standardizing and preserving samples is not strong, which induces operational errors and leads to large errors in the test results. The reagent used was not set according to the specification requirements, and an error event occurred.
(3) Man-made problems: Medical science and technology have developed rapidly in recent years, and the testing instruments are becoming more and more advanced, with a higher degree of automation, but it still needs people to complete all the operations. Therefore, in the detection test, the operator's operation error is one of the main reasons for the result error. Personnel operation errors mainly include: too long sample exposure time, nonstandard operation habits, differences in sample test peak area integral and insufficient attention to test results, all of which can lead to adverse events.
(4) quality assessment and indoor quality control: indoor quality control means indoor quality control. Paying attention to the development of indoor quality control is an important measure to monitor the stability of instruments, equipment, inspection methods, operating environment, processes and reagents, and it is also a weather vane to ensure the correct inspection results. Inter-laboratory quality evaluation is ventricular interstitial evaluation. Strengthening ventricular interstitial evaluation can evaluate the accuracy and credibility of test results and ensure that the results are consistent or comparable with those of other units.
(5) Problems after inspection and analysis: In medical inspection, the review and audit of results are the last line of defense to ensure quality, and inspectors usually rely too much on advanced instruments and equipment, and are prone to error reports, such as abnormal results detected in automated hematology analyzer, failure to review according to manual rules, and issuance of error reports.
1.2.2 Analysis of coping measures:
(1) Quality control before inspection: ① Ensure the quality of samples: before collecting samples, attach importance to the application of humanistic care concept, actively communicate and explain with patients and their families, understand the illness, mood and physiological changes, and inform the purpose, significance, matters needing attention in sampling and keeping samples, and influencing factors of inspection, so as to improve cooperation and compliance. ② Qualified samples: Strictly carry out three checks and seven pairs of collection, and confirm and verify patient information. When collecting samples, strict requirements are imposed on time, location, posture, sampling method and quantity. Such as collecting blood samples, usually within 16 hours of fasting, before 9: in the morning, patients remain calm, quiet and normal. When collecting urine samples, patients should eat regularly to avoid sexual life, sports and drinking. When collecting after menstruation, women should pay attention to cleaning the urethral orifice, external genitalia and surrounding skin to avoid being polluted by menstrual blood and vaginal secretions. Once the sample is collected, it has a real effect and needs to be sent for inspection in time. If it does not have the conditions for timely inspection, it needs to be stored correctly to prevent deterioration or degeneration, which will affect the test results [2].
(2) quality control in inspection: ① instrument maintenance: the normal operation of the instrument is of great significance in the inspection process. The inspectors need to do a good job in maintenance, regular performance evaluation and calibration to ensure stable performance and normal operation. Once there is a problem, they need to inform the supplier in time, replace or repair it. At the same time, train medical technicians in the laboratory to prevent human error. (2) It is necessary to ensure that the inspection reagent is qualified, strictly manage the storage environment and aging of the reagent, and pay attention to the shelf life and production date before use to avoid the wrong results induced by reagent failure or deterioration. Establish a system of keeping and using reagents to ensure effectiveness and safety and improve the accuracy of test results. ③ Improve the comprehensive quality of inspectors: Modern instruments are all refined operations, and inspectors need to have theoretical knowledge and operational skills. Therefore, it is necessary to strengthen technical operation training and business study, master instrument operation rules, detection principles, interference factors, graphs and data of test results, the meaning of alarm and how to maintain and debug it, master performance evaluation and calibration standards, and prevent operational errors. At the same time, we should have a strong sense of responsibility and love, combine with our own technical level, make reasonable explanations for patients' questions, actively communicate with other departments, understand patients' condition, and evaluate whether the results are accurate in combination with clinical symptoms, so as to improve our own testing ability.
(4) Actively carry out the management of indoor quality control and interstitial evaluation: before testing samples, calibrate instruments, conduct indoor quality control, and test the test parameters and performance of instruments and equipment, and then test samples under normal conditions. If it is out of control, it is necessary to record it, analyze the reasons, actively correct it, and then conduct testing. Pay attention to the precision of quality control. Pay attention to ventricular interstitial evaluation to ensure that the test results are consistent and comparable with those of other units.
1.3 statistical analysis
The data involved in this paper were analyzed by SPSS13. statistical software, and the counted data were tested by χ2 test, P < The difference of .5 was statistically significant.
2 Results
The accuracy rate of the samples selected by the observation group was 98%, which was significantly higher than that of the control group (85%), and the difference was statistically significant (P < .5)。 The satisfaction degree of patients in the observation group was 98%, which was significantly higher than that in the control group (86%), and the difference was statistically significant (P < .5)。
3 Discussion
Medical examination plays an important role in modern medicine, and it is a comprehensive subject, and its quality management directly affects the overall medical level [3]. There are many problems that cause errors in the test results, so it is necessary to conduct comprehensive analysis and actively prevent and control the problems in order to reduce the unqualified rate of specimen inspection. In this survey, the observation group discussed the problems caused by personnel, instruments, equipment, reagents and other factors in the process of specimen collection and testing before inspection, and formulated targeted prevention and control countermeasures, such as paying attention to communication with patients before specimen collection, strengthening the maintenance and testing of instruments and equipment, paying attention to cultivating the comprehensive quality of inspectors, and actively carrying out indoor quality control and external quality evaluation, which is of great significance to reducing the failure rate of inspection and improving patient satisfaction [4]. This result confirmed that the observation group was obviously better than the control group. To sum up, in view of the problems existing in laboratory quality management, it can improve the inspection quality to formulate targeted countermeasures, including specimen collection, inspection equipment and reagents, inspection personnel and other aspects of management.
medical laboratory papers
[1] Hao Lili. Quality control before clinical medical laboratory analysis [J]. Primary Medical Forum, 214,18 (2): 2672-2673.
[2] Mao Yinghua. Quality management and control before medical laboratory analysis [J]. Experimental and laboratory medicine. 3 (1): 5-51. < P > [3] Dong Daguang. On quality control before medical examination and analysis [J]. Chinese General Medicine, 212, 1 (7): 1143-1144. < P > [4] Xue Jianli. On how to control errors in medical examination in the process of examination and operation [ 2 (11): 221. Medical laboratory papers II
Reflections on the professional identity of medical laboratory freshmen in private colleges
Abstract of medical laboratory papers
Objective To understand the current situation of professional identity of medical laboratory freshmen in private medical colleges, explore its influencing factors, and provide a basis for strengthening professional identity education. Methods A self-designed questionnaire on professional identity of medical laboratory students was used to conduct a questionnaire survey among freshmen majoring in medical laboratory in Changsha Medical College in 215 by cluster sampling. Results The professional identity of medical laboratory freshmen was (9.8 1.29). The location of registered permanent residence, admission method and being a cadre at school have no obvious influence on professional identity, but gender, family income and reasons for studying have great influence on professional identity, and female students who study because they like it and have low family income have higher professional identity. Conclusion The professional identity of medical laboratory freshmen is at a general level. The reason of studying is the most important factor affecting professional identity. Educators should take corresponding measures according to the current situation of freshmen's professional identity to strengthen students' professional cognitive education and improve freshmen's professional identity.
contents of medical laboratory papers
Keywords: students, medical department; Education, medicine, undergraduate; Professional identity; Investigation and analysis
Professional identity is the emotional acceptance and recognition of learners on the basis of understanding their majors, accompanied by positive external behavior and inner appropriateness, which is a process of emotion, attitude and even cognition [1]. Professional cognition is not only the basis for students to form positive professional emotions, but also a necessary condition for students to be active in learning activities [2]. Under the training mode of undergraduate talents focusing on professional education, the degree of professional identity of Chinese college students has an important impact on their learning [3]. At present, medical majors in major universities in China have carried out a lot of research on college students' professional identity and its influencing factors. Among them, clinical and nursing majors are the most, and medical laboratory majors are relatively few, while cognitive surveys on medical laboratory majors in private universities are few and far between. As an important component of professional attitude, the professional identity of medical laboratory requires not only that laboratory students should have knowledge of the corresponding disciplines, but also their views and understanding of the purpose, significance and role of laboratory specialty setting. Their understanding and belief in laboratory work is directly related to the cultivation of high-quality and high-level laboratory talents in China. Knowing the professional identity of freshmen is helpful for laboratory educators to find problems in the process of professional education, thus stabilizing the laboratory technical team and promoting the development of medical laboratory specialty. By investigating the basic situation of undergraduates majoring in medical laboratory in Changsha Medical College, this paper understands the current situation of professional identity and analyzes its influencing factors, so as to provide a basis for educators to optimize professional curriculum construction and teaching practice, carry out professional cognitive education and improve training quality.
1 materials and methods
1.1 survey objects
12 undergraduate students majoring in medical laboratory in Changsha Medical College in 215 were taken as the survey objects, and a questionnaire survey was conducted on each individual in a cluster abstract way. 12 questionnaires were distributed and collected, and 116 questionnaires were valid after sorting out, with an effective recovery rate of 96.7%, including 31 males and 85 females. Questionnaires are distributed collectively by investigators, and the respondents complete the questionnaires on the spot and recycle them.
1.2 investigation contents and evaluation methods
a self-made questionnaire on professional identity of medical laboratory students was used for the investigation. The retest reliability of the questionnaire is greater than .7, and the content validity index is .856. The contents of the survey include students' basic situation, professional knowledge, professional emotion, professional will, professional skills, professional expectations and professional values, etc. Likert-5 scoring system is adopted, which is divided into five grades: 1 point for very nonconformity (very unsatisfactory), 2 points for nonconformity (unsatisfactory), 3 points for uncertainty (general) and 4 points for conformity (satisfactory), which is very consistent. The total score is 125, and the score is 25 ~ <; 5 is divided into disapproval, 5 ~ <; 1 is generally recognized, and 1 ~ <; 125 is highly recognized [4].
1.3 statistical processing
SPSS18. statistical software was used to analyze the data. The measurement data were expressed by X S, T test was used, one-way ANOVA was used for multi-group comparison, frequency or rate was used for counting data, and χ2 test was used, P <: .5 is statistically significant.
2 Results
2.1 General situation of professional identity of medical laboratory students
The score of professional identity was (9.8 1.29), and the professional identity was average. Most students' professional identity is in general identity (5 ~ <; 1 points) accounted for 83.6%, of which professional identity was highly recognized (1 ~ <; 125 points) accounted for 16.4%, all agree with science.