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                  您當前的位置:職稱驛站 > 論文 > 醫學論文 > 醫學校驗論文職稱驛站24小時論文發表咨詢熱線:400-680-0558

                  醫學檢驗師職稱論文臨床醫學檢驗技術新政策技術運用特點

                  職稱驛站所屬分類:醫學校驗論文發布時間:2016-11-20 14:00:33瀏覽:1

                  檢驗醫學是對病癥的一個判斷和對患者病源的查找,同時檢驗醫學對醫學發展有這重要的作用,同時檢驗醫學可以使得醫學治療中更有效的選對方式,本文選自:《檢驗醫學》,《檢驗醫學》本刊堅持以實用為主,理論與實踐、普及與提高、檢驗與臨床實現三結合,報道本專業領域中的最新科研成果、實用技術的新進展、各種檢驗的方法與試劑、食品的性能和特點內容。既體現了檢驗醫學界的學術水平,也為全國各級臨床檢驗人員提供了他們所需要的基礎知識和新理論、新技術。

                     檢驗醫學是對病癥的一個判斷和對患者病源的查找,同時檢驗醫學對醫學發展有這重要的作用,同時檢驗醫學可以使得醫學治療中更有效的選對方式,本文選自:《檢驗醫學》,《檢驗醫學》本刊堅持以實用為主,理論與實踐、普及與提高、檢驗與臨床實現三結合,報道本專業領域中的最新科研成果、實用技術的新進展、各種檢驗的方法與試劑、食品的性能和特點內容。既體現了檢驗醫學界的學術水平,也為全國各級臨床檢驗人員提供了他們所需要的基礎知識和新理論、新技術。

                  檢驗醫學雜志投稿論文

                    摘要:檢驗科要加強和臨床科室的互動合作與交流,醫院開展各科室的交流活動,要求各科室的人報告自己科室的最新發展。檢驗科人員要求理解臨床常見病例和高發病例的相關醫學知識,不斷學習和積累臨床知識和臨床工作經驗,提升專業檢驗能力。臨床醫師要求理解檢驗技術的一些高度專業化的難度,隨時跟進檢驗科的技術發展。

                    關鍵詞:臨床醫學,醫學檢驗技術,檢驗醫學論文

                    1臨床醫學檢驗技術質量管理中存在的問題

                    1.1醫療機構檢驗條件與技術配備不合理。醫院里表現床位時常面臨緊缺之勢,房間設計格局不合理,患者不能及時得到檢驗結果,易引起病人及家屬的焦躁與暴怒。部分實驗室布局不符合安全防護要求,缺乏長遠計劃。檢驗硬件設備跟不上技術發展的腳步,儀器設備長時間得不到更新和添置而有趨于老化之勢。

                    1.2實驗室室前檢查不合理。臨床醫師為患者開據檢查申請單,病人按醫囑要求留取標本送檢。部分臨床醫師對沒有針對患者的病情申請送檢,而且不少檢查項目的臨床意義不是十分明了,檢查的目的性不強。更有部分醫師因為診斷不出問題,而隨便讓病人進行抽血與進行其他無意義的形式檢驗,讓病人及其家屬費時費力,同時又增加病人的經濟負擔。而病情確又得不到緩解,從而失去了對醫院的信心而選擇不就醫。

                    此外,臨床科室標本抽取時間遲早不一,導致待檢標本時間過長而影響檢驗結果。部分護士抽取標本的操作不規范,致使檢驗結果與理論結果出現較大差異,給臨床醫師的判定造成了極大的誤導。醫師無法對癥下藥,也是導致患者再不肯就醫的重要原因。部分質量控制管理人員理論知識薄弱、知識更新遲緩。質控管理人員運用舊理論知識進行檢驗操作,不可避免地造成系統的誤差判斷。

                    1.3文件管理無序,有失規范。文件管理是檢驗科開展和進行各項工作的基本準則[2],科學規范的文件管理模式與制度才能保證檢驗科工作的規范化、標準化及其可靠性。部分檢驗人員對文件管理的概念及其意義不熟悉,在編寫和建立程序檔案文件時分類不合理、書寫不規范,檢驗原始記錄不完整,達不到檔案保存的基本要求。檢驗科管理人員沒有對實驗室進行不定期的質量檢查,致使錯誤無法得到及時糾正與修改。另外,管理人員對儀器使用、維護、校準等賬目不夠健全,質控品與校準品存在混淆的問題,以致使用不正確,極大地影響著檢驗結果。

                    1.4檢驗人員與臨床醫師之間的關系不甚和諧。當前醫院檢驗人員與臨床醫師的矛盾問題日益突出,極大地影響著醫療合作關系。臨床醫師希望檢驗人員能幫助尋找患者的病源,但缺乏對檢驗知識的深入理解,容易出現混淆檢測項目的現象。而檢驗人員又總是希望臨床醫師理解檢驗技術的一些高度專業化的難度,彼此之間又缺乏溝通與交流,日積月累,從而在檢驗人員與臨床醫師之間樹起了一道交流屏障,導致關系的彼此不協調。

                    2針對臨床檢驗工作中的問題提出措施與對策

                    2.1加強設備管理,改善檢驗環境。根據技術要求,配備適合的檢測儀器。時刻緊跟國際技術發展的腳步,引進測試領域廣、精度高的儀器設備。完善各項儀器和管理,實行“一對一”或“二對一”專人專隊管理與護理。檢驗室對檢驗人員嚴格操作規程,對儀器設備的購進、建檔、使用操作管理、人員職責均作出明確規定,以提高儀器的護理質量,保證儀器的完整性和設備檢測的準確率。

                    2.2完善實驗室前檢查制度,提高質控質量。要求臨床醫師及檢驗人員提高自身素質,對臨床醫師要求提高與擴展初診知識,對檢驗人員加強業務知識培訓,提高檢驗人員素質。增強工作職員應對醫療突發事件的應急能力,對新知識、新測定辦法、新儀器的操作原理和步驟應實行重點培訓并嚴格考核。強化標本采集,檢驗科要做到嚴格的質量控制措施,規范化、標準化、系統化檢驗工作,嚴格認真做好室內、室間質控,確保測定結果的精確度和精密度,減少試驗操作經過中批間和日間標本檢測結果的誤差,使檢驗質量顯著提升。

                    2.3制定文件管理規范,并嚴格執行。實行科主任負責制、健全文件管理系統[3]。要求檢驗單由具有處方權的醫師逐項填寫,檢驗人員需經檢驗科主任審批報告權后方能簽發報告,檢驗結束,檢驗單及報告均應備份存檔。制定檢驗儀器操作手冊,并定期進行修訂。檢驗負責管理人員定期向科主任申請檢查各種試劑的質量和所用儀器的靈敏度,精密度,定期進行校正。健全登記統計制度,對各項工作的數量和質量進行登記和統計,要填寫完整、準確,妥善保管,并實行歸檔存檔。同時加強儀器、試劑的管理,建立大型儀器檔案。建立崗位責任制,實行專人負責。

                  《醫學檢驗師職稱論文臨床醫學檢驗技術新政策技術運用特點》
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