[SFBC Working Group on sources of errors in laboratory medicine: objectives and key areas of work].

Mustapha Zendjabil, Hichem Assami, Valéry Bourbonneux, Valéry Brunel, Clément Capaldo, Nicolas Collet, Dorra Guergour, Guillaume Grzych, Wafa Masri, Jonathan Outreville, Véronique Raverot, Nathalie Rousseau, Charles R Lefèvre
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Abstract

Laboratory medicine plays a crucial role in patient care, contributing to approximately 70 % of clinical decisions. In collaboration with clinicians, laboratory medicine specialists perform analyses that are useful for diagnosis, screening and prevention. Laboratories are known for their efficiency, which is reached through a rigorous quality system. However, errors can occur, especially given the complexity of the total testing process. These errors may lead to severe consequences, such as incorrect diagnoses or delays in treatment. Errors can occur at every stage of the total testing process, those related to the pre-analytical phase being the most prevalent. To reduce medical errors related to laboratory processes, it is essential to provide training for medical and paramedical staff, optimize production automation, and leverage technological advancements. These considerations have led to the creation of a French Working Group on Sources of Errors in Laboratory Medicine, under the aegis of the French lean society of clinical chemistry and laboratory medicine (Société Française de Biologie Clinique - SFBC). The objectives of this working group are to produce an educational handbook on sources of errors in laboratory medicine, provide training for clinical chemists, and conducting applied research projects to better understand the mechanisms behind specific errors. Ultimately, the aim is to minimize errors and enhance the quality of laboratory tests.

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[SFBC 实验室医学错误源工作组:目标和主要工作领域]。
检验医学在患者护理中发挥着至关重要的作用,约 70% 的临床决策都与检验医学有关。检验医学专家与临床医生合作,进行有助于诊断、筛查和预防的分析。实验室以高效著称,而高效则是通过严格的质量体系实现的。然而,错误也可能发生,尤其是鉴于整个检测过程的复杂性。这些错误可能会导致严重后果,如错误诊断或延误治疗。错误可能发生在整个检验过程的每个阶段,其中与分析前阶段有关的错误最为普遍。要减少与实验室流程有关的医疗差错,就必须为医务人员和辅助医务人员提供培训,优化生产自动化,并充分利用技术进步。基于上述考虑,法国临床化学和检验医学精益协会(Société Française de Biologie Clinique - SFBC)成立了法国检验医学差错源工作组。该工作组的目标是编写一本关于检验医学中误差来源的教育手册,为临床化学家提供培训,并开展应用研究项目以更好地了解特定误差背后的机制。最终目的是最大限度地减少误差,提高化验质量。
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