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Quality in clinical laboratory measurements
Authors:D Geary  A Kallner
Institution:(1) Oakbank Consultants, Adelaide, Australia, AU;(2) Department of Clinical Chemistry, Karolinska Hospital, Stockholm, Sweden Tel. +46 87294943; Fax: +46 8729 28 99; e-mail: anka@cc.ks.se, SE
Abstract: Clinical chemistry deals with measurements and observations using samples from patients in order to supply clinicians with information to support their decisions in diagnosis and treatment. The discipline utilizes advanced chemical and biochemical methods and also sophisticated instrumentation which allows a high throughput. Clinical chemistry has a long tradition of quality assessment and improvement. The major tools have been proficiency testing or external quality assessment and internal quality control. Nowadays, total quality management has become widely recognized, and accreditation according to international, regional or national schemes has contributed to the design of quality systems and improvement of the reliability of results from clinical laboratories.
Keywords:  Total quality management  Quality systems  Accreditation  External quality assessment  Proficiency testing
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