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Resumo(s)
A excelência dos serviços de saúde está intrinsecamente ligada à precisão e exatidão dos resultados produzidos pelos laboratórios clínicos. Estes não apenas realizam testes, mas constituem pilares fundamentais para decisões clínicas, bem como no rastreio e na monitorização de ações terapêuticas. Os resultados laboratoriais têm um impacto direto nos diagnósticos e prognósticos de doenças e ainda na seleção de tratamentos.
Este estudo insere-se num projeto iniciado pela Unidade de Avaliação Externa da Qualidade (unidade do Instituto Nacional de Saúde Doutor Ricardo Jorge - INSA), chamado Projeto de Melhoria da Qualidade Laboratorial para países de língua portuguesa (ProMeQuaLab). A pesquisa proposta procura melhorar e monitorizar o controlo da qualidade interno nos laboratórios, considerando não apenas as atividades laboratoriais, mas também os contextos económicos em que se desenvolvem.
O objetivo geral deste estudo é desenvolver ferramentas e documentação para a implementação do controlo da qualidade interno laboratorial em países de língua portuguesa: Portugal, São Tomé e Príncipe, Guiné Bissau, Cabo Verde e Angola. Para atingir este fim, os laboratórios participantes tiveram acesso a documentação para a preparação da pool de soros, como material de controlo, formações, procedimentos em vídeo, material e procedimento de colheita e ficheiros de recolha de dados. Ao longo do estudo foram também disponibilizadas ações de formação com os fundamentos teóricos que acompanham o trabalho proposto.
As ferramentas estatísticas são fundamentais para monitorizar as práticas laboratoriais. A compreensão e o cálculo do coeficiente de variação é essencial, pois oferece uma perceção sobre a consistência e confiabilidade dos testes laboratoriais, permitindo identificar e quantificar variações nos resultados das análises e implementar ações corretivas.
Esta abordagem visa assegurar resultados confiáveis e seguros para fundamentar a prática clínica, promovendo melhoria contínua na área da saúde em países de língua portuguesa.
The excellence of health services is intrinsically linked to the precision and accuracy of the results produced by clinical laboratories. These do not just carry out tests, but are fundamental pillars for clinical decisions, as well as screening and monitoring therapeutic actions. Laboratory results have a direct impact on the diagnosis and prognosis of diseases and on the selection of treatments. This study is part of a project initiated by the External Quality Assessment Unit (a unit of the Doctor Ricardo Jorge National Health Institute - INSA), called the Laboratory Quality Improvement Project for Portuguese-speaking countries (ProMeQuaLab). The proposed research seeks to improve and monitor quality in laboratories, considering not only the technical aspect, but also the economic contexts in which they take place. The overall objective is to develop tools and documentation for the implementation of laboratory quality control in Portuguese-speaking countries: São Tomé and Príncipe, Guinea Bissau, Cape Verde and Angola. To achieve this, the participating laboratories had access to documentation for pool of serum preparation such as control material, training, video procedures, collection material and procedures and data collection files. Throughout the study, training sessions were also made available with the theoretical foundations that accompany the proposed work. Statistical tools are essential for monitoring laboratory practices. Understanding and calculating the coefficient of variation is essential, as it provides insight into the consistency and reliability of laboratory tests, allowing variations in analysis results to be identified and quantified and corrective actions to be implemented. This approach aims to ensure reliable and safe results to support clinical practice, promoting continuous improvement in healthcare in Portuguese-speaking countries.
The excellence of health services is intrinsically linked to the precision and accuracy of the results produced by clinical laboratories. These do not just carry out tests, but are fundamental pillars for clinical decisions, as well as screening and monitoring therapeutic actions. Laboratory results have a direct impact on the diagnosis and prognosis of diseases and on the selection of treatments. This study is part of a project initiated by the External Quality Assessment Unit (a unit of the Doctor Ricardo Jorge National Health Institute - INSA), called the Laboratory Quality Improvement Project for Portuguese-speaking countries (ProMeQuaLab). The proposed research seeks to improve and monitor quality in laboratories, considering not only the technical aspect, but also the economic contexts in which they take place. The overall objective is to develop tools and documentation for the implementation of laboratory quality control in Portuguese-speaking countries: São Tomé and Príncipe, Guinea Bissau, Cape Verde and Angola. To achieve this, the participating laboratories had access to documentation for pool of serum preparation such as control material, training, video procedures, collection material and procedures and data collection files. Throughout the study, training sessions were also made available with the theoretical foundations that accompany the proposed work. Statistical tools are essential for monitoring laboratory practices. Understanding and calculating the coefficient of variation is essential, as it provides insight into the consistency and reliability of laboratory tests, allowing variations in analysis results to be identified and quantified and corrective actions to be implemented. This approach aims to ensure reliable and safe results to support clinical practice, promoting continuous improvement in healthcare in Portuguese-speaking countries.
Descrição
Tese de mestrado, Análises clínicas, 2024, Universidade de Lisboa, Faculdade de Farmácia.
Palavras-chave
Controlo da qualidade interno Coeficiente de variação ProMeQuaLab Teses de mestrado - 2024
