Zielwert, Sollwert Zielbereiche in Der Laboratoriumsmedizin
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Das Institut f�r Standardisierung und Dokumentation im medizinischen Laboratorium e.V. (INSTAND) setzt sich im Rahmen seiner satzungsge- m� en Aufgaben f�r die Verbesserung der Analysenqualit�t ein. Der Festlegung von Zielwerten f�r Kontrollproben kommt in der internen und externen Qual i t�tskontrolle besondere Bedeutung zu. INSTAND hat von jeher in speziellen Tagungen und Symposien die Entwicklung auf diesem Gebiet gef�rdert. Dieser Tradition entspricht auch der vorl iegende Band. Er enth�lt Vortr�ge und Diskussionen mehrerer Symposien aus den Jahren 1978 und 1979, sowie die Ergebnisse von Besprechungen mit Referenzlaboratorien und einer Kleinkonferenz 1982. Dementsprechend sind die meisten Beitr�ge auf den neuesten Stand gebracht. Die inhaltliche Gliederung dieses Bandes entspricht nicht genau der Abfolge der Themen in den Programmen der Veranstaltungen, vielmehr wird eine Systematik angestrebt, die der heutigen Sicht der Probleme gerecht wird. Der Abschnitt vermittelt Grundlagen. Das 1. Kapitel stellt das Instrumentarium zusammen, das im weiteren gehandhabt wird: Begriffe und einfache Verfahren der Statistik. Fr�hzei tig f�llt sodann der Blick auf das Anwendungsgebiet, in dem sich die Ma nahmen der Quali- t�tskontrolle zu bew�hren haben, die klinische Diagnostik und die Zusammenarbeit zwischen Laborarzt und Kliniker. Auf das Kapitel 2, das den Einflu der Ger�te und Besonderheiten bei der Erythrozytenz�hlung behandelt, folgen im Kapitel 3 Beitr�ge zur Qualit�t der Kontroll- proben. Das Wort haben zun�chst die Probenhersteller. Hier erf�hrt man �ber die abschlie enden Kontrollma nahmen der Chargen, aber auch �ber die wichtige Fertigungs�berwachung w�hrend der Produktion. Schlie lich berichten Ringversuchsleiter �ber ihre Forderungenund Pr�fungen an Kontrollproben.
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