細胞診の精度管理
若 狹 研 一*
Digital Filling System for Medical Image Data
Kenichi WAKASA, MD*
In the USA, an article of " Wall Street Journal " pointed out
that there were many false negative cases in cytology of cervical smears
in 1987. In the next year " Clinical Laboratory Improvement Amendments
of 1988(CLIA' 88)" was enforced. In CLIA' 88 settled that 10% of negative
cases must be reexamined and all slides were retained 5 years and so forth.
In Japan, quality control of cytology is a problem to be established. Inaccurate
diagnoses can be made due to simple mistakes like mistypes or misdiagnoses
due to deficiency of ability. A manual to manage entire process of cytology
is needed for quality control. It is impossible to prevent human error
entirely; therefore, a system that prevents accidents due to human error
is to be organized. The gold standard of cytological diagnoses is pathological
diagnoses. Entire cytological and pathological records including slides
and paraffin blocks must be maintained in hospitals for utilization for
reference and consultation. While patients have a right to obtain certain
information, the original medical record must be owned by the hospital
or doctor.
[Rinsho Byori 51 : 257～260, 2003]
*Department of Pathology, Osaka City University Hospital, Osaka 545-8586
【Key Words】cytology(細胞診)，quality control(精度管理)，risk management(リスク・マネージメント)，filing of cytological slides(細胞診検体の保管)
*大阪市立大学大学院医学系診断病理学(病理部)(〒545-8586 大阪市阿倍野区旭町1-5-7)
E-mail :wakasa@med.osaka-cu.ac.jp