Author:
Xu Guoying,Zhao Chuanxiang,Yan Mengdan,Zhang Xiaoxian,Zhu Ling,Liu Jiaxiu,Zhao Yaping,Zhang Yuling,Cai Weili,Xie Hongxiang,Jiang Yuzhang,Shao Qixiang
Abstract
AbstractBackgroundThe error-proneness in the preanalytical and postanalytical stages is higher than that in the analytical stage of the total testing process. However, preanalytical and postanalytical quality management has not received enough attention in medical laboratory education and tests in clinical biochemistry courses.Methods/approachClinical biochemistry teaching program aim to improve students’ awareness and ability of quality management according to international organization for standardization 15,189 requirements. We designed a student-centred laboratory training program, according to case-based learning that included 4 stages: “establish an overall testing process based on the patient’s clinical indicator, clarify principles, improve operational skills, and review process and continuous improvement”. The program was implemented in our college during the winter semesters of 2019 and 2020. A total of 185 undergraduate students majoring in medical laboratory science participated in the program as a test group, and the other 172 students were set up as the control group and adopted the conventional method. The participants were asked to finish an online survey to evaluate the class at the end.Results/outcomesThe test group had significantly better examination scores not only in experimental operational skills (89.27 ± 7.16 vs. 77.51 ± 4.72,p < 0.05 in 2019 grade, 90.31 ± 5.35 vs. 72.87 ± 8.41 in 2020 grade) but also in total examination (83.47 ± 6.16 vs. 68.90 ± 5.86 in 2019 grade, 82.42 ± 5.72 vs. 69.55 ± 7.54 in 2020 grade) than the control group. The results of the questionnaire survey revealed that the students in the test group better achieved classroom goals than those in the control group (allp < 0.05).ConclusionsThe new student-centred laboratory training program based on case-based learning in clinical biochemistry is an effective and acceptable strategy compared with the conventional training program.
Publisher
Springer Science and Business Media LLC
Subject
Education,General Medicine
Reference26 articles.
1. Durner J. Clinical chemistry: challenges for analytical chemistry and the nanosciences from medicine. Angew Chem Int Ed Eng. 2010;49(6):1026–51.
2. MD S. An approach to medical errors and patient safety in laboratory services. A white paper prepared for the quality institute meeting, making the laboratory a partner in patient safety. Atlanta: Division of Laboratory Systems, Centers for Disease Control and Prevention; 2003. p. 1–23.
3. Guzel O, Guner EI. ISO 15189 accreditation: requirements for quality and competence of medical laboratories, experience of a laboratory I. Clin Biochem. 2009;42(4-5):274–8.
4. Lippi G, Mattiuzzi C, Bovo C. Are we getting better at the pre-analytical phase or just better at measuring it? J Lab Precis Med. 2018;3:11.
5. Standardization. IOf. ISO 15189-2012, Medical laboratories – Requirements for quality and competence. Geneva: International Organization for Standardization; 2012.