XXXXXXXXXXXXX中医医院检验科《质量管理手册》二○一八年一月目录科室规章制度................................................................................................................3一、检验科工作制度.............................................................................................3二、检验科质量管理制度.....................................................................................4三、检验科查对制度.............................................................................................4四、检验标本管理制度.........................................................................................5五、检验报告单管理制度.....................................................................................6六、检验科试剂管理制度.....................................................................................6七、检验科安全管理制度.....................................................................................7八、临床检验危急值报告制度.............................................................................8九、仪器管理制度.................................................................................................9十、检验科档案管理制度.....................................................................................9十一、检验科登记制度.......................................................................................10十二、检验科卫生制度.......................................................................................10十三、检验科信息反馈制度...............................................................................10十四、差错事故登记报告制度...........................................................................11十五、检验科医院感染管理制度.......................................................................12十六、检验室科废物处置管理规定...................................................................13十七、检验科人员职业安全防护措施...............................................................14十八、检验师职责...............................................................................................15十九、检验士职责...............................................................................................16质量安全管理重点与指标..........................................................................................17科室质量管理小组工作职责......................................................................................18检验科质量安全管理文件..........................................................................................19检验工作制度..............................................................................................................19临床检验科质量管理规范..........................................................................................29病理科临床科室联席会制度......................................................................................31检验科室间质评不合格的项目、分析处理、和改进措施......................................32室内质量控制文件规范..............................................................................................33检验科室内质控失控处理程序..................................................................................54检验项目的有关程序....................................................................................