title: [Study of quality of a branch laboratory--an opinion of a laboratory manager].
abstract: At the stage of establishing a branch laboratory, quality evaluation is extremely difficult. Even the results of a control survey by the headquarters of the branch laboratory are unhelpful. For a clinical laboratory, the most important function is to provide reliable data all the time, and to maintain the reliability of clinical doctors with informed responses. We mostly refer to control surveys and daily quality control data to evaluate a clinical laboratory, but we rarely check its fundamental abilities, such as planning events, preserving statistical data about the standard range, using the right method for quality control and others. This is generally disregarded and it is taken for granted that they will be correct the first time. From my six years of experience working with X's branch laboratory, I realized that there might be some relation between the quality of a branch laboratory and the fundamental abilities of the company itself. I would never argue that all branch laboratories are ineffective, but they should be conscious of fundamental activities. The referring laboratory, not the referral laboratory, should be responsible for ensuring that the referral laboratory's examination results and findings are correct.
authors.affiliation: Central Clinical Laboratory, Showa University Northern Yokohama Hospital, Yokohama.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Yazawa
mesh_terms: D007564:Japan; D007755:Laboratories, Hospital / Q000191:economics / Q000592:standards; D020416:Outsourced Services / Q000191:economics / Q000592:standards; D011786:Quality Control; D011787:Quality of Health Care