呼吸機能検査とリスクマネジメント

Risk management of pulmonary function tests

呼吸機能検査におけるインシデントおよびアクシデントには，患者取り違い，患者情報・オーダ情報の誤入力，検査実施項目の見落とし，結果の計算ミス，結果の送信ミスに加え，スパイロメータの精度管理不良，検査技師の検査技術レベルの問題など，様々なものがある．安全性を向上させるためには，施設の状況に応じて，検査情報システムを利用したコンピュータ化によるエラーの回避，スパイロメータの精度保証と検査技師の技量を担保する方策などを検討する必要がある．

Spirometry requires maximum cooperation from the patient, and anything less than maximum can result in an invalid test or a false negative or positive.　Standards for spirometry and diffusion capacity published by the Japanese Respiratory Society (JRS) serve as an effective guidance for performing tests of acceptable quality.　The quality of the testing hinges on the use of accurate and precise spirometry equipment, technicians who have completed the approved training, and standardized measurement procedures.　As a further safeguard, a physiology information system, a computerized database used by physiology departments to store, manipulate, and distribute physiological data and imagery on patients, can be introduced to eliminate errors caused by patient misidentification.