Role of local survey considered from cytology in Shiga and law revision

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  • YOSHIDA Akiko
    Department of Clinical Laboratory, Japan Community Health Care Organization Shiga Hospital Shiga Association of Medical Technologists
  • TAGUCHI Kazuya
    Department of Clinical Laboratory, Otsu City Hospital Shiga Association of Medical Technologists
  • KAGOTANI Akiko
    Department of Translational Research Program, Osaka Medical and Pharmaceutical University Shiga Association of Medical Technologists
  • YAMAUCHI Morimasa
    Department of Pathology, Nagahama Red Cross Hospital Shiga Association of Medical Technologists
  • SHIGENO Kyoko
    Department of Clinical Laboratory, Omihachiman Community Medical Center Shiga Association of Medical Technologists
  • YOSHIDA Yuriko
    Department of Pathology, Shiga University of Medical Science Hospital Shiga Association of Medical Technologists
  • YAMAGUCHI Dai
    Department of Pathology, Shiga University of Medical Science Hospital Shiga Association of Medical Technologists
  • SHIRASE Tomoyuki
    Department of Diagnostic Pathology, Otsu Red Cross Hospital

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Other Title
  • 滋賀県における細胞検査の現状および法改正から思案する地域サーベイの役割について
  • シガケン ニ オケル サイボウ ケンサ ノ ゲンジョウ オヨビ ホウ カイセイ カラ シアン スル チイキ サーベイ ノ ヤクワリ ニ ツイテ

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Abstract

<p>Background: In this study, we aimed to know the actual condition of cytology in Shiga from the results of external quality control obtained by local surveys and questionnaires for 10 years. Methods: The cytological quality control was performed using four images with clinical information. The answer was selected from five choices, and we requested that the cytological findings that led to the answer be described. Furthermore, we arranged the questions on “the propriety of the specimen” for two years, which recognized “quality assurance” as a recent concept of quality control. Using the questionnaire, we asked a number of cytotechnologists who belonged to each facility and their ages. Results: During the review, no facility had problems with basic cell judgments. However, on the cytological findings, there were no lists that they should have, or the lists did not appear in the images, which we showed. Therefore, we suggested improvements in the briefing session. On the propriety of the specimen, there were no facilities that had the wrong judgments; however, the grounds they examined were slightly fuzzy. Additionally, the investigations revealed that half of the cytotechnologists working in Shiga Prefecture were aged ≥ 50 years, and a remarkable aging situation was indicated. Conclusions: By law revision, the importance of external quality control is recognized, but in Shiga, the young group lacks interest. Conversely, it is a good tendency that the number of participants in the briefing session increased slightly owing to Web delivery that has recently become widespread. The cytotechnologists engaged in cytology had a problem, but they decreased the number of cytological examination duties to maintain balance with pathological examinations. On the basis of such situations, it will be more necessary to examine the questions’ contents, which will improve the actual situation.</p>

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