Evaluating Laboratory Performance With Quality Indicators (original) (raw)
Related papers
Clinical Chemistry and Laboratory Medicine
Data on quality indicators (QIs) should be collected over time in order to identify and continuously monitor clinical laboratory performance and to improve patient safety by identifying and implementing effective interventions. The aim of the present study was to ascertain whether the utilization of a set of quality indicators over a 3-year period resulted in an improvement in the efficiency and effectiveness of an individual laboratory. Over a 3-year time interval (2009-2011), a series of 38 QIs covering all stages of the total testing process (21 in the pre-analytic, nine in the analytic and eight in the post-analytic phase) was monitored. On the basis of their patterns, QIs have been grouped into the following categories: [1] seven QIs of the pre-analytical phase and three of the intra-analytical phase with a significant trend and a significant linearity demonstrating an improvement over time; [2] 10 QIs of the pre-analytical and two of the intra-analytical phase with a significa...
Medicine Updates, 2021
In this study there is a comparison between performance of two labs in primary health care to detect common problems and how to overcome these problems Discovering early signs of systemic problems which related to labs performance How to be guarantee from any lab result, increase trust of diseased, doctor, and society in worth of lab tests The study showed the most problems occur among laboratories in hospitals, especially related to patient safety occur due to poor management and lack awareness of the importance of continuous training within the health facility. This gives evidence that management and organization of work is more important than previously thought, and applying of quality standards, training and continuous development is best in delivering health care. Although of these problems and defect which Facing in our labs, we can overcome these problems by Focus on good management (organization)that helps identifying the training needs of staffing (employees) according to WHO in laboratory quality management and monitoring quality management policies.
Quality indicators in laboratory medicine: A fundamental tool for quality and patient safety
Clinical Biochemistry, 2013
Objectives: The identification of reliable quality indicators (QIs) is a crucial step in enabling users to quantify the quality of laboratory services. The current lack of attention to extra-laboratory factors is in stark contrast with the body of evidence pointing to the multitude of errors that continue to occur in the pre-and post-analytical phases.
IP innovative publication pvt. ltd, 2019
Abstract Introduction and Objective: In laboratory, the errors related to the total testing process, affecting clinical decision making, may occur in all the phases. Quality Indicators are fundamental tool to assess the laboratory performance. The aim of this study is to observe the error types and rates for analytical and post analytical phase inorder to assess laboratory performance and rectify them. In addition to acrreditate laboratory as per international standards, it would also help to improve patient care and safety. Materials and Methods: For a period of one year, errors were observed, recorded and analyzed at clinical Biochemistry laboratory, SMIMER, Surat by this retrospective study. Data analysis of total 907611 tests carried out on 317212 samples was done. Analytical and post analytical errors were identified; recorded and analysed taking into consideration certain related Quality Indicators. Results: For analytical phase and post analytical phase error rates recorded were 7.51% and 8.57% of total samples respectively while it was observed to be as high as 46.71% and 53.28% respectively against total errors encountered for the phases. Highest (45.9%) error rate of analytical phase error was due to tests not in conformance with External Quality Assurance - Proficiency Testing scheme in a previously treated cause. 17.52% of post analytical phase error was due to low rate of critical call outs to clinicians. No records were maintained pertaining to (1) delayed delivery of reports due to insufficient reagents, (2) critical values call out time (min) and (3) staff training events. Also the laboratory was not equipped with Laboratory Informatics System. Conclusion: Quality Indicators based high error rates warrant active intervention and strict supervision of both the phases of TTP under study. Strategic measures should be initiated to minimize the risk of errors. Ultimately it would be useful for betterment of patient care and safety. Keywords: Total testing process, Errors in analytical and post analytical phase, Quality indicators, Rectification measures, Laboratory medicine.
Selecting clinical quality indicators for laboratory medicine
Annals of Clinical Biochemistry, 2012
Background: Quality in laboratory medicine is often described as doing the right test at the right time for the right person. Laboratory processes currently operate under the oversight of an accreditation body which gives confidence that the process is good. However, there are aspects of quality that are not measured by these processes. These are largely focused on ensuring that the most clinically appropriate test is performed and interpreted correctly. Methods: Clinical quality indicators were selected through a two-phase process. Firstly, a series of focus groups of clinical scientists were held with the aim of developing a list of quality indicators. These were subsequently ranked in order by an expert panel of primary and secondary care physicians. Results: The 10 top indicators included the communication of critical results, comprehensive education to all users and adequate quality assurance for point-of-care testing. Laboratories should ensure their tests are used to national standards, that they have clinical utility, are calibrated to national standards and have long-term stability for chronic disease management. Laboratories should have error logs and demonstrate evidence of measures introduced to reduce chances of similar future errors. Laboratories should make a formal scientific evaluation of analytical quality. Conclusions: This paper describes the process of selection of quality indicators for laboratory medicine that have been validated sequentially by deliverers and users of the service. They now need to be converted into measureable variables related to outcome and validated in practice.
Outline of quality indicator in clinical laboratory
2015
While quality in healthcare is an essential concept, the methodology to measure the quality is in preliminary stage. Developing quality indicators seems to be inspiring concept in measuring quality in healthcare system. Clinical laboratory being the inseparable part of health care system, we have made an attempt to through a light on quality indicators in clinical laboratory. Developing key performance indicators and monitoring, auditing and improving those parameters is a dynamic process which requires standardization, improvement and innovationthe three arms of any improvement process, may it be in industry or in service scenario. While standardization means removing the outlier's i.e. reducing the standard deviation, improvement denotes gradual bettering of a parameter from the previous level with a degree of irreversible consistency. Innovation is however, sporadic and often it requires a thinking cap which, while maintaining the speed of standardization and improvement, quickly takes the parameters to a new level.