Two Minutes of Monthly Monitoring Can Ensure Quality Laboratory Service Every Day of the Year (original) (raw)
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Evaluating Laboratory Performance With Quality Indicators
Laboratory Medicine, 2010
Govind Ballabh Pant Hospital (GBPH) is a tertiary care hospital serving a wide metropolitan area. The hospital has cardiology, cardiothoracic surgery, neurology, neurosurgery, gastroenterology, gastro surgery, and psychiatry departments. It is a 600-bed hospital offering specialized medical and surgical treatments to about 300000 patients in the Out Patient Department (OPD) and 19000 patients in the general and private wards every year. The clinical biochemistry department is equipped with a state-of-the-art autoanalyser with ISE (Olympus AU 400, Hamburg, Germany), electrolyte analyzer-Ecolyte (Ecshweiler, Germany), automated coagulometer-ACL
A critical review of laboratory performance indicators
Critical Reviews in Clinical Laboratory Sciences, 2019
Healthcare budgets worldwide are under constant pressure to reduce costs while improving efficiency and quality. This phenomenon is also visible in clinical laboratories. Efficiency gains can be achieved by reducing the error rate and by improving the laboratory's layout and logistics. Performance indicators (PIs) play a crucial role in this process as they allow for performance assessment. This article aids in the laboratory PIs selection process-which is not trivial-by providing an overview of frequently used PIs in the literature that can also be used in clinical laboratories. We conducted a systematic review of the laboratory medicine literature dealing with PIs. As the testing process in clinical laboratories can be viewed as a production process, we also reviewed the production processes literature on PIs. The reviewed literature relates to the design, optimization or performance assessment of such processes. The most frequent PIs relate to pre-analytical errors, timeliness, the amount of congestion, resource utilization and cost. Their citation frequency in the literature is used as a proxy for their importance. PIs are discussed in terms of their definition, measurability and impact. The use of suitable PIs is crucial in production processes, including clinical laboratories. By also reviewing the production processes literature, additional relevant PIs for clinical laboratories were found. The PIs in the laboratory medicine literature mostly relate to laboratory errors, while the PIs in the production processes literature relate to the amount of congestion in the process.
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.
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...
Health Laboratory Management and Quality Assurance
2004
Important Guidelines for Printing and Photocopying Limited permission is granted free of charge to print or photocopy all pages of this publication for educational, not-for-profit use by health care workers, students or faculty. All copies must retain all author credits and copyright notices included in the original document. Under no circumstances is it permissible to sell or distribute on a commercial basis, or to claim authorship of, copies of material reproduced from this publication. This material is intended for educational use only by practicing health care workers or students and faculty in a health care field. Preface It is apparent that a well-managed health laboratory with an appropriate quality assurance program has a major role in enhancing the standard of health service delivery to the community. Textbooks on laboratory management and quality control for students of medical laboratory technology are rare in most teaching institutions of the country. This lecture note h...
Quality of Sample Testing in the Laboratory Unit: Current Situation and Strategies for Improvement
2021
The purpose of this study was to understand the status quo of quality sample testing in the laboratory unit. A quantitative research method was used. An extensive laboratory documents (protocol, worksheets, laboratory analytical plan, standard operating procedures and manuals) review was performed and a networking approach to both management and lab staff at all levels was reviewed in order to identify all non-conformities occurred in the past three years. Results identified 36 number of results deviated from reference standards among different test performed, 400 number of samples lost, the number of laboratory personnel who were not sufficiently trained to take the task properly decreased from 16 in 2016 to 6 in 2018 after conducting training on laboratory quality management system, 36 controlled documents including sample management standard operating procedure, bench job aids were missing and 8 customer complains about the delay of results and quality laboratory of services have...
Reducing Unnecessary Laboratory Testing.pdf
BACKGROUND: Like many healthcare resources, laboratory testing has been over-utilized for years with a huge number of unnecessary lab tests being done. The elimination of unnecessary laboratory testing is becoming more and more important in the control and management of the rapid growth of healthcare costs. OBJECTIVES: To develop a quantitative tool to identify unnecessary laboratory tests, based on quantitative over-utilization, and recommend a plan of control based on results and findings. METHODS: The study used the data warehouse of a tertiary care hospital to extract relevant information about laboratory tests ordered over a specific period of time then used statistical analysis to detect frequency of ordering lab tests to highlight both tests and users who are adding loads to the laboratory testing process and are potential for improvement with different methodologies and approaches. RESULTS: The study identified that more than 11% of ordered tests are repeated, overutilized and simply unnecessary and could be eliminated. 3 tests only; Complete Blood Count, Renal Profile and Blood Glucose constitute 35% of all hospital inpatient lab tests. 10% of ordering physicians were responsible for the actual over-utilization of the lab testing. RECOMMENDATIONS: The study recommended two types of approaches; a user approach and a system approach, where user approach includes different types of orientation, education and training of physicians and other users on the importance and ways of decreasing unnecessary lab test ordering, mainly through avoiding unnecessarily repeated tests, while system approach includes the implementation of different computerized clinical decision support interventions that would help during the order entry process to alert and remind users with the potential of ordering an unnecessarily repeated lab test.
Quality Management in Healthcare: Assessment Tools in Clinical Diagnostic Laboratories
Advances in Intelligent Systems and Computing, 2018
Various strategies have been adopted to reduce medical diagnostic laboratory errors. Proficiency testing (PT) is one of the most efficient external quality assessment (EQA) approaches which include an external assessment of a laboratory's analytical performance in comparison to its peers or to an accuracybased reference system. To assess quality, the clinical biochemistry laboratory routinely participated in two external PT programs: Provincial Health Metrx and College of American Pathologists (CAP) survey. In Health Metrx, 598 tests for 43 analyte resulted in 3 discrepancies, yielding a total discrepancy rate of 0.50%. In CAP survey, of 431 tests for 58 analyte, 3 discrepancies resulted, yielding a total discrepancy rate of 0.70%. These results are in sync with the performance criteria and requirements set up by provincial regulatory agencies and both PT surveys. We suggest that proficiency testing programs should be an integral part of quality care to promote continuous quality improvement in healthcare.