Determination of Quality outcome indicators in National Quality Assurance Standards (NQAS) accredited Hematology and Clinical Pathological laboratory
Keywords:
National Quality Assurance Standards, Quality outcome indicator, Turn around time
Abstract
Background: Laboratory plays a vital role in disease control and prevention by providing timely data or information for patient management and disease surveillance. Quality in laboratory has huge impact on diagnosis and patient management as about 80% of all diagnosis is made on the basis of laboratory tests. Methods: The study was conducted in Central Diagnostic Laboratories of GMERS Medical College, Junagadh which is NQAS (National Quality Assurance Standards). The hospital uses internet and data is retrieved by the systems department. The study was conducted from January 2015 to December 2018. A total of 2,13,476 samples were received in the hematology and clinical pathology section. Different quality outcome indicators of hematology and clinical pathology laboratory were studied. Result: All Quality parameters were consistently improved from 2015 to 2018 due to new instrumentation, IQC, EQC, timely instrument maintenance, laboratory information system (LIS), telephonic communications and monthly-yearly quality improvement meetings. Some important indicators like TAT, critical alert were not reach up to the target value but due continuous improvement plane we soon reach target level. Conclusion: The concept of quality indicators has revolutionized the field of laboratory medicine. These indicators are of most importance in the comparison of individual laboratory performance with the aim of improving laboratory services and quality.References
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2. Bonini P, Plebani M, Ceriotti F, Rubboli F. Errors in Laboratory Medicine. Clinical Chemistry 2002;48:691-698.
3. Agarwal R, Chaturvedi S, Chhillar N, Goyal R, Pant I, Tripathi CB. Role of Intervention on Laboratory Performance: Evaluation of Quality Indicators in a Tertiary Care Hospital. Indian Journal of Clinical Biochemistry 2012;27:61-68.
4. Ministry of Health and Family Welfare Government of India. Quality outcome indicators. Assessor’s guide book for quality assurance in district hospital,1st ed. 2013;1:16.
5. Ministry of Health and Family Welfare Government of India. Quality outcome indicators. Assessor’s guide book for quality assurance in district hospital,1st ed. 2013;2:108-225.
6. Steindel SJ, Novis DA. Using outlier events to monitor test turnaround time. A College of American Pathologist Q - Probe study in 496 laboratories. Arch Pathol Lab Med.1999;123: 607-14.
7. Bates DW, Pappius E, Kuperman GJ, Sittig D, Burstin H, Fairchild D et al. Using information systems to measure and improve quality. Int J Med Inform 1999;53:115-124.
8. Tate KE, Gardner RM, Weaver LK. A computerized laboratory alerting system. MD Comput 1990;7:296-301.
Published
2019-10-01
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