Quality Management System Flashcards
most widely used approach to quality improvement in the healthcare
PDCA cycle
PDCA meaning
Plan
Do
Check
Act
provides both a management philosophy or organizational development and a management process for improvement of quality in all aspects of work
Total Quality Mangement (TQM)
establish measures for performance or monitoring
quality planning (QP)
how all aspects of work are done
Quality Laboratory Process (QLP)
statistical control procedures
quality control (QC)
broader measures of laboratory performance
quality assessment (QA)
structured problem-solving pricess
quality improvement (QI)
to reduce the frequency of test errors or the number of DPMOs (defects per million opportunities)
six sigma
Six Sigma: DMAIC meaning
Define
Measure
Analyze
Improve
Control
to reduce waste
to improve TAT
lean
Lean:
wastes DOWNTIME meaning
defects
overproduction
waiting
non-utilized talent
transport
inventory
motion
excess processing
understands the basics of L-6S
yellow belt
team members who contribute 20% of their time
green belt
team leaders who dedicate 100% of their time
black belt
black belt w/ at least two years of experience; L-6S advisers/coach
master
process by which the laboratory ensures the laboratory ensures quality results by closely monitoring pre-analytical, analytical, post-analytical phases of testing
QA
inappropriate test requested
Pre-analytical
handwriting not eligible
Pre-analytical
special requirements not specified
Pre-analytical
delayed order
Pre-analytical
incorrect tube or container
Pre-analytical
incorrect patient ID
Pre-analytical
inadequate spx volume
Pre-analytical
invalid spx
Pre-analytical
wrong collection time
Pre-analytical
improper transport condition
Pre-analytical
instrument not calibrated correctly
analytical
spx mix up
analytical
incorrect sample vol
analytical
interfering substance present
analytical
poorly written procedure
analytical
deteriorating rgt
analytical
changes in std prep
analytical
report not posted in chart, not legible, delayed
post-analytical
transcription error
post-analytical
interfering substance not recognized
post-analytical
specificity of test not understood
post-analytical
precision limitations not recognized
post-analytical
analytical sensitivity not appropriate
post-analytical
previous values not available for comparison
post-analytical
ability to maintain accuracy precision
reliability
closeness of the result to the true or actual value
accuracy
- ability to produce a series of results that agree closely with each other
- aka repeatability/reproducibility
precision
analysis of at least 2 levels of control every 24 hrs at least 20 consecutive days
internal QC
2 levels of control w/in 24 hrs (w/in run)
intralab
2 levels of control w/in 24 hrs (b/w run)
ex. NEQAS, proficiency testing
interlab
important for the daily monitoring of accuracy and precision of analytical methods
internal QC
testing blind samples by regulatory agencies to participating laboratories
external QC
