Quality indicators for extra-analytical processes in clinical laboratory: Ten years’ experience

Morer, Rosa Ruiz; Ibarz, Mercè; Llopis, María Antonia; Martínez-Iribarren, Alicia; Biosca, Carmen; Orus, Núria Serrat; Llovet, M.a Isabel; Soria, G. Busquets; Funes, Virtudes Álvarez; Minchinela, Joana; Costa, Manuella; Simón, Margarida

doi:10.1016/j.labcli.2016.08.002

Cited by 2 publications

(9 citation statements)

References 7 publications

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“…The importance of PIs for clinical laboratories is reflected in the large body of existing work [1][2][3][4][5][6][7]. PIs are the foundation of process improvement and are therefore the basis of methods such as lean and mathematical optimization.…”

Section: Discussionmentioning

confidence: 99%

“…In Kirchner et al [43], out of all the expected but not received samples, urine samples were missing most often. This can be difficult to improve as the receipt of urine samples is mostly controlled by personnel outside of the laboratory [6]. maintenance cost and reagent cost.…”

Section: Sample Lost/not Receivedmentioning

confidence: 99%

“…Therefore, a prospective study may be more suitable than a retrospective study to assess this PI. Various measures have been proposed in the literature for this PI such as total time of maintenance operations [27], total number of maintenance operations [27] and as in [6]:…”

Section: Maintenance/downtimementioning

confidence: 99%

“…Measurability: Safety has been measured in terms of the number of accidents [6,12,22], the distance to hazardous areas [64] or the risk of pollution [65]. An example of an accident is a needle injury [2].…”

Section: Safetymentioning

confidence: 99%

“…There are extensive lists of PIs for the whole clinical laboratory testing process [1][2][3][4][5][6][7]. These lists are usually the outcome of a medical literature review or are based on best practices.…”

Section: Introductionmentioning

confidence: 99%

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A critical review of laboratory performance indicators

Tsai

Tintu

Demirtaş

et al. 2019

Critical Reviews in Clinical Laboratory Sciences

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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 review aids in the process for selecting laboratory PIs-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 on 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 frequently cited PIs relate to pre-analytical errors, timeliness, resource utilization, cost, and the amount of congestion. 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.

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Section: Discussionmentioning

confidence: 99%

Section: Sample Lost/not Receivedmentioning

confidence: 99%

Section: Maintenance/downtimementioning

confidence: 99%

Section: Safetymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A critical review of laboratory performance indicators

Tsai

Tintu

Demirtaş

et al. 2019

Critical Reviews in Clinical Laboratory Sciences

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Indicadores De Qualidade No Laboratório Clínico: Revisão Integrativa

Almeida

Brune

2021

Infarma

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A qualidade laboratorial é defi nida como a garantia de que toda e qualquer etapa do processo de teste é realizada corretamente. Buscando a melhoria da qualidade dos laboratórios tornou-se necessária a criação de padrões mínimos de organização para que os mesmos funcionassem. O laboratório clínico deve assegurar a confiabilidade dos serviços laboratoriais prestados por meio de controle - interno e externo - da qualidade. Todas as ações sistemáticas necessárias para dar confiança aos serviços laboratoriais a fim de atender as necessidades de saúde do paciente e prevenir a ocorrência dos erros é definido por componente operacional do sistema de controle de qualidade que podem ser medidos por meio dos indicadores de qualidade. O objetivo do trabalho foi identificar os indicadores de qualidade mais usados entre os laboratórios clínicos e em qual fase do processo de testagem observa-se uma maior quantidade de erros. Foi realizada uma revisão integrativa de artigos pesquisados na Biblioteca Virtual de Saúde com as palavras-chave: Indicadores de qualidade e Laboratório Clínico, no período de 2016 a 2021, nos idiomas inglês, espanhol e português. Foram selecionados 15 artigos que abordavam as fases extra-analíticas e analíticas, sendo que a maioria dos autores abordou a fase pré-analítica, visto a elevada quantidade de erros observada nesta etapa, seguido da etapa pós-analítica e de forma superficial, foi citada a etapa analítica, visto que a mesma apresenta a menor quantidade de erros no laboratório. A utilização adequada de indicadores de qualidade é uma ferramenta muito útil na gestão do laboratório, principalmente nas etapas extra-analíticas. Cabe a cada gestor a escolha dos indicadores de qualidade que melhor atendam às suas necessidades, considerando além dos aspectos econômicos, a segurança do paciente.

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Quality indicators for extra-analytical processes in clinical laboratory: Ten years’ experience

Cited by 2 publications

References 7 publications

A critical review of laboratory performance indicators

A critical review of laboratory performance indicators

Indicadores De Qualidade No Laboratório Clínico: Revisão Integrativa

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