SlideShare a Scribd company logo
1 of 27
Man: The Human Factor in
Laboratory
Sachin Kale, MD
Consultant Pathologist
& Asso Prof. MGM Medical College,
Aurangabad.
Manpower in Laboratory
Receptionist

Pathologist

Supervisors
Phlebotomist

Technician

Data entry
operators
House
keeping
Recognize Priorities: Interview
Money
Using your lab as a stepping stone
Someone might need Stable job and fixed duty
Knowledge level
Experience
Honesty
Dependability
Maslow's hierarchy of needs
What needs can lab fulfill?
MOTIVATION TO WORK
Recruitment: Right person for
right job
“Square peg in a round hole”
Job Description
• Some people are able understand their job
naturally
• But it is better have it written down and
should be signed by staff.
• Also an ISO 15189 requirement
Induction program
• Observe the senior – 1 week
• Help the senior with the work – 1 week
• Independently carryout the work under the
guidance of the senior – 1 week
• Work independently – 1 week
Technician: Issues
Course is not standardised
MLT CMLT DMLT?
Postal courses also..
Qualified but not proficient
Employ
Train
Retain
Dissatisfaction with salary
• Dissatisfaction is not with salary
• The dissatisfaction with salary - secondary to
workplace dissatisfaction.
• Staff who complain about with salary will still
not leave if they enjoy good work atmosphere.
• Key: Great Work Place
Skills or Lack of it
• Lack of expertise is a system based challenge.
• The lab needs to have a system of employing
qualified personnel
• Followed by a strong induction program.
• Clarity in roles and responsibilities at the time of
induction
• This would then allow the employee to be confident
in delivering the responsibilities.
Attrition
•
•
•
•

Linked to both above
Attrition is a way of life.
It is good to have some level of attrition.
However attrition less likely with
adequately motivated and satisfied.
Noncompliance
• Lack of discipline –
• is a personal trait.
• This is related to clear expression of value
systems existing in the lab and management.
• The values that the lab holds should be clearly
communicated to staff.
• When this is done, the compliance to activities
including discipline is much higher.
(Mis)Behaving with patients
•Getting into arguments with patients at
reception
•Phlebotomy person collecting sample from
hospital
Does the size matter?
Small Lab Issues
• The lab size should not be a limitation.
• Every staff when adequately convinced about
the reason for a certain activity would follow
protocols.
• Staff generally become complacent when they
are not aware of the reasons for doing certain
activities or are forced to do it without being
given clear reasons.
People can be pulled not pushed
Leadership lessons from MS Dhoni
•Lead by example
•Back your players
•Calmness
•Less me and more us
Primum non nocere:
First do no harm
From: www.hse.gov.uk
Error analysis
• House keeping person regularly cutting
corners
• (Routine violation)
• Not properly allowing the control thaw
• (Situational violation)
• Histopath samples received without formalin
• Tissue culture received in formalin
(Knowledge based for new, Lapse for
experienced)
Error analysis
•
•
•
•
•

Untrained person operating the machine
(Situational violation, Insufficient staff)
Using HIV buffer between different lots
(Rule based error)
Failing to collect all the tubes when battery of
tests is advised.
• (Lapse)
Error analysis
• Cholesterol typed 108 instead of 188
• (Slip)
• Transcription errors: Interfacing equipment
Management wisdom from East
for Lab Managers
Kaizen: Plan-Do-Check-Action cycle
5 -Why Analysis
• The patient's diagnosis of skin cancer was
considerably delayed. Why?
• The excision biopsy report was not seen by the
surgeon. Why?
• The report was filed in the patient's notes
without being seen by the surgeon. Why?
• It was the receptionist job to do the filing.
Why?
5 -Why Analysis
• The junior doctors were busy with other tasks
• The root cause - that the doctors' other tasks
were seen as more important than filing.
• Solution: Change the system.
• Send a copy of all biopsy reports to the
consultant surgeon and no reports to be filed
unless they have been signed by a doctor.
• “Human resources are like natural resources;
they're often buried deep. You have to dig
Hard to find them.”
• You can hire people with money, but to make
them work for you, you have to win their
hearts

More Related Content

Similar to Men

Referral and Test Tracking: Developing a System
Referral and Test Tracking: Developing a SystemReferral and Test Tracking: Developing a System
Referral and Test Tracking: Developing a SystemPAFP
 
Osce by c. shekhar karmakar
Osce by c. shekhar karmakarOsce by c. shekhar karmakar
Osce by c. shekhar karmakarChandra Karmakar
 
SJOG Subiaco Hospital: Time Management
SJOG Subiaco Hospital: Time ManagementSJOG Subiaco Hospital: Time Management
SJOG Subiaco Hospital: Time ManagementSJG Subiaco Hospital
 
Human Resource Recruitment
Human Resource RecruitmentHuman Resource Recruitment
Human Resource RecruitmentAnurag Phillips
 
Webinar basic service improvement tools and techniques
Webinar basic service improvement tools and techniquesWebinar basic service improvement tools and techniques
Webinar basic service improvement tools and techniquesNHS Improving Quality
 
TIARA Module 4 Anne Sales Practical Considerations 102019
TIARA Module 4 Anne Sales Practical Considerations 102019TIARA Module 4 Anne Sales Practical Considerations 102019
TIARA Module 4 Anne Sales Practical Considerations 102019Stacy Farr, PhD, MPH
 
Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...
Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...
Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...Henk Veraart
 
Leadership institute lean kaizen briefing 8 16 13 handout
Leadership institute lean kaizen briefing 8 16 13 handoutLeadership institute lean kaizen briefing 8 16 13 handout
Leadership institute lean kaizen briefing 8 16 13 handoutmdwallace
 
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...NHS England
 
improvement training Winterbourne Medicines Launch
improvement training Winterbourne Medicines Launchimprovement training Winterbourne Medicines Launch
improvement training Winterbourne Medicines LaunchNHS Improving Quality
 
Selection and recruitment
Selection and recruitmentSelection and recruitment
Selection and recruitmentRAVI RAI DANGI
 
IGNITE! Introduction to QI Methods
IGNITE! Introduction to QI Methods   IGNITE! Introduction to QI Methods
IGNITE! Introduction to QI Methods Innovation Agency
 
Quality and Safety in Primary Care by VLE
Quality and Safety in Primary Care by VLEQuality and Safety in Primary Care by VLE
Quality and Safety in Primary Care by VLEAtlantic Training, LLC.
 
educational leadership MedEdPORTAL QI Ldsp.ppt
educational leadership MedEdPORTAL QI Ldsp.ppteducational leadership MedEdPORTAL QI Ldsp.ppt
educational leadership MedEdPORTAL QI Ldsp.pptMarkLoveenAng
 
Preparing for consultant interview
Preparing for consultant interviewPreparing for consultant interview
Preparing for consultant interviewBarbara Stanley
 

Similar to Men (20)

Referral and Test Tracking: Developing a System
Referral and Test Tracking: Developing a SystemReferral and Test Tracking: Developing a System
Referral and Test Tracking: Developing a System
 
Guest Lecture: May 2015; An Introduction to Portfolio Assessment
Guest Lecture: May 2015; An Introduction to Portfolio AssessmentGuest Lecture: May 2015; An Introduction to Portfolio Assessment
Guest Lecture: May 2015; An Introduction to Portfolio Assessment
 
Osce by c. shekhar karmakar
Osce by c. shekhar karmakarOsce by c. shekhar karmakar
Osce by c. shekhar karmakar
 
SJOG Subiaco Hospital: Time Management
SJOG Subiaco Hospital: Time ManagementSJOG Subiaco Hospital: Time Management
SJOG Subiaco Hospital: Time Management
 
ENA15_CWalker_PPT 9-2015
ENA15_CWalker_PPT 9-2015ENA15_CWalker_PPT 9-2015
ENA15_CWalker_PPT 9-2015
 
Human Resource Recruitment
Human Resource RecruitmentHuman Resource Recruitment
Human Resource Recruitment
 
Webinar basic service improvement tools and techniques
Webinar basic service improvement tools and techniquesWebinar basic service improvement tools and techniques
Webinar basic service improvement tools and techniques
 
TIARA Module 4 Anne Sales Practical Considerations 102019
TIARA Module 4 Anne Sales Practical Considerations 102019TIARA Module 4 Anne Sales Practical Considerations 102019
TIARA Module 4 Anne Sales Practical Considerations 102019
 
Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...
Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...
Bottom Up, or "Tarte Tatin" strategy for implementing Lean in St Elisabeth Ho...
 
Leadership institute lean kaizen briefing 8 16 13 handout
Leadership institute lean kaizen briefing 8 16 13 handoutLeadership institute lean kaizen briefing 8 16 13 handout
Leadership institute lean kaizen briefing 8 16 13 handout
 
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...
How to improve patient flow in emergency and ambulatory care, pop up uni, 10a...
 
improvement training Winterbourne Medicines Launch
improvement training Winterbourne Medicines Launchimprovement training Winterbourne Medicines Launch
improvement training Winterbourne Medicines Launch
 
Faris s almasari 42810098
Faris s almasari  42810098Faris s almasari  42810098
Faris s almasari 42810098
 
Selection and recruitment
Selection and recruitmentSelection and recruitment
Selection and recruitment
 
IGNITE! Introduction to QI Methods
IGNITE! Introduction to QI Methods   IGNITE! Introduction to QI Methods
IGNITE! Introduction to QI Methods
 
Quality and Safety in Primary Care by VLE
Quality and Safety in Primary Care by VLEQuality and Safety in Primary Care by VLE
Quality and Safety in Primary Care by VLE
 
educational leadership MedEdPORTAL QI Ldsp.ppt
educational leadership MedEdPORTAL QI Ldsp.ppteducational leadership MedEdPORTAL QI Ldsp.ppt
educational leadership MedEdPORTAL QI Ldsp.ppt
 
Preparing for consultant interview
Preparing for consultant interviewPreparing for consultant interview
Preparing for consultant interview
 
(13) Controlling.pdf
(13) Controlling.pdf(13) Controlling.pdf
(13) Controlling.pdf
 
Scheduling elaine kemp
Scheduling    elaine kempScheduling    elaine kemp
Scheduling elaine kemp
 

Recently uploaded

Ensure the security of your HCL environment by applying the Zero Trust princi...
Ensure the security of your HCL environment by applying the Zero Trust princi...Ensure the security of your HCL environment by applying the Zero Trust princi...
Ensure the security of your HCL environment by applying the Zero Trust princi...Roland Driesen
 
Pharma Works Profile of Karan Communications
Pharma Works Profile of Karan CommunicationsPharma Works Profile of Karan Communications
Pharma Works Profile of Karan Communicationskarancommunications
 
Creating Low-Code Loan Applications using the Trisotech Mortgage Feature Set
Creating Low-Code Loan Applications using the Trisotech Mortgage Feature SetCreating Low-Code Loan Applications using the Trisotech Mortgage Feature Set
Creating Low-Code Loan Applications using the Trisotech Mortgage Feature SetDenis Gagné
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear RegressionRavindra Nath Shukla
 
HONOR Veterans Event Keynote by Michael Hawkins
HONOR Veterans Event Keynote by Michael HawkinsHONOR Veterans Event Keynote by Michael Hawkins
HONOR Veterans Event Keynote by Michael HawkinsMichael W. Hawkins
 
Event mailer assignment progress report .pdf
Event mailer assignment progress report .pdfEvent mailer assignment progress report .pdf
Event mailer assignment progress report .pdftbatkhuu1
 
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876dlhescort
 
Call Girls In Panjim North Goa 9971646499 Genuine Service
Call Girls In Panjim North Goa 9971646499 Genuine ServiceCall Girls In Panjim North Goa 9971646499 Genuine Service
Call Girls In Panjim North Goa 9971646499 Genuine Serviceritikaroy0888
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMANIlamathiKannappan
 
A305_A2_file_Batkhuu progress report.pdf
A305_A2_file_Batkhuu progress report.pdfA305_A2_file_Batkhuu progress report.pdf
A305_A2_file_Batkhuu progress report.pdftbatkhuu1
 
7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...Paul Menig
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...amitlee9823
 
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRLMONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRLSeo
 
Cracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptxCracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptxWorkforce Group
 
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...lizamodels9
 
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒anilsa9823
 
Best Basmati Rice Manufacturers in India
Best Basmati Rice Manufacturers in IndiaBest Basmati Rice Manufacturers in India
Best Basmati Rice Manufacturers in IndiaShree Krishna Exports
 
Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsP&CO
 

Recently uploaded (20)

Ensure the security of your HCL environment by applying the Zero Trust princi...
Ensure the security of your HCL environment by applying the Zero Trust princi...Ensure the security of your HCL environment by applying the Zero Trust princi...
Ensure the security of your HCL environment by applying the Zero Trust princi...
 
Pharma Works Profile of Karan Communications
Pharma Works Profile of Karan CommunicationsPharma Works Profile of Karan Communications
Pharma Works Profile of Karan Communications
 
Creating Low-Code Loan Applications using the Trisotech Mortgage Feature Set
Creating Low-Code Loan Applications using the Trisotech Mortgage Feature SetCreating Low-Code Loan Applications using the Trisotech Mortgage Feature Set
Creating Low-Code Loan Applications using the Trisotech Mortgage Feature Set
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear Regression
 
HONOR Veterans Event Keynote by Michael Hawkins
HONOR Veterans Event Keynote by Michael HawkinsHONOR Veterans Event Keynote by Michael Hawkins
HONOR Veterans Event Keynote by Michael Hawkins
 
Event mailer assignment progress report .pdf
Event mailer assignment progress report .pdfEvent mailer assignment progress report .pdf
Event mailer assignment progress report .pdf
 
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
 
Call Girls In Panjim North Goa 9971646499 Genuine Service
Call Girls In Panjim North Goa 9971646499 Genuine ServiceCall Girls In Panjim North Goa 9971646499 Genuine Service
Call Girls In Panjim North Goa 9971646499 Genuine Service
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMAN
 
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabiunwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
 
A305_A2_file_Batkhuu progress report.pdf
A305_A2_file_Batkhuu progress report.pdfA305_A2_file_Batkhuu progress report.pdf
A305_A2_file_Batkhuu progress report.pdf
 
VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...
VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...
VVVIP Call Girls In Greater Kailash ➡️ Delhi ➡️ 9999965857 🚀 No Advance 24HRS...
 
7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...7.pdf This presentation captures many uses and the significance of the number...
7.pdf This presentation captures many uses and the significance of the number...
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
 
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRLMONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
MONA 98765-12871 CALL GIRLS IN LUDHIANA LUDHIANA CALL GIRL
 
Cracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptxCracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptx
 
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
 
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
 
Best Basmati Rice Manufacturers in India
Best Basmati Rice Manufacturers in IndiaBest Basmati Rice Manufacturers in India
Best Basmati Rice Manufacturers in India
 
Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and pains
 

Men

  • 1. Man: The Human Factor in Laboratory Sachin Kale, MD Consultant Pathologist & Asso Prof. MGM Medical College, Aurangabad.
  • 2.
  • 4. Recognize Priorities: Interview Money Using your lab as a stepping stone Someone might need Stable job and fixed duty Knowledge level Experience Honesty Dependability
  • 5. Maslow's hierarchy of needs What needs can lab fulfill? MOTIVATION TO WORK
  • 6. Recruitment: Right person for right job “Square peg in a round hole”
  • 7. Job Description • Some people are able understand their job naturally • But it is better have it written down and should be signed by staff. • Also an ISO 15189 requirement
  • 8. Induction program • Observe the senior – 1 week • Help the senior with the work – 1 week • Independently carryout the work under the guidance of the senior – 1 week • Work independently – 1 week
  • 9. Technician: Issues Course is not standardised MLT CMLT DMLT? Postal courses also..
  • 10. Qualified but not proficient Employ Train Retain
  • 11. Dissatisfaction with salary • Dissatisfaction is not with salary • The dissatisfaction with salary - secondary to workplace dissatisfaction. • Staff who complain about with salary will still not leave if they enjoy good work atmosphere. • Key: Great Work Place
  • 12. Skills or Lack of it • Lack of expertise is a system based challenge. • The lab needs to have a system of employing qualified personnel • Followed by a strong induction program. • Clarity in roles and responsibilities at the time of induction • This would then allow the employee to be confident in delivering the responsibilities.
  • 13. Attrition • • • • Linked to both above Attrition is a way of life. It is good to have some level of attrition. However attrition less likely with adequately motivated and satisfied.
  • 14. Noncompliance • Lack of discipline – • is a personal trait. • This is related to clear expression of value systems existing in the lab and management. • The values that the lab holds should be clearly communicated to staff. • When this is done, the compliance to activities including discipline is much higher.
  • 15. (Mis)Behaving with patients •Getting into arguments with patients at reception •Phlebotomy person collecting sample from hospital
  • 16. Does the size matter? Small Lab Issues • The lab size should not be a limitation. • Every staff when adequately convinced about the reason for a certain activity would follow protocols. • Staff generally become complacent when they are not aware of the reasons for doing certain activities or are forced to do it without being given clear reasons.
  • 17. People can be pulled not pushed Leadership lessons from MS Dhoni •Lead by example •Back your players •Calmness •Less me and more us
  • 20. Error analysis • House keeping person regularly cutting corners • (Routine violation) • Not properly allowing the control thaw • (Situational violation) • Histopath samples received without formalin • Tissue culture received in formalin (Knowledge based for new, Lapse for experienced)
  • 21. Error analysis • • • • • Untrained person operating the machine (Situational violation, Insufficient staff) Using HIV buffer between different lots (Rule based error) Failing to collect all the tubes when battery of tests is advised. • (Lapse)
  • 22. Error analysis • Cholesterol typed 108 instead of 188 • (Slip) • Transcription errors: Interfacing equipment
  • 23. Management wisdom from East for Lab Managers
  • 25. 5 -Why Analysis • The patient's diagnosis of skin cancer was considerably delayed. Why? • The excision biopsy report was not seen by the surgeon. Why? • The report was filed in the patient's notes without being seen by the surgeon. Why? • It was the receptionist job to do the filing. Why?
  • 26. 5 -Why Analysis • The junior doctors were busy with other tasks • The root cause - that the doctors' other tasks were seen as more important than filing. • Solution: Change the system. • Send a copy of all biopsy reports to the consultant surgeon and no reports to be filed unless they have been signed by a doctor.
  • 27. • “Human resources are like natural resources; they're often buried deep. You have to dig Hard to find them.” • You can hire people with money, but to make them work for you, you have to win their hearts

Editor's Notes

  1. WHAT THEY WANT FROM AND WHAT WE HAVE TO PROVIDE.. Fairness: no favoritism. Corporatisation from small scale industry pvt ltd
  2. Roti kapada aur makan
  3. Generally speaking, as well as in surveys it is shown that dissatisfaction is not with salary alone (though not expressed). The satisfaction/dissatisfaction with salary is generally secondary to workplace satisfaction/dissatisfaction. You would find staff who are dissatisfied with salary in spite of a good work atmosphere would not be satisfied in any situation even with double that salary.
  4. 2. Lack of expertise is a system based challenge. Are we referring to Skill or Qualification or experience. All are interrelated and would be system driven. The lab needs to have a system of employing only qualified personnel followed by a strong induction program. There needs to be clarity in roles and responsibilities at the time of induction This would then allow the employee to be confident in delivering the responsibilities. 
  5. Do not know rates Overcharge I have seen one report where it was written that charges off this investigation are these...
  6. In my view the lab size is not a limitation. Every staff when adequately convinced about the reason for a certain activity would follow protocols. I have observed that staff generally become complacent when they are not aware of the reasons for doing certain activities or are forced to do it without being given clear reasons.
  7. What we have for managing people is string not a rod.
  8. Anatomy of error with examples Changing reagents putting rinse in place of diluent : knowledge based
  9. Health and safety executive
  10. Action based errors, action not as planned error of comission or omission/ and thinking based mistake/ action as planned by plan is wrong