Lab management

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    Proficiency Testing is the equivalent of External Quality Assessment (EQA).
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  • Lab management

    1. 1. ByPRATIK P POLADIA
    2. 2. DEFINATION An ongoing process that seeks to efficiently achieve the objectives of a medical laboratory. The objectives of a medical laboratory are providing its customers (physicians on behalf of patients) accurate answers which contribute to clinical treatment”..
    3. 3. Lab manager • • • • A good manager studies management as a daily practice. The high-performance manager is: A strategist: one who looks to the future. A Problem solver: one who uses his factors under his or her control to redirect the course of action to achieve the organisation objectives A teacher: One who guides and helps others to identify and solves problems
    4. 4. LAB PLAN • Each laboratory must have a strategic plan that describes its long-term • • • • goals, such as a move toward more automation or any modern diagnostic techniques. Each employee’s role should be clearly defined, and written job descriptions should be provided so personnel know what they are expected to do. Therefore, it is a not an easy task for a manger to strike a balance among the clinical laboratory regulations, fiscal responsibility, and employee competence and morale to maintain the overall quality of patient care. it is appropriate to remember that the two most important components of management are common sense open communication with laboratory staff
    5. 5. Lab DIRECTOR He/She must be a physician or a doctoral scientist qualified to assume professional , scientific , consultative , organizational , administrative , and educational responsibility for the services offered by the lab . • If a non-pathologist physician or doctoral scientist service as director , he/she must be qualified by virtue of documented training ,expertise , and experience in areas of analytic testing offered by the lab . • He/She must have sufficient training and experience in clinical medicine , sciences basic to medicine , clinical lab sciences •
    6. 6. DUTIES • The following directorial functions are : 1- interpretation , correlation , and communication of lab data 2- interaction with physicians and/or medical staff , patient , administration . 3- monitoring of standard of performance , QC , QI. 4- provision of education programs , planning , research. 5- ensuring sufficient personnel with adequate documented training and experience to meet the needs of the lab . 6- he/she must be decision-maker in the selection of all lab equipments and supplies .
    7. 7. SUPERVISOR Bachelor degree in chemical or clinical lab / medical technology science with at least one year experience . Is reponsible for day-to-day supervision of the lab operation , as well as personnel performing testing and reporting test results .
    8. 8. Quality Management System Definition All aspects of the laboratory operation need to be addressed to assure quality; this constitutes a quality management system
    9. 9. Complexity of a Laboratory System Reporting Patient/Client Prep Sample Collection Personnel Competency Test Evaluations •Data & Laboratory Management •Safety •Customer Service Sample Receipt and Accessioning Record Keeping Quality Control Testing Introduction Laboratory Quality Management System-Module 1 10 Sample Transport
    10. 10. Why Medical Labs need Quality Management  Medical Laboratories Highly complex operations Individuals doing complex tasks Absolute need for Accuracy Absolute need for Confidentiality Absolute need for Time Effectiveness Absolute need for Cost Effectiveness January 2009 11
    11. 11. Path of Workflow THE PATIENT Test selection Sample Collection Preexamination Phase Sample Transport Laboratory Analysis Examination Phase Report Transport Result Interpretation Introduction Laboratory Quality Management System-Module 1 Report Creation Postexamination Phase 12
    12. 12. Personnel  human resources  job qualifications  job descriptions  orientation  training  competency assessment  professional development  continuing education
    13. 13. Equipment • acquisition • installation • validation • maintenance • calibration • troubleshooting • service and repair • records
    14. 14. Purchasing and Inventory  vendor qualifications  supplies and reagents  critical services  contract review  inventory management
    15. 15. Process Control  quality control  sample management  method validation  method verification
    16. 16. Information Management  confidentiality  requisitions  logs and records  reports  computerized laboratory information systems (LIS)
    17. 17. Documents creation revisions and review control and distribution Introduction Laboratory Quality Management System-Module 1 18 Records collection review storage retention
    18. 18. Occurrence Management  complaints  mistakes and problems  documentation  root cause analysis  immediate actions  corrective actions  preventive actions
    19. 19. Laboratory Assessment Internal Internal External Proficiency testing (EQA) Inspections Accreditations Introduction Laboratory Quality Management System-Module 1 20
    20. 20. Process Improvement  opportunities for improvement (OFIs)  stakeholder feedback  problem resolution  risk assessment  preventive actions  corrective actions
    21. 21. Customer Service  customer group identification  customer needs  customer feedback
    22. 22. Facilities and Safety  safe working environment  transport management  security  containment  waste management  laboratory safety  ergonomics
    23. 23. Implementing Quality Management does not guarantee an ERROR-FREE Laboratory But it detects errors that may occur and prevents them from recurring Introduction Laboratory Quality Management System-Module 1 24
    24. 24. Laboratory errors cost in time personnel effort patient outcomes Introduction Laboratory Quality Management System-Module 1 25
    25. 25. ECONOMY MANAGEMENT Economic model may be used to improve business performance of laboratories by removing weaknesses, minimizing threats,  using external opportunities and internal strengths. Introduction Laboratory Quality Management System-Module 1 26
    26. 26. INTERNAL /EXTERNAL FACTORS Strength and Weaknesses refer to internal characteristics of a clinical laboratory, whereas Opportunities and Threats are external factors Introduction Laboratory Quality Management System-Module 1 27
    27. 27. Introduction Laboratory Quality Management System-Module 1 28
    28. 28. STRENGTHS & WEAKNESS Strengths describe advantages of the laboratory in comparison with other similar laboratories in the same geographical region. Weaknesses refer to shortcomings in the work of laboratory and removing the weaknesses would create new opportunities that could improve the quality of workand, consequently, increase profitability. Introduction Laboratory Quality Management System-Module 1 29
    29. 29. OPPORTUNITIES & THREATS  Opportunities refer to conditions in the laboratory that may lead to the improvement in business operations. Threats represent conditions that may lead to difficulties in business operations Introduction Laboratory Quality Management System-Module 1 30
    30. 30. PROFIT OF LAB The operating profit as a measure of profitability of the clinical laboratory was defined as total revenue minus total expenses Introduction Laboratory Quality Management System-Module 1 31
    31. 31. HOW? Quality Management and good work organization aimed at achieving a continuous improvement in preanalytical ,analytical, and post-analytical phases are part of a good laboratory practice 32
    32. 32. CONT….. Successful quality management in a clinical laboratory setting reduces both the need to repeat tests and raw material consumption, Leading to increased business effectiveness. Introduction Laboratory Quality Management System-Module 1 33
    33. 33. CONCLUSION The fact that making profit is not the primary function of the health system.  Every health department should have basic knowledge of economic principles and their application. Introduction Laboratory Quality Management System-Module 1 34

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