[1S] UNIT 5: Quality Management
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Coordinated activities to implement the quality policy
Quality Management System
Pre/Post/Analytical Quality assurance
Post analytical
Pre/Post/Analytical Quality planning
Pre analytical
Pre/Post/Analytical Quality control
Analytical
Pre/Post/Analytical Quality improvement
Encompasses all phases
A planned and systematic set of quality activities focused on providing confidence that quality requirements will be fulfilled
Quality Assurance
Uses Quality indicators which is an established measure used to determine how well an organization meets needs and operational and performance expectations
Quality Assurance
Verifying the acceptability of methods prior to reporting patient results
Method Validation
T/F: Method should remain valid over time
T
Method validation is validated by the?
Quality Control
The laboratory can be validated by their?
Diagnostic Efficiency
ability of a test to detect a given disease or condition
Diagnostic Sensitivity
ability of a test to correctly identify the absence of a given disease or condition
Diagnostic Specificity
chance of an individual having a given or condition if the test is abnormal
Positive Predictive Value
chance of an individual does not have a given disease or condition if the test is within the reference interval
• Negative Predictive Value
closeness of a measure to the true value or target value
Accuracy
LAB ERRORS ○ Mislabelling ○ Transcription ○ Delay transportation
Clerical
refers to the results being as close as possible to the true value on a consistent basis
Reliability
amount of variation in a series of repeated measurements
Precision
LAB ERRORS ○ Delay turn around time ○ Failure to release results
Clerical
LAB ERRORS Highest frequency of errors especially with the use of handwritten labels and request forms
Clerical
LAB ERRORS Errors of accuracy
Systematic
LAB ERRORS Can either be an increase or decrease but never both
Systematic
LAB ERRORS Common cause is reagent instability / inaccurate control samples
Systematic