Labman-Prelims Reviewer
Labman-Prelims Reviewer
Labman-Prelims Reviewer
What is management?
This is the implementation of the four conditions that must be present for management to
succeed
1. mission
2. authority
3. resources
4. accountability
Order of Draw
B - blood culture
C - citrate
N - non-additive
H - heparin
E - EDTA
S - Sulfur Fluoride
Path of Workflow
Pre-examination: The Patient - Test Selection - Sample Collection - Sample Transport
Examination: Laboratory Analysis
Postexamination: Report Creation - Report Transport - Result Interpretation
Organization
Personnel - most important resource in lab is a competent, motivated staff
Equipment - must have the right equipment, equipment is working properly,
Purchasing and Inventory - proper management of purchase and inventory of supplies,
supplies and reagents are always available
Process control - comprise of several factors that affect quality control
Information management - HIS, laboratory information system. Everything must be
documented. Ensures accuracy and confidentiality as well as accessibility to the laboratory staff
and to other healthcare professionals.
Documents and Records - Documents are needed in the laboratory to inform how to do things,
and laboratories always have many documents. Records must be meticulously maintained, so
as to be accurate and accessible.
Occurrence Management - error or occurrence that should never happen
Assessment - involves comparing laboratory performance to internal standards for quality or
external data sets, such as industry benchmarks. Assessments include the activities of lab or
QC managers, internal auditors, or external inspectors.
Process improvement - there's always room for improvement; continuous improvement
Customer Service - feedback of the customers are important in providing process improvement
Facilities and Safety - security, containment, safety, ergonomics
Biosecurity is the prevention of disease-causing agents entering or leaving any place where
they can pose a risk to farm animals, other animals, humans, or the safety and quality of a food
product. Protecting the bad bugs from bad people.
Bioterrorist - bad people using bad bugs to cause harm to other people.
Biosafety - includes the procedures and policies to prevent harm to the people. process to
protecting people from
September 1, 2022
Quality Assessment and Performance Improvement
1. Define Quality
2. Analyze past quality management
3. Decide and Implement a quality management program
quality management program that includes each component in the creation process, from the
acquisition of supplies to active follow up after product or service has been received by a
delighted customer
one of the programs used in quality assurance //
Quality assessment and improvement - a quality management program that focuses on the
success of the organization in designing and achieving its set goals and objectives.
Basic quality control statistics
accuracy closeness of the result to the true value of an analyte when running a test. "hitting the
bullseye"
precision is the reproducibility. how well a procedure reproduces a value.
population describe and define the item being studied in a particular time
sample part of a population, used t analyze the characteristic of the population
gaussian distribution term that describes wherein the mean
Standard deviation (SD) measurement of precision, tendency to cluster, center, scatter around
the mean.
(CV) Coefficient of variation, SD percentage of the mean
Control Chart a chart used to plot control measurements against standards
Run charts, line graphs used to display data over a period of time.
1. NEQAS/EQAS
National reference laboratory (NRL) // sections
Lung center of the Philippines Clinical chemistry
National Kidney Transplant Institute Hematology
Research Institute for Tropical Medicine Microbiology and parasitology
San Lazaro (SACCL) Immunoserology
East Avenue medical center Drug testing
Control materials - substances that contain an established amount of the substance being
tested- the analyte. Quality control materials are run to quantify the variability and establish a
normal range, and to decrease the risk of error.
GCR Notes
What is Quality Control?
Monitors activities related to the examination phase of testing
Quality control is the part of quality management focused on fulfilling quality requirements (ISO
9000:2000[3.2.10]
The goal of quality control is to detect, evaluate, and correct errors due to test system failure,
environmental conditions or operator performance before patient results are reported.
Elements of a QC Program
Establish written policies and procedures - includes corrective actions
Review QC data
Assure complete documentation
Train all staff
Control materials
Used in qc programs
Are substances that contain an established amount of the substance being tested-the analyte
Are tested at the same time and in the way as patient samples.