Final report ppt
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![Page 1: Final report ppt](https://reader034.fdocuments.us/reader034/viewer/2022051819/54c893664a7959b33a8b4574/html5/thumbnails/1.jpg)
QUALITY ASSESMENT AND PERFORMANCE IMPROVEMENT
(QUALITY ASSURANCE)
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What is QUALITY?
• a measure of excellence or state of being free of errors
• meeting the standards that are already predetermined.
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Why aim QUALITY in health laboratories?
Reliable / QUALITY results: - improves the decision making capacity of the clinicians as well as public health physicians.
Poor quality results :
leads to inappropriate action over treatment
or over investigation lack of treatment
or inadequate investigations
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I. Quality Concepts and Terminology Transition
II. Management of Quality
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I. Quality Concepts and Terminology Transition
A. Quality Control ( Internal & External)
B. Quality Assurance
C. Total Quality Management (TQM) & Continous Quality Improvement (CQI)
D. Quality Assessment & Improvement (QA&I)
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• a management system for initiating and coordinating:
Quality developmentquality maintenance quality improvement
QUALITY CONTROL
VARIOUS DEPARTMENTS
To achieve twin objectives of:
• Economical production• customer satisfaction
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QUALITY CONTROL
• “activities directed toward monitoring the individual elements of care” (e.g. intrument and test procedures)
• Relies on quantitative statistical methods that focus on the final product
• Relies on standards and techniques that measure the quality of the product in isolation from the needs of the customer or patient.
• integral component of quality assurance and is the aggregate of processes and techniques to detect, reduce, and correct deficiencies in an analytical process.
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OBJECTIVES OF QC
• to provide products which are dependable, satisfactory and economical
• to ensure economic production of products of uniform quality acceptable to the customer
• Aims to preventing the defects rather than detecting the defects
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QUALITY CONTROL
Internal quality control (IQC)
External quality assessment scheme (EQAS)
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Internal quality control (IQC)
• appropriate measures taken during day-to-day activities
“to control all possible variables that can influence the outcome of laboratory results”
• a continuous process that operated concurrently with analysis.
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External quality assessment scheme (EQAS)
• Aims to analyze the accuracy of the entire testing process from receipt of sample and testing of sample to reporting of results ,also known as proficiency testing
• ensure comparability of results among laboratories
• carried out retrospectively and is conducted by an independent agency.
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QUALITY ASSURANCE
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Quality Assurance• A program in which the overall activities conducted by the
institution are directed toward assuring the quality of the products and services provided.
• Integrates the principles of continous quality improvement (CQI) and total quality management (TQM) into the regulatory process for both moderate and high complexity testing sites.
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• Monitors the outcomes or indicators of care.
• Point out that true indicator of a quality service was patient care
• pre-analytical , analytical, post-analytical.
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• pre-analytical - patient preparation, specimen collection and processing, technical training, equipment maintenance
• analytical - reagents, apparatus, test method, test procedure, skill in interpretation
• post-analytical - specimen disposal
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Quality Assurance vs. Quality Control
Quality Assurance
An overall management plan to guarantee theintegrity of data
Quality Control
A series of analytical measurements used to assess the quality of the analytical data
(The “tools”) (The “system”)
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Total Quality Management (TQM)
• A quality management program that includes each component :
customerproducerssuppliers
in the creation process, from the acquisition of supplies to active follow up after the product or service has been received by a delighted customer.
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Total Quality Management (TQM) & Continous Quality Improvement (CQI)
• Models for the general management of the laboratory and developing performance appraisal instruments.
• Replacement for QA because of its emphasis on satisfying the needs of the customer.
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Quality Assessment and Improvement (QA&I)
A quality management program that focuses on the success of the organization in designing and achieving set goals and objectives
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II. Management of Quality
A. The philosophy of qualityB. Operational SystemsC. Quality Management Programs
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The Philosophy of Quality
• the attitude of people within the organization towards its work and customers by means of professionalism for the interest of service
• When the requirements are fully met based on quality policies and procedures
• is tied with care and commitment in giving quality service spare headed by top leaders of the organization and is demonstrated how managers spent their time, give attention and supervision.
• Quality pointed to operational quality system and quality management programs
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Operational Systems
• represents the actual practices taking place- e.g. not good intentions, wishes or future plans.
• In laboratory / clinical setting:ensure the smooth and continuous flow in the delivery of high quality service.
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From Patients Needs :to patient Needs
Service Assessment Physical Utilization
Service Requisition
Specimen Collection
Results Assessment
Information Report
Service Assessment
Analytical process
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Quality Management Programs
• addresses specific issues and goals
• Plans for ensuring compliance or bringing about change
• Represents the final results of all efforts and are the actual practices taking place.
• Include the specialized functions that are part of the technical operations of the lab
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Others:
• PM or preventive maintenance• Policy and procedure manuals in writing and review• Staff orientation, CPE, and personnel development• Participation in PT 9 proficiency testing )• Trouble shooting procedures• Laboratory accreditation, inspection and licensure