===Header===
**Procedure for monitoring quality indicators**

^Name^Unique ID^ Edition/Date of Edition ^
|Procedure for monitoring quality indicators|nchsls:c:biochemistry:document:25|(1) 02-07-2014|

^Preparing authority^Approving authority^Review period^
|All teaching staff|HOD Biochemistry|1 year|

|Controlled copy of this document exist only in electronic form at IP address 10.207.3.241 of LAN at NCH, Surat|
|**Printed copy of this document is considered uncontrolled.** It should be compared with controlled electronic copy before use|
======Processes requiring this procedure======
Quality Control Process
======Procedure======
  *Review plan of monitoring quality indicators once a year(see table below) to include or exclude or change quality indicators. 
  *record results of monitoring quality indicators
  *Submit report to the management review committee



^Quality Indicator^Objective,Methodology,Interpretation,limits, action plan and duration of measurement, where relevant^
|Internal Quality control|Measure cumulative mean, SD and CV% of IQC results for a given lot of QC sample. Wherever possible, include at least six months data for cumulative analysis. If the resultant CV% exceed CLIA acceptable limits for 95% confidence limit, preform RCA and record the action taken|
|External Quality Assessment|Using yearly RIQAS report received from Randox, find examinations with unacceptable performance. For examinations with unacceptable performance,  preform RCA and record the action taken|
|Turnaround time|Find name of examinations versis number of time the turnaround time exceed the agreed upon TAT every month.For examinations with unacceptable performance,  preform RCA and record the action taken [[Detailed Procedure for TAT]]|
|clinician satisfaction servey|Maintain quality of examinations acceptable to clinicians of parent institute. The objective is measured by annual clinician satisfaction servey where in clinician rate satisfaction of quality of examination in a scale of 0-10 for different laboratory section.|
|Internal audit|Perform internal audit to find conformance to requirements of IS/ISO 15189:2012, NABL India and the national, regional and local laws and regulations as applicable and correct non-conformance thereof. The objective is measured by number of major and minor NCs raised during such audit.|
|NABL Assessment|Invite assessment from NABL to find conformance to requirements of IS/ISO 15189:2012, NABL India and the national, regional and local laws and regulations as applicable and correct non-conformance thereof. The objective is measured by number of major and minor NCs raised during NABL assessment.|
|Yearly changes in above quality indicators|Measure persantage change in above measurements year-on-year basis.|