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nchsls:c:biochemistry:document:25
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. |
nchsls/c/biochemistry/document/25.txt · Last modified: 2022/08/13 07:34 (external edit)
