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nchsls:c:general:document:04

Procedure for evaluation, audits and resolution of complaints

NameUnique ID Edition/Date of Edition
Procedure for evaluation, audits and resolution of complaintsnchsls:c:general:document:04(1) 03-01-2014
Preparing authorityApproving authorityReview period
All teaching staffQuality Manager1 year
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

Purpose

Procedure for evaluation, audits and resolution of complaints is to collect, anlayse and use information from customers and laboratory personnel and third parties to improve quality of laboratory services.

Scope

The information is collected from patients, doctors, laboratory personnel and external agencies e.g accreditation bodies.

Users of the procedure

Laboratory director, quality manager and HODs of departments uses this proccedure.

Procedure

Following information is collected and analysed. Communicate analysis done and any action taken to information provider.Supply analysis done and any action taken/required as input to management review.

InformationSome collection methodsRecord NameMaintained atStorage period
Assessment of user feedbackVerbal and written opinion from patients,clinicians and their representatives. Meetings, written and oral complaints, newspaper and other communication media coverage and any other mode of information as to whether the service has met the needs and requirements of users. Caution: ensure confidentiality of feedback provider, where releventAssessment of user feedback.Laboratory director and department/section level2 years
Staff suggestionsVerbal and written opinion from personnel and their representatives.Meetings, written and oral complaints and other mode of information as to any aspect of laboratory. Caution: ensure confidentiality of feedback provider, where releventStaff suggestionsLaboratory director and department/section level2 years
Reviews by external organizationsInvite NABL assessment as required for maintaining accreditation. Take appropriate actions for closing nonconformities raised by NABL assessment team.Reviews by external organizationsLaboratory director and department/section level2 years
Internal AuditsSee belowInternal AuditsLaboratory director and department/section level2 years

Internal Audits

  1. Quality manager is responsible for planning and conduct of internal auditletter_for_internal_audit. Laboratory director is responsible for maintaining records and presenting its report as input to management review.
  2. Training: Train personnel for performing internal audit.
  3. Maintaining objectivity and impartiality of the audit process: Audit of a department/section is done by another department/section as far as possible.
  4. Method: A given group of auditor audits all clauses for a section/department.
  5. Scope: Audit for all clauses of ISO:15189:2012 and NABL-112 at frequency of least once a year. Depth of audit for various clauses may differ depending on need.
  6. Criteria for audit:
    1. Review procedure documentation
    2. Observe process implemetation
    3. Review records generated by processes
    4. Pay special attention to nonconformities found in last audit as well as last NABL assessment.
    5. When nonconformities are identified, personnel responsible for the area being audited take necessary action and ask laboratory director for necessary help.
nchsls/c/general/document/04.txt · Last modified: 2022/08/13 07:34 (external edit)