Clinical Chemistry I - Week 08: Quality Management
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Questions and Answers

What is one of the main objectives of quality management in the laboratory?

  • Identify financial aspects of laboratory testing
  • Describe the system for increasing patient volume
  • Describe laboratory testing processes and potential errors (correct)
  • Enhance communication between patients and doctors

Which variable is controlled during the pre-analytical phase?

  • Patient identification (correct)
  • Data analysis methods
  • Quality control charts
  • Instrument calibration

What does TAT stand for in the context of laboratory management?

  • Turnaround Time (correct)
  • Time Allocation Template
  • Total Analysis Time
  • Technical Assessment Tool

What should be logged to prevent transcription errors in the laboratory?

<p>Request and specimen details (A)</p> Signup and view all the answers

Which factor is NOT typically considered a pre-analytical variable?

<p>Instrument calibration (C)</p> Signup and view all the answers

What does the PDCA cycle stand for in quality planning?

<p>Plan Do Check Act (D)</p> Signup and view all the answers

Which of the following is a component of Quality Control (QC)?

<p>Statistical control procedures (B)</p> Signup and view all the answers

What is important for adequate patient preparation before testing?

<p>Instructing on food and drug intake (D)</p> Signup and view all the answers

Flashcards

Quality Control (QC)

A system for ensuring accuracy and reliability of laboratory results through various methods, such as statistical control procedures and linearity checks.

Total Quality Management (TQM)

A comprehensive approach to managing quality in all aspects of a clinical laboratory, including pre-analytical, analytical, and post-analytical phases.

Pre-analytical Variables

The phase before a test is performed, including patient identification, specimen collection, and preparation.

Analytical Variables

The phase during which the test is performed, including the analytical procedure itself and instrument calibration.

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Post-analytical Variables

The phase after a test is performed, including result reporting, interpretation, and follow-up actions.

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Validation of Results

Verifying the accuracy and reliability of a test method by using a control sample with known values and comparing the results.

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Patient Preparation Instructions

A set of instructions and procedures for preparing a patient before a test, such as fasting or avoiding certain medications.

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Turnaround Time (TAT)

The time elapsed between specimen collection and reporting of test results.

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Study Notes

Clinical Chemistry I - Week 08: Quality Management

Objectives

  • Describe the quality control system and methods for validating lab results.
  • Describe lab testing processes and potential errors.
  • Understand pre-analytical, analytical, and post-analytical variables and their impact on lab results.
  • Detail how each pre-analytical, analytical, and post-analytical variable is controlled.

Total Quality Management (TQM)

  • Encompasses managing the entire clinical lab for quality.
  • Includes controlling pre-analytical, analytical, and post-analytical variables.
  • Utilizes external quality assessment and proficiency testing programs.
  • Early detection of issues helps prevent consequences.

Implementing TQM

  • Quality Planning (PDCA - Plan Do Check Act)
  • Quality Laboratory processes (QLP)
  • Quality Control (QC)
    • Statistical and non-statistical procedures (linearity, reagent/standard checks, temperature monitoring)
  • Quality Assessment (QA)
    • Turnaround time, specimen & patient ID, test utility

Control of Pre-analytical Variables

  • Patient Identification:
    • Correct patient and specimen identification.
    • At least two identifiers are needed.
  • Turnaround Time (TAT):
    • Time from specimen submission to analysis.
    • Time to report results.
    • Define specific TAT for each lab test and monitor it.
  • Specimen Collection:
    • Proper collection procedures (preservative & containers).
  • Specimen Separation/Distribution:
    • Use centrifuges & appropriate containers for aliquots.
  • Specimen Transport:
    • Proper temperature control (cooled, frozen, protected from light).
  • Laboratory Log/Specimen Request:
    • Data entry accuracy is critical (electronic logs preferred.)
    • Patient name, ID, matching specimen, adequate volume, all tests requested, and rejection reasons.
  • Patient Preparation:
    • Patient factors can impact test results (food, alcohol, drugs, smoking, exercise, stress, sleep.)
    • Define clear patient preparation instructions and specimen acquisition protocols.

Non-controllable Variables

  • Biological Influences:
    • Age (newborn, child, adult, elderly)
    • Sex
  • Environmental Factors:
    • Altitude
    • Ambient temperature
    • Geographic location
    • Seasonal influences
  • Underlying Medical Conditions:
    • Obesity
    • Blindness
    • Pregnancy
    • Fever
    • Shock and trauma

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Description

Explore the essentials of quality management in clinical chemistry labs in this Week 08 quiz. Understand the importance of the quality control system, methods for validating lab results, and the impact of various analytical variables on outcomes. This quiz will help you grasp the Total Quality Management (TQM) principles crucial for successful lab operations.

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