Clinical Chemistry I Week 08: Quality Management
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Questions and Answers

What is the primary focus of Total Quality Management in a clinical laboratory?

  • Controlling preanalytical, analytical, and post analytical variables (correct)
  • Minimizing the cost of laboratory tests
  • Improving patient satisfaction scores
  • Maximizing the efficiency of medical staff
  • Which method is part of the PDCA cycle in quality planning?

  • Assess
  • Record
  • Review
  • Check (correct)
  • What does TAT stand for in laboratory management?

  • Test Assessment Time
  • Turnaround Time (correct)
  • Trial Analysis Technique
  • Total Analysis Time
  • Which of the following is a preanalytical variable that can affect test results?

    <p>Patient identification</p> Signup and view all the answers

    What is the requirement for patient identification to ensure accuracy in specimen analysis?

    <p>Two valid identifiers from the patient</p> Signup and view all the answers

    Which of the following could lead to a transcription error in laboratory records?

    <p>Manual data entry of patient details</p> Signup and view all the answers

    What is an example of an analytical variable in laboratory testing?

    <p>Test methodology and calibration</p> Signup and view all the answers

    Which practice is essential for quality assessment in laboratory services?

    <p>Turnaround time analysis</p> Signup and view all the answers

    Study Notes

    Clinical Chemistry I (0202304) - Week 08: Quality Management

    • Course Instructor: Mohammad QABAJAH
    • Course Email: [email protected]
    • Week: 8
    • Topic: Quality Management

    Objectives

    • Describe the quality control system and methods for validating laboratory results.
    • Describe the laboratory testing processes and potential errors during each process.
    • Understand pre-analytical, analytical, and post-analytical variables and their impact on lab test results.
    • Identify how pre-analytical, analytical, and post-analytical variables are controlled.

    Total Quality Management

    • Total quality management (TQM) of the clinical laboratory involves:
      • Controlling pre-analytical variables
      • Controlling analytical variables
      • External quality assessment and proficiency testing programs
    • Early detection of problems is crucial for preventing consequences.

    Implementing TQM

    • Quality Planning (PDCA): Plan-Do-Check-Act cycle for quality improvement.
    • Quality Laboratory Processes (QLP): Analytical processes, policies, practices, and procedures of work.
    • Quality Control (QC): Statistical and non-statistical procedures like linearity checks, reagent/standard checks, and temperature monitoring.
    • Quality Assessment (QA): Turnaround time (TAT), specimen and patient identification, and test utility.

    Control of Pre-analytical Variables

    • Patient Identification:
      • Correct identification of patients and specimens is essential.
      • Using at least 2 identifiers.
    • Turnaround Time (TAT):
      • Time taken for specimen analysis.
      • Time taken for reporting test results.
      • Define TAT for each lab test for monitoring.
      • Procedures for specimen collection, receipt, and reporting.
    • Laboratory Log - Specimen + Request:
      • Log format:
        • Patient name
        • Patient identification number
        • Matching specimen
        • Adequate specimen volume
        • Tests requested
        • Rejection reasons
      • Electronic logging on lab records to avoid transcription errors, especially with manual data entry.
    • Patient Preparation:
      • Patient factors affecting test results:
        • Recent intake of food, alcohol, or drugs
        • Smoking
        • Exercise
        • Stress
        • Sleep
      • Define instructions for patient preparation and specimen acquisition.
    • Specimen Collection:
      • Procedures for ensuring proper specimen collection, including preservatives, containers.
    • Specimen Separation and Distribution:
      • Use of centrifuges and containers.
    • Specimen Transport:
      • Cooling, freezing, and protecting from light during transport.

    Non-controllable Variables

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

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    Description

    This quiz covers the essential aspects of Quality Management in Clinical Chemistry, including methods for validating laboratory results and the importance of Total Quality Management (TQM). Learn about pre-analytical, analytical, and post-analytical variables and how they can affect lab test outcomes. Test your understanding of the quality control systems and processes involved in laboratory testing.

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