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    Policy On Internal Qap and Continuous Quality Improvement

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    Icdl Balayan
    This document outlines a laboratory's policy on quality assurance and continuous quality improvement. It details procedures for daily quality control measures, validation of quality control results, verification of alarming findings, proper performance and documentation of tests, timelines for releasing results, and steps for the pre-analytical, analytical, and post-analytical phases of testing including specimen collection, receiving, releasing results, and recording results. The overall goal is to maintain high accuracy and proficiency despite changes to tests or testing volume.

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    Policy On Internal Qap and Continuous Quality Improvement

    Uploaded by

    Icdl Balayan
    770 views3 pages
    This document outlines a laboratory's policy on quality assurance and continuous quality improvement. It details procedures for daily quality control measures, validation of quality control results, verification of alarming findings, proper performance and documentation of tests, timelines for releasing results, and steps for the pre-analytical, analytical, and post-analytical phases of testing including specimen collection, receiving, releasing results, and recording results. The overall goal is to maintain high accuracy and proficiency despite changes to tests or testing volume.

    Original Title

    POLICY ON INTERNAL QAP AND CONTINUOUS QUALITY IMPROVEMENT

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    This document outlines a laboratory's policy on quality assurance and continuous quality improvement. It details procedures for daily quality control measures, validation of quality control results, verification of alarming findings, proper performance and documentation of tests, timelines for releasing results, and steps for the pre-analytical, analytical, and post-analytical phases of testing including specimen collection, receiving, releasing results, and recording results. The overall goal is to maintain high accuracy and proficiency despite changes to tests or testing volume.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    770 views3 pages

    Policy On Internal Qap and Continuous Quality Improvement

    Uploaded by

    Icdl Balayan
    This document outlines a laboratory's policy on quality assurance and continuous quality improvement. It details procedures for daily quality control measures, validation of quality control results, verification of alarming findings, proper performance and documentation of tests, timelines for releasing results, and steps for the pre-analytical, analytical, and post-analytical phases of testing including specimen collection, receiving, releasing results, and recording results. The overall goal is to maintain high accuracy and proficiency despite changes to tests or testing volume.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    POLICY ON INTERNAL QUALITY ASSURANCE PROGRAM AND CONTINUOUS QUALITY

    IMPROVEMENT

    PURPOSE
    To enable laboratory to achieve and maintain high level of accuracy and proficiency
    despite changes in test methods and the volume of specimens tested.

    PROCEDURES
    • Daily quality control measures must be performed in all instruments or test (chemistry,
    hematology, clinical microscopy).
    • QC results must be validated by the Medical Technologist and within +/-2SD.
    • Tests with no panic values or alarming findings will be reported.
    • Laboratory procedures must be performed by the registered medical technologist.
    • Tests with panic values or alarming results must be verified or validated by the clinical
    pathologist or chief medical technologist.

    Performance of Test
    • All laboratory procedures should be done by registered medical technologist.
    • After the procedure had been done, it should be compare with the normal value
    • RMT on duty should be responsible to ensure the proper technique in every laboratory
    procedure.
    • Examination not available in the laboratory will be send out to Sto. Domingo Diagnostics.
    • Medical Technologist should perform the quality control procedure.

    Releasing of Result
    • In every procedure there must be a limit of time of releasing of result
    • All results must be recorded in the corresponding logbook.
    • Laboratory result must have a sign by a Registered Medical Technologist and head of the
    laboratory before releasing.
    • Strictly no releasing of result via phone.
    Pre-Analytical Phase
    The RMT on duty should follow the following steps before conducting the procedure.
    1. LABORATORY RESULT
    • Laboratory request are prepared and signed by the requesting physician or his authorized
    representative.
    • All request should be written legibly and must include all clear information and data of the
    patient.
    2. PAYMENT OF LABORATORY REQUEST
    • All laboratory request must be paid directly in the cashier before examination.
    • No laboratory test is to be performed by laboratory employees on request or
    specimen that has not been paid at the cashier.
    • All patient laboratory request should be fully paid at the cashier upon releasing of
    the results.
    Analytical Phase
    3. SPECIMEN COLLECTION
    • RMT on duty are responsible for the collection of the specimen of the patient.
    • The medical technologist may request repeat collection for inadequate specimen.
    • Medical technologist should be wearing a gloves and mask before collecting of
    specimen.
    • Proper hand washing should be always practiced before and after the procedure.
    • All specimen collection should be put on proper container with a complete label.
    • The medical technologist on duty should be following the protocol regarding
    specimen preservation.
    4. RECEIVING OF THE SPECIMEN
     Received specimen with proper label and information.
     Specify or put check of what procedure to be done.
     Only medical technologist on duty is responsible in receiving the specimen.
    Post- Analytical Phase
    5. RELEASING OF RESULT
    All written results include the following:
     Patient’s name, age, sex
     Test requested
     Name of requesting physician
     Signature of medical technologist who performed the test
     Signature of the pathologist
    6. RECORDING OF RESULT
    Results will be written in a logbook. There is a corresponding logbook for every
    examination.

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