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    Pathalogy PPT Nov 2017

    Uploaded by

    brajeshb.railway
    This document provides quality indicator metrics for the pathology department of a hospital for the month of October 2017. It includes the percentage of critical alerts informed (100%), rate of redos (0.4 per 1000 tests), number of reporting errors (0.8 per 1000 tests), and turnaround times for various tests. Graphs show the critical alerts and turnaround times meeting standards. Root causes and corrective actions are provided for issues. The metrics indicate high quality and compliance with standards for the pathology department in October 2017.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Pathalogy PPT Nov 2017

    Uploaded by

    brajeshb.railway
    40 views13 pages
    This document provides quality indicator metrics for the pathology department of a hospital for the month of October 2017. It includes the percentage of critical alerts informed (100%), rate of redos (0.4 per 1000 tests), number of reporting errors (0.8 per 1000 tests), and turnaround times for various tests. Graphs show the critical alerts and turnaround times meeting standards. Root causes and corrective actions are provided for issues. The metrics indicate high quality and compliance with standards for the pathology department in October 2017.

    Original Description:

    Pathology PPT of nabh

    Original Title

    Pathalogy Ppt Nov 2017

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    This document provides quality indicator metrics for the pathology department of a hospital for the month of October 2017. It includes the percentage of critical alerts informed (100%), rate of redos (0.4 per 1000 tests), number of reporting errors (0.8 per 1000 tests), and turnaround times for various tests. Graphs show the critical alerts and turnaround times meeting standards. Root causes and corrective actions are provided for issues. The metrics indicate high quality and compliance with standards for the pathology department in October 2017.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    40 views13 pages

    Pathalogy PPT Nov 2017

    Uploaded by

    brajeshb.railway
    This document provides quality indicator metrics for the pathology department of a hospital for the month of October 2017. It includes the percentage of critical alerts informed (100%), rate of redos (0.4 per 1000 tests), number of reporting errors (0.8 per 1000 tests), and turnaround times for various tests. Graphs show the critical alerts and turnaround times meeting standards. Root causes and corrective actions are provided for issues. The metrics indicate high quality and compliance with standards for the pathology department in October 2017.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    QUALITY INDICATOR

    PATHOLOGY DEPARTMENT

    PRADNYASHIL S. RAUT

    INCHARGE PATHOLOGY DEPT.


    % OF CRITICAL ALERT
    INFORMED
    FORMULA = CRITICAL ALERT INFORMED *100
    TOTAL CRITICAL ALERT

    68/68*100

    100 %
    RATE OF REDO’S
    FORMULA = NO. OF REDO’S * 1000
    NO. OF TEST PERFORMED

    1/2471*1000
    0.4
    ROOT CAUSE ANALYSIS

    Heamatology – sample Sample taken from


    not Cetral line in which
    Mixed properly & run Iv fluids given to
    (Technical error) patient

    Re do`s

    Biochemistry-Insufficient As requested by the


    Sample in sample cup physician
    (sampling error)
    CORRECTIVE ACTION/PREVENTIVE
    ACTION

    Sr.No Corrective Action Taken Sr.N Preventive Action Taken


    o
    1 The provisional diagnosis did 1 Documentation of provisional
    not match the test findings diagnosis.
    2 Sample was run again. 2
    NO.OF REPORTING ERRORS

    FORMULA = NO.OF REPORTING ERRORS *1000


    NO. OF TEST PERFORMED

    02/2471*1000
    0.8
    ROOT CAUSE ANALYSIS

    CLERICAL ERROR IN HAEMATOLOGY, WBC DLC &


    WHILE TYPING PLATELETS COUNT HAS TO BE
    EDITED AFTER LIS
    THE FIGURES (LAB INFORMATION SYSTEM

    REPORTIN
    G
    ERRORS

    IN EMERGENCY,
    PROCESSING IN SOME TEST,
    OF SAMPLE IS DONE NUMERATOR &
    URGENTLY DENOMINATOR VALUES
    BEFORE ENTRY OF THE GET
    PATIENT SO PRINTED REVERSED
    LIS NOT DONE Eg.UACR
    CORRECTIVE ACTION/PREVENTIVE
    ACTION

    Sr.No Corrective Action Taken Sr. Preventive Action Taken


    No
    1 Correction of print error 1 Asked the technician to be more
    done . vigilant & careful while typing the
    reports.
    2 Report reprinted. 2 Every technician asked to check the
    report before printing.
    3 Technician made aware of 3 In case of hematology total DLC
    the correct reports. should be 100 & correct platelets &
    WBC count because CBC reports are
    edited after this.
    4 Counselling of the technician 4 Given warning to have action against
    . him / her in case of repeated errors.
    TURN AROUND TIME (TAT)
    FORMULA = TOTAL TIME REQUIRED (MIN)
    TOTAL TEST PERFORMED
    TEST STANDARD (MIN) TAT(MIN)

    CBC 30 30.9

    KFT 35 35.07

    LFT 45 39.59

    URINE ROUTINE 30 28.44

    COAGULATION 45 40.60
    PROFILE
    GRAPH OF TAT OCT 2017
    50

    45

    40

    35

    30

    25 TAT
    STANDARD
    20

    15

    10

    0
    CBC KFT LFT URINE ROUTINE COAGULATION
    PROFILE
    CRITICAL ALERT GRAPH OF OCT 2017
    7

    3 Total Critical Alert


    Critical alert Informed

    0
    17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17
    / 20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20 /20
    1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
    /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1
    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
    RATE OF REDO’S
    NO. OF REPORTING ERRORS

    160

    140

    120

    100

    80
    Total no of tests
    60 No. of Redo's
    Reporting Error

    40

    20

    0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17 0 17
    1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2 1 /2
    /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1 /1
    01 03 05 07 09 11 13 15 17 19 21 23 25 27 29
    THANK YOU

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