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External failures as descriptor of quality in clinical microbiology laboratory services

  • Ulla Saarela , Tuula Kivinen and Hannu Sarkkinen
Published/Copyright: September 21, 2011

Abstract

This study employed customer feedback surveys to assess the quality of the laboratory services provided by an accredited clinical microbiology laboratory. The purpose of the study was to classify external failures and determine the quantity of such errors, and to establish how much time was spent processing and correcting these errors, together with the costs arising. The study indicates that the quality of laboratory test results can be regarded as good based on the accuracy of the result. Customer needs were also well taken into account in practice because of the good quality of the service. However, improvements are required in providing customers with test results without delay. The cost of processing and correcting such errors was negligible. The use of a customer feedback system allows systematic monitoring of external failures. In the accredited laboratory under study, it is unnecessary to monitor continually the costs and working time involved in processing and correcting external failures. The most essential point is to monitor the effects of the quality measures taken to reduce the number of failures.


Corresponding author: Ulla Saarela, Päijät-Häme Central Hospital, Medical Services Division, Keskussairaalankatu 7, 15850 Lahti, Finland Phone: +358-3-8192905, Fax: +358-3-8192875,

References

1 Juran JM. Juran on planning for quality. London: The Free Press, 1988:341 pp. Search in Google Scholar

2 Deming E. Out of the crisis. Cambridge: Cambridge University Press, 1994:507 pp. Search in Google Scholar

3 Lapworth R, Teal TK. Laboratory blunders revisited. Ann Clin Biochem 1994; 31: 78–84. 10.1177/000456329403100113Search in Google Scholar PubMed

4 Plebani M, Carraro C. Mistakes in a state laboratory: types and frequency. Clin Chem 1997; 43: 1348–51. 10.1093/clinchem/43.8.1348Search in Google Scholar

5 Kazmierczak SC. Laboratory quality control: using patient data to assess analytical performance. Clin Chem Lab Med 2003; 41: 617–27. 10.1515/CCLM.2003.093Search in Google Scholar PubMed

6 Plebani M, Chiozza ML. Audit in laboratory medicine. Eur J Clin Chem Clin Biochem 1996; 34: 655–7. Search in Google Scholar

7 Ricos C, Montserrat G-V, Blanca de la F. Quality indicators and specifications for the extra-analytical phases in clinical laboratory management. Clin Chem Lab Med 2004; 42: 578–82. 10.1515/CCLM.2004.100Search in Google Scholar PubMed

8 Feigenbaum AV. Total quality control, 3rd ed. New York: McGraw-Hill Book Company, 1983:851 pp. Search in Google Scholar

9 Juran JM. Juran's quality control handbook, 4th ed. New York: McGraw-Hill Book Company, 1988:1000 pp. Search in Google Scholar

10 Campanella J, editor. Principles of quality costs. Principles, implementation and use, 3rd ed. Milwaukee: ASQ Quality Press, 1999:219 pp. Search in Google Scholar

11 Siitonen A. Accreditation and quality assurance. Legislation-based licensing system for clinical microbiology laboratories in Finland. In: Martinez Torres E, Cabrera Cruz N, Tselentis Y, editors. Healthy and quality of life. Workshops Alcue science and technology, vol 2. Madrid: Consejo Superior de Investigaciones Cientificas Instituto de Automatica Industrial, 2002:155 pp. Search in Google Scholar

12 Boone DJ, Steindel SD, Herron R, Howanitz PJ, Bachner P, Meier F, et al. Transfusion medicine monitoring practices. A study of the College of American Pathologists/Centers for Disease Control and Prevention Outcomes Working Group. Arch Pathol Lab Med 1995; 119: 999–1006. Search in Google Scholar

Received: 2004-6-30
Accepted: 2004-10-22
Published Online: 2011-9-21
Published in Print: 2005-1-1

©2005 by Walter de Gruyter Berlin New York

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