The key incident monitoring and management system - History and role in quality improvement

Clinical Chemistry and Laboratory Medicine

Volumn 56, Issue 2, 2018, Pages 264-272

  Badrick, Tony ^a   Gay, Stephanie ^a   Mackay, Mark ^a   Sikaris, Ken ^b  

^a RCPAQAP   (Australia)

^b MELBOURNE PATHOLOGY   (Australia)

Author keywords

Failure Mode Effects Analysis (FMEA); post analytical error; pre analytical error; Quality Indicators

Indexed keywords

ACCREDITATION; ANALYTICAL ERROR; ARTICLE; BENCHMARKING; CALCULATION; CLINICAL INDICATOR; CLINICAL LABORATORY; HEALTH CARE QUALITY; HEALTH PROGRAM; HEALTHCARE FAILURE MODE AND EFFECT ANALYSIS; HEMOLYSIS; HUMAN; INCIDENCE; LABORATORY TEST; MEDICAL RECORD; OUTCOME ASSESSMENT; PATIENT MONITORING; PATIENT SAFETY; PRIORITY JOURNAL; QUALITY CONTROL; QUALITY INDICATOR; RATING SCALE; RISK ASSESSMENT; SCORING SYSTEM; TOTAL QUALITY MANAGEMENT; TOTAL TESTING PROCESS; HISTORY; LABORATORY; MEDICAL ERROR; PRE-ANALYTICAL PHASE; PROCEDURES; RISK MANAGEMENT; STANDARDS;

HISTORY, 20TH CENTURY; HISTORY, 21ST CENTURY; HUMANS; LABORATORIES; MEDICAL ERRORS; PATIENT SAFETY; PRE-ANALYTICAL PHASE; QUALITY ASSURANCE, HEALTH CARE; QUALITY IMPROVEMENT; QUALITY INDICATORS, HEALTH CARE; RISK ASSESSMENT; RISK MANAGEMENT;

EID: 85037825407     PISSN: 14346621     EISSN: 14374331     Source Type: Journal    
DOI: 10.1515/cclm-2017-0219     Document Type: Article

References (17)

1. Plebani M, Carraro P. Mistakes in a stat laboratory: types and frequency. Clin Chem 1997;43:1348-51.
2. Kristensen GB, Aakre KM, Sandberg S. How to conduct External Quality Assessment Schemes for the pre-analytical phase? Biochem Med 2014;24:114-22.
3. Khoury M, Burnett L, Mackay M. Error rate in Australian chemical pathology laboratories. Med J Aust 1996;165:128-30.
4. Mainz J. Defining and classifying clinical indicators for quality improvement. Int J Qual Health Care 2003;15:523-30.
5. Naklhleh RE, Souers RJ, Bashleben CP, Talbert ML, Karcher DS, Meier FA, et al. Fiftenn years' experience of a College of American Pathologists program for continuous quality improvement. Arch Pathol Lab Med 2014;138:1150-5.
6. Meier FA, Souers RJ, Howanitz PJ, Tworek JA, Perrotta PL, Nakhleh RE, et al. Seven Q-Tracks monitors of laboratory quality drive general performance improvement: experience from the College of American Pathologists Q-Tracks program 1999-2011. Arch Pathol Lab Med 2015;139:762-75.
7. Shcolnik W, de Oliveira CA, de Sao Jose AS, de Oliveira Galoro CA, Plebani M, Burnett D. Brazilian laboratory indicators program. Clin Chem Lab Med 2012;50:1923-34.
8. Kirchner MJ, Funes VA, Adzet CB, Clar MV, Escuer MI, Girona JM, et al. Quality indicators and specifications for key processes in clinical laboratories: a preliminary experience. Clin Chem Lab Med 2007;45:672-7.
9. Barth JH. Selecting clinical quality indicators for laboratory medicine. Ann Clin Biochem 2012;49:257-61.
10. Barth JH. Clinical quality indicators in laboratory medicine. Ann Clin Biochem 2012;49:9-16.
11. Simundic AM, Topic E. Quality indicators. Biochem Med 2008;18:311-9.
12. Plebani M, Sciacovelli L, Lippi G. Quality indicators for laboratory diagnostics: consensus is needed. Ann Clin Biochem 2011;48:479.
13. Sciacovelli L, O'Kane M, Skaik YA, Caciagli P, Pellegrini C, Da Rin G, et al. IFCC WG-LEPS. Quality indicators in laboratory medicine: from theory to practice. Preliminary data from the IFCC Working Group Project "Laboratory errors and patient safety". Clin Chem Lab Med 2011;49:835-44.
14. Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem 2013;46:1175-9.
15. Institute for Health Improvement. Risk Priority Number. http://www. ihi. org/resources/Pages/Measures/ RiskPriorityNumberfromFailureModesandEffectsAnalysis. aspx. Accessed 7 April 2017.
16. Plebani M, O'Kane M, Vermeersch P, Cadamuro J, Oosterhuis W, Sciacovelli L, et al. The use of extra analytical phase quality indicators by clinical laboratories: the results of an international survey. Clin Chem Lab Med 2016;54:e315-7.
17. The Institute of Medicine. Improving diagnosis in healthcare. Washington: National Academies of Sciences, Engineering and Medicine, 2015.