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# ADV.D08 : Ch.01 QC

# ADV.D08 : Ch.01 Quality Control

American Society for Clinical Laboratory Science (ASCLS) Defines entry level duties through competency statements.
JACHO Joint commission on accreditation of healthcare organizations. Accredits hospitals and clinics.
CLIA'88 Clinical Laboratory Improvement Amendments 1988. This established quality standards for phlebotomy.
Clinical pathology Clinical laboratory
competency statement A description of entry level skills, qualifications and professional tasks
QC Quality Control. A process that uses a checking system to ensure that goals of quality are being met.
Quality This is a measure of the degree to which a set of inherent characteristics fulfills requirements. (how close you got to your goals)
Stakeholders customers
Continuing education (CE) Requirement for all certified and licensed health care professionals. Phlebotomy requires 6 units every 2 years.
Continuous quality improvement (CQI) A process of checking for quality daily. This must include fixing concerns immediately.
Analytical phase (examination phase) Testing phase
internal stakeholders inpatients, outpatients, blood donors, clinical lab staff.
external stakeholders insurance companies, State and Federal agencies, employers and the general community
International Organization for Standardization (ISO) An organization that established worldwide standards.
Physicians's office laboratory (POL) A doctor's office laboratory.
Point-of-care (POC) or Point-of-Care Testing (POCT) Blood testing that can be performed by anyone trained on a POCT machine. No special certification or license is required.
postexamination (postanalytical) Steps that are fulfilled after the test results are recorded. Includes calling results to nurses and doctors.
preexamination (preanalytical) All of the steps a phlebotomist must perform are included in preanalytical quality control.
Six Sigma QC method to reduce variation, increase quality and financial goals, and increase customer satisfaction.
quality The degree to which s set of characteristics fullfills requirements. This is how close to got to your goal while applying the standards you have.
Efficacy Degree to which the patient improves while under medical care.
Appropriateness Procedure performed on the patient are correct and appropriatre for the medical condition.
caring functions services are available, timely, effective, safe, efficient, respectful and sensitive to the patient's needs.
Quality outcomes Goals of QC. All phlebotomy tasks are goals in QC.
Delta check A form of QC that compares a patient's results from one day to the next (old vs newer). Dramatic variation without physical change or medical treatment starts investigations into the phlebotomy technique.
specimen rejection A form of QC practice to ensure that the specimen is of the highest quality. underfilled tubes, hemolysis, lipemia, etc. can all be reasons to reject a sample for testing.
Accuracy A term used to describe how close a result is to the true value
Continuing education Required in all quality control systems. Used as a review and update for professional performance.
reliability A term used to describe how consistent test results are when repeated.
Standards of practice Methods adopted to prevent errors, financial waste, time, and to improve customer satisfaction.
Created by: rjmtoss