INTRODUCTION TO QUALITY MANAGEMENT AND QUALITY CULTURE
Ass. Prof. Dr. Amira H. Soliman
MD, TQM
Assistant Professor of Clinical Pathology
Quality Manager of Clinical Pathology Department,
National Cancer Institute, Cairo University
Professional Diploma of Healthcare and Hospital Management, AUC
Is there a quality culture in your Lab?
An important question you have to answer at the beginning of preparation for accreditation
How to create a Culture of Quality in your organization
· Determine what “quality” means for your organization.
· Embed Quality within the organization’s mission statement and core values.
· Provide Quality training for all employees
· Create opportunity for all employees to align to the Quality program.
· Promote and encourage Quality as part of the common philosophy.
· Make Quality a central component of every key decision process
Value of Implementation ISO 15189:2007
The implementation of ISO 15189 in medical laboratories leads to enhancement of customer satisfaction, enhancement of worker satisfaction and culture of Quality.
Conclusion
· Culture of Quality is real and measurable.
· Culture begets change and change begets culture.
· Leadership is important.
· Actions are more important.
· Every individual is critical.
· Laboratories can align their culture to be more conductive and supportive of Quality.
LABORATORY QUALITY MANAGEMENT
Prof. Dr. Ola Gamal Khashaba
MD, CPHQ, TQM
Consultant of Laboratory Medicine
Cairo University Hospitals
Part-Time Instructor, Management Center; AUC
American Board of Healthcare Quality
Achieved the American Board for Quality and she is a Certified Professional in Healthcare Quality
By the end of this session participants will be able to answer the following questions:
- What is quality?
- What are the standards?
- What is the difference between Accreditation, Certification and Licensure?
- What are the stages of quality?
- What is the difference between Q.C and Q.A?
- What is the Quality assurance cycle?
- How can we start?
- Internal Q.C & External Quality assessment
- Internal Q.C program
- Statistical Process control
- What are the benefits of TQM?
- Reducing Laboratory errors
- Sources of errors
- Customer -focus
QUALITY MANAGEMENT SYSTEM: A SYSTEMIC APPROACH TO IMPROVE LABORATORY PERFORMANCE
Prof. Dr. Nadia Abd El-Sattar
Professor of Clinical Pathology
Quality manager of Clinical Pathology Department
Ain-Shams University
A good quality management system has several benefits. It improves the quality of service, reduces cost of failure, helps the laboratory to achieve competence and be prepared for accreditation.
Developing quality management system has four phases:
1. The initiation phase: it requires management commitment, preparation of a team, establishing quality policy, getting familiar with the requirements and performing a gap analysis
2. Development phase: A detailed schedule is needed to assign tasks and set deadlines. Laboratory policies, procedures and work instructions are prepared and approved by senior manager.
3. Implementation phase: quality procedures are distributed. Everyone should be trained for basics of quality procedures and for his specific job. The system is then implemented. Periodic internal audits are conducted to detect non-conformances and identify areas for improvement.
4. Improvement phase: The system is monitored and evaluated to recognize its effectiveness, identify and implement opportunities for improvement. Quality documents are regularly reviewed, internal audits are conducted and follow up of non conformances is required to collect data and develop solutions. Improvements are implemented and quality training programs should be maintained.
LABORATORY QMS WITH EMPHASIS ON JCI STANDARDS
Dr Yasser Nawara
Deputy CEO Health Insurance Hospital, Suez Hospital
Part-Time Instructor, Management Center; AUC
Certified Healthcare Systems Manager- IUPUI-USA
Professional Diploma of Healthcare and Hospital Management, AUC
The effectiveness of hospital’s QMS depends on the proper communication, coordination, collaboration, and integration between its Clinical, Nursing, Paramedical (Allied), and Operational components.
The quality of assessment of patients via radiological, and lab investigations is very critical in concluding the right diagnosis, and consequently formulating a comprehensive care plan to ensure positive clinical outcome.
Timely and efficient Lab services play an essential role in proper Assessment of Patients which is a core requirement for JCI accreditation (Patient Centered Standards).
By adopting, and implementing the JCI standards related to lab services, the lab director and the hospital leaders will improve the quality/reduce risk of the provided services that will feed into the overall QMS of the hospital.
The concept behind adopting, and implementing the JCI standards is to improve the quality of staff, processes, environment, and equipment within the lab services as an integral component of the QMS of the hospital.
Ongoing and frequent monitoring of the implemented standards is required to sustain quality improvement, and risk reduction activities.
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