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Monitoring quality indicators in laboratory medicine does not automatically result in quality improvement

Abstract Background: Data on quality indicators (QIs) should be collected over time in order to identify and continuously monitor clinical laboratory performance and to improve patient safety by identifying and implementing effective interventions. The aim of the present study was to ascertain whether the utilization of a set of quality indicators over a 3-year period resulted in an improvement in the efficiency and effectiveness of an individual laboratory. Methods: Over a 3-year time interval (2009–2011), a series of 38 QIs covering all stages of the total testing process (21 in the pre-analytic, nine in the analytic and eight in the post-analytic phase) was monitored. Results: On the basis of their patterns, QIs have been grouped into the following categories: [1] seven QIs of the pre-analytical phase and three of the intra-analytical phase with a significant trend and a significant linearity demonstrating an improvement over time; [2] 10 QIs of the pre-analytical and two of the intra-analytical phase ...

Authors:   Laura Sciacovelli; Oswald Sonntag; Andrea Padoan; Carlo Federico Zambon; Paolo Carraro; Mario Plebani
Journal:   Clinical Chemistry
Year:   2011
DOI:   10.1515/CCLM.2011.809
Publication date:   13-Dec-2011
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