Clinical Lab DEFINE MEASURE ANALYZE IMPROVE CONTROL

Process
1. Phlebotomy Patient complains Phlebotomist can only Phlebotomist is not Subject phlebotomist Monitor client
procedure of painful extract those “Clear” proficient. Limited to undergo extra feedback and
extraction and veins. prior exposure to training or proficiency complaint monthly.
multiple puncture actual phlebotomy training in As part of
due to inability of procedure. phlebotomy. development, all
phlebotomist to hit phlebotomist must
vein. be proficient.
2. Patient Examination with 3 out of 10 in-patient Nurse on duty who Re orient nurses on Monitor number of
Preparation fasting is deferred required for blood carries out the lab policies regarding patient deferred due
due to incorrect chemistry with fasting doctors order often patient preparation. to incorrect patient
patient preparation was not able to observe times forgot to Eliminate error in preparation.
proper fasting. instruct patient. patient preparation.
3. Result Turn Around time Waiting time of routine Lack of man power. Employ LIS in the Monitor progress in
Generation is taking too long test must follow the Nonuse of LIS Facility. process monthly.
standard target time. Request for
additional man
power.
4. Newborn “Unsatisfactory” “UNSAT” rating is Validation of NBS Remind NBS Monitoring of
Screening Comment by the more than the one set filter card was not specimen collector to “UNSAT” comment
Program newborn by NBS Center that is done. observe proper monthly.
screening center 1% below. validation.
Aim not to exceed 1%
5. NTP Sputum Not quality sputum Salivary sputum is Patient does not Put IEC materials Observe quality of
Collection specimen is often times submitted know how to that teaches patient specimen submitted.
collected by the patient. expectorate on how to
properly. expectorate properly.
Rejection of sample Demonstrate to
is not observed. patient how to cough
properly.