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989 / Participation in external quality assessment - Labquality

CROATIA
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Diagnostics
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Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
Laboratory medicine is the backbone of medical treatment because results of laboratory tests are affecting about 70-80% of the decisions made in the medical care and treatment of patients. The main goal of all clinical laboratory's is to achieve the maximum quality and to provide a reliable results of laboratory tests from the best available sample. All over the world laboratory professionals are looking for better solutions to improve and maintain the quality of laboratory methods and results so our laboratory is also one of them. Our objective is to improve the quality of laboratory results and methods and thus a patients safety. Today, one of the main quality indicators for analytical laboratory activity is external quality assurance results and our laboratory also participates in an external quality control. Labquality is an international company that provides advanced External Quality Assessment (EQA) services. Labquality's mission is to improve patients safety because EQA is a valuable tool for providing laboratory professionals with objective information about performance of laboratory tests and it is traditionally concentrate on showing the analytical accuracy of results. The main objectives of EQA reference measurements are: 1. Evaluation and monitoring of the performance of one's own examinations. 2. Identification of possible problems or shortcomings, training needs and impact of corrective measures. 3. Comparison of the analytical performances between the participants. 4. Demonstration of the reliability of the method used. 5. Evaluation of measurements uncertainty.
Description of the Patient Safety Practice
 
EQA provides a means of assessing analytical performance in comparison to other laboratories using the same method and instrument. Namely, EQA of clinical laboratories consist of simultaneous analysis of identical samples by the participants. The samples are analyzed, the results submitted and the applied methods reported. The results are than compared to those obtained by users of the same methods and instruments and all participants get a feedback about their performances. EQA consists of the following events: 1. Order control specimen for preferred scheme 2. Delivery of the specimens which is carefully selected to be most suitable for the analysis or tests in use 3. Participants analysis the specimen according to the instructions 4. Result is returned to the organization together with additional data such as measurement method, units and date of analysis 5. After 2-3 weeks the laboratory receives a report stating the deviation of its result relative to a “true” value (“assigned “value is used by Labquality) Labquality has a wide range of EQA schemes designed for clinical laboratories. Our laboratory participated in EQA schemes - Hormones and Tumour markers from 2013. Until now our participation was very successful, our results were in agreement with other laboratories using the same method and instrument and we got a Certificate of successful participation for last year. This affected our patients safety because in our laboratory they can get a accurate and safe results of hormones and tumor markers which should allow correct diagnosis and medical treatment.of their condition. In the future we would like to participate in the other EQA shemes, like clinical chemistry and haematology.
Attachment of relevant written information and/or photos, as appropriate
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Quantitative
Enclosure of a reference or attachment in case of published evaluation's results
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Health care context where the Patient Safety Practices was implemented
 
Primary care
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
No
Specification of implementation in another health care setting(s)
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Successful implementation's level  of this Patient Safety Practice across settings
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Involved health care staff
 
Physicians
Clinical support
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Other
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
Short description of the service users' level of involvement
Not known
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
At Hospital website.
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
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List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Strong knowledge in implementation
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
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Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
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Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
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Contact information
 
Name: Dolores Pancirov
Country: CROATIA
Organisation: General hospital Sisak
E-mail: dolores.pancirov@sk.t-com.hr
Phone: 0038598460940
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