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Clinical Pathology Quality Dashboard. October 2012. Clinical Pathology Quality and Performance Blood Bank. *Blood product waste refers to outdated and improperly handled units within the blood bank, by clerks, nursing, medical staff, the pneumatic tube system losses and expired units.

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Clinical Pathology Quality Dashboard

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Clinical pathology quality dashboard

Clinical Pathology

Quality Dashboard

October 2012


Clinical pathology quality and performance blood bank

Clinical Pathology Quality and PerformanceBlood Bank

*Blood product waste refers to outdated and improperly handled units within the blood bank, by clerks, nursing, medical staff, the pneumatic tube system losses and expired units.


Clinical pathology quality and performance chemistry

Clinical Pathology Quality and PerformanceChemistry

Goal: Inpatient/Outpatient STATs=60 minutes; Internal project to reach 45 minutes. Routines=120 minutes.


Clinical pathology quality and performance microbiology

Clinical Pathology Quality and PerformanceMicrobiology

Goal≤1 hour


Clinical pathology quality and performance molecular diagnostics

Clinical Pathology Quality and PerformanceMolecular Diagnostics


Clinical pathology quality and performance phlebotomy

Clinical Pathology Quality and PerformancePhlebotomy

*Data compiled using PT/PTT, WBC, Gluc data, which are components of high volume testing. Draws begin at 4am. Mott draws begin at 6am.


Clinical pathology quality and performance phlebotomy1

Clinical Pathology Quality and PerformancePhlebotomy


Clinical pathology quality and performance proficiency testing performance

Clinical Pathology Quality and PerformanceProficiency Testing Performance

* CAP=College of American Pathologists


Clinical pathology quality and performance inpatient point of care testing

Clinical Pathology Quality and PerformanceInpatient Point of Care Testing

Each month Pathology staff conducts a survey in the inpatient units, and records the following information for POC Glucose reagents :

Inspections are focused on the following items.

1. Are opened glucose reagents marked with an open and/or expiration date?

Reagents are marked with an “opened date” if expiration is not affected by opening bottle/container. If reagent is affected by opening container (example: good for 14 days after opening) it is marked with “expiration date”.

2. Reagents in use are prior to expiration date.

Compliance is calculated as a percentage of all inpatient units within UMHS.


Clinical pathology financials

Clinical Pathology Financials


Clinical pathology financials1

Clinical Pathology Financials


Clinical pathology safety safety walk audits

Clinical Pathology SafetySafety Walk Audits


Clinical pathology qa meeting highlight

Clinical Pathology QA Meeting Highlight

Blood Bank has implemented quarterly gemba walks with input from front line staff. Examples of outcomes are listed below.


Clinical pathology quality dashboard

  • Clinical Laboratory Service Enhancements

  • ------------------------------------------------------------------------------------

  • Labs that are working on process improvement projects that would like to display data can contact Kristina Martin ([email protected]) for future dashboards.

  • Kudos

  • Special thanks goes out to Bill Hubbard and Kathy Davis for beginning the work of consolidation of the various electronic ordering system nomenclatures for laboratory tests at UMHS.

  • Thank you to the CAP Inspection team who recently visited the University of North Carolina Medical Center

  • Dr. Lawrence Jennings (Guest Inspector)

  • Usha Kota

  • Kristina Martin

  • Dr. Duane Newton

  • Christine Rigney

  • Dr. Diane Roulston

  • Brenda Schroeder

  • Brian Smola

  • Sue Stern

  • Eric Vasbinder

  • Dr. Jeff Warren


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