Quality Management System

Question 1

most widely used approach to quality improvement in the healthcare

Answer 1

PDCA cycle

Question 2

PDCA meaning

Answer 2

Plan
Do
Check
Act

Question 3

provides both a management philosophy or organizational development and a management process for improvement of quality in all aspects of work

Answer 3

Total Quality Mangement (TQM)

Question 4

establish measures for performance or monitoring

Answer 4

quality planning (QP)

Question 5

how all aspects of work are done

Answer 5

Quality Laboratory Process (QLP)

Question 6

statistical control procedures

Answer 6

quality control (QC)

Question 7

broader measures of laboratory performance

Answer 7

quality assessment (QA)

Question 8

structured problem-solving pricess

Answer 8

quality improvement (QI)

Question 9

to reduce the frequency of test errors or the number of DPMOs (defects per million opportunities)

Answer 9

six sigma

Question 10

Six Sigma: DMAIC meaning

Answer 10

Define
Measure
Analyze
Improve
Control

Question 11

to reduce waste
to improve TAT

Answer 11

lean

Question 12

Lean:
wastes DOWNTIME meaning

Answer 12

defects
overproduction
waiting
non-utilized talent
transport
inventory
motion
excess processing

Question 13

understands the basics of L-6S

Answer 13

yellow belt

Question 14

team members who contribute 20% of their time

Answer 14

green belt

Question 15

team leaders who dedicate 100% of their time

Answer 15

black belt

Question 16

black belt w/ at least two years of experience; L-6S advisers/coach

Answer 16

master

Question 17

process by which the laboratory ensures the laboratory ensures quality results by closely monitoring pre-analytical, analytical, post-analytical phases of testing

Answer 17

QA

Question 18

inappropriate test requested

Answer 18

Pre-analytical

Question 19

handwriting not eligible

Answer 19

Pre-analytical

Question 20

special requirements not specified

Answer 20

Pre-analytical

Question 21

delayed order

Answer 21

Pre-analytical

Question 22

incorrect tube or container

Answer 22

Pre-analytical

Question 23

incorrect patient ID

Answer 23

Pre-analytical

Question 24

inadequate spx volume

Answer 24

Pre-analytical

Question 25

invalid spx

Answer 25

Pre-analytical

Question 26

wrong collection time

Answer 26

Pre-analytical

Question 27

improper transport condition

Answer 27

Pre-analytical

Question 28

instrument not calibrated correctly

Answer 28

analytical

Question 29

spx mix up

Answer 29

analytical

Question 30

incorrect sample vol

Answer 30

analytical

Question 31

interfering substance present

Answer 31

analytical

Question 32

poorly written procedure

Answer 32

analytical

Question 33

deteriorating rgt

Answer 33

analytical

Question 34

changes in std prep

Answer 34

analytical

Question 35

report not posted in chart, not legible, delayed

Answer 35

post-analytical

Question 36

transcription error

Answer 36

post-analytical

Question 37

interfering substance not recognized

Answer 37

post-analytical

Question 38

specificity of test not understood

Answer 38

post-analytical

Question 39

precision limitations not recognized

Answer 39

post-analytical

Question 40

analytical sensitivity not appropriate

Answer 40

post-analytical

Question 41

previous values not available for comparison

Answer 41

post-analytical

Question 42

ability to maintain accuracy precision

Answer 42

reliability

Question 43

closeness of the result to the true or actual value

Answer 43

accuracy

Question 44

- ability to produce a series of results that agree closely with each other - aka repeatability/reproducibility

Answer 44

precision

Question 45

analysis of at least 2 levels of control every 24 hrs at least 20 consecutive days

Answer 45

internal QC

Question 46

2 levels of control w/in 24 hrs (w/in run)

Answer 46

intralab

Question 47

2 levels of control w/in 24 hrs (b/w run) ex. NEQAS, proficiency testing

Answer 47

interlab

Question 48

important for the daily monitoring of accuracy and precision of analytical methods

Answer 48

internal QC

Question 49

testing blind samples by regulatory agencies to participating laboratories

Answer 49

external QC