Oliver Paloma, Fernandez-Calle Pilar, Mora Roberto, Diaz-Garzon Jorge, Prieto Daniel, Manzano Marta, Dominguez Inmaculada, Buño Antonio
Department of Laboratory Medicine, La Paz University Hospital. Madrid, Spain.
Pract Lab Med. 2020 Nov 6;22:e00188. doi: 10.1016/j.plabm.2020.e00188. eCollection 2020 Nov.
We aimed to evaluate the results of key performance indicators (KPIs) for a period of over three years, as well as their effectiveness as an improvement tool, to provide information about Point-of-Care Testing (POCT) management system performance and quality assurance.
KPIs regarding the global POCT process, extra-analytical phase, quality assurance and staff training and competency were evaluated for blood gases, HbA1c, sweat test and non-connected and connected glucose in an ISO 22870 accredited network. We established the definition of every KPI and its corresponding target. The results of KPIs from all clinical settings were appraised every month during the study period, taking corrective actions when necessary.
Annual global results were generally acceptable. However, some clinical areas displayed deviations in specific months. The monitoring of these KPIs allowed us to detect the deviations immediately and identify their causes. These included errors in patient identification, consumables, strips, reagents, analyzers, calibration, internal and external quality control, sample management, connectivity, and operator identification strategy, among others.
The evaluation of these KPIs over time has shown their appropriateness. This set of quality indicators could be a useful tool for laboratory medicine leading POCT networks for better and safer patient care.
我们旨在评估三年多时间内关键绩效指标（KPI）的结果及其作为改进工具的有效性，以提供有关即时检验（POCT）管理系统性能和质量保证的信息。
在一个获得ISO 22870认可的网络中，对血气、糖化血红蛋白（HbA1c）、汗液检测以及非联网和联网血糖检测的全球POCT流程、分析前阶段、质量保证以及人员培训和能力方面的关键绩效指标进行了评估。我们确定了每个关键绩效指标的定义及其相应目标。在研究期间，每月对所有临床环境中的关键绩效指标结果进行评估，必要时采取纠正措施。
年度总体结果总体上是可接受的。然而，一些临床领域在特定月份出现了偏差。对这些关键绩效指标的监测使我们能够立即检测到偏差并确定其原因。这些原因包括患者识别、耗材、试纸条、试剂、分析仪、校准、内部和外部质量控制、样本管理、连接性以及操作人员识别策略等方面的错误。
对这些关键绩效指标的长期评估表明了它们的适用性。这组质量指标可能是实验室医学引领POCT网络实现更好、更安全患者护理的有用工具。
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