YOUR HOSPITAL NAME AND ADDRESS HERE
Copy # ____ Effective Date:
LABORATORY GENERAL SOP
A. QUALITY ASSURANCE/PERFORMANCE IMPROVEMENT
A.1. LABORATORY CONTINUOUS QUALITY IMPROVEMENT
(PERFORMANCE IMPROVEMENT PLAN)
A.1.1. PURPOSE:
This SOP establishes policies and procedures for the general set up and
maintenance of an effective Continuous Quality Improvement (CQI) and
Performance Improvement (PI) Program for YOUR HOSPITAL NAME and
Point of Care Testing sites.
A.1.2. SCOPE:
This SOP provides CQI measures, in general, applicable to the Pathology Services
and specifies many requirements in detail; however, most technical procedures as
well as some instrumentation systems may have additional quality control
procedures, which affect the overall CQI program. In each case, the specific
sectional SOP, instrument/reagent manuals and package inserts, as well as the
Composite Health Care System (CHCS) SOP for the hospital’s computer system
should be consulted for in-depth information pertaining to quality control
procedures and guidelines within that section.
A.1.3. PRINCIPLE:
1. CQI - in the laboratory is an organized program that strives to continuously
improve patient care through monitoring, evaluation, and internal and external
quality control programs.
2. MONITORING - which involves the gathering of data for assessment of
problems or possible problem areas.
3. EVALUATION - which includes involvement by CQI Management both
solving problems and supporting the solutions to problems. The goal is
prevention of recurrence as well as foresight of and prevention of future
problems, thereby satisfying our customers: patients, physicians, nurses and
other health care professionals.
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