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Chapter-06 Implementing a Quality Program in Your Laboratory

BOOK TITLE: ISARCON 2017 Manual of Data Management and Quality Control, March to Perfection Complete Hands of IVF

Author
1. Steinleitner Alex
ISBN
9789352700790
DOI
10.5005/jp/books/14173_7
Edition
1/e
Publishing Year
2018
Pages
11
Author Affiliations
Chapter keywords
Electronic medical record, EMR system, statistical process control, plan-do-study-act, PDSA cycle, process stability, data, information, quality benchmarking, embryo, quality improvement

Abstract

: Electronic medical record (EMR) systems are a foundational key to quality assessment and improvement. A good EMR system positively impacts laboratory quality by improving communication between the medical group and the laboratory staff to provide information to the lab to optimize preparation for IVF cases by providing a database structure, etc. EMR systems overcome the problem of more time consumption by serving as the primary data entry site for further analyzing and sharing data. Quality benchmarking is a simple matter to obtain data from outside sources for comparison. If your unit is producing a delivered pregnancy rate in the range of 45% to 50% per transfer in these young patients, then your group is producing very good results. This implies that your unit has a stable process and the foundation for good care. Process stability is a hallmark of a successful enterprise. Whether you are making autos or embryos, the best quality results from an optimized system that consistently performs within tight specifications. Industrial engineers have developed methods known as statistical process control (SPC) to monitor variation within a system and to determine whether the process is stable and “in control”. Shewhart control charting can be used to assess the stability of any metric over time. The plan-do-study-act (PDSA) cycle is a systematic series of steps for gaining valuable learning and knowledge for the continual improvement of a product or process.

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