9
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Estrategias para la implantación de un sistema de gestión de la calidad en los laboratorios clínicos del Hospital Central de la Defensa Gómez Ulla Translated title: Strategies for the implementation of a Quality Management System in the Clinical Laboratories of the Central Hospital of Defence Gómez Ulla

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          RESUMEN Antecedentes y objetivos: A lo largo del artículo se busca realizar una descripción del proceso de certificación a la normativa de calidad ISO 9001 y sus principales beneficios derivados. La calidad es un campo general cuya aplicación en cualquier ámbito profesional debe ser tomada en consideración, por lo que podríamos aglutinar interés de distintos campos profesionales. Sin embargo, pretendemos aplicar el conocimiento generado principalmente en el ámbito sanitario y militar, aportando un documento que inicie una literatura que refleje las lecciones aprendidas. Material y métodos: Para recabar la información necesaria se recurre a los recursos documentales disponibles, principalmente utilizando el software e-BDI Plus® (TecnoQuality Consulting) como herramienta del Sistema de Gestión de Calidad. En cuanto a la revisión bibliográfica, se emplean bases de datos como Pubmed, Medline y Clinical Key. Como complemento se utilizan buscadores genéricos tipo Google. Resultados: La definición de una serie de metas organizadas y alcanzadas con éxito supuso la consecución de la certificación ISO 9001-2015 en diciembre de 2019. Entre otros datos, hemos generado 27 indicadores de calidad, cuyos objetivos se alcanzaron exitosamente en un 96,3% de los casos, y 51 incidencias, solventadas entre 21 y 63 días. Conclusiones: La decisión de involucrarnos en un ámbito de trabajo regulado y normalizado por una estructuración de alto nivel como la que propone el modelo ISO ha mejorado y consolidado nuestra capacidad.

          Translated abstract

          SUMMARY Antecedents and objectives: Along the article it´s attempted to make a description of the certification within the quality normative of the ISO 9001 and their main derivate benefits. Quality is a general field which application in any professional ambit it has to be taken into consideration, hence we might gather the interest from different professional fields. However, we pretend apply the generated knowledge mainly in medical and military ambit, originating a document which start a literature which bring together our learned lessons. Material and methods: As a basis about the information generation process all the available documental resources, mainly from the e-BDI Plus® (TecnoQuality Consulting) software as a tool of the Quality Management System. Referring to the bibliographic revision, data bases like Pubmed, Medline and Clinical Key were used. As to complement those, generic search engines such as Google have been also useful. Results: The definition of a series of organizing goals and reached successfully suppose the consecution of the ISO 9001-2015 certification in December 2019. Among other data, we have generated 27 quality indicators, which goals were successfully reached on a 96.3% of the cases, and 51 incidences, solved between 21 and 63 days. Conclusions: The decision about involve ourselves into a working ambit regulated and standardized by a high-level structure like the one which the ISO model present have improved and consolidated our capacities.

          Related collections

          Most cited references22

          • Record: found
          • Abstract: found
          • Article: not found

          Errors in laboratory medicine.

          The problem of medical errors has recently received a great deal of attention, which will probably increase. In this minireview, we focus on this issue in the fields of laboratory medicine and blood transfusion. We conducted several MEDLINE queries and searched the literature by hand. Searches were limited to the last 8 years to identify results that were not biased by obsolete technology. In addition, data on the frequency and type of preanalytical errors in our institution were collected. Our search revealed large heterogeneity in study designs and quality on this topic as well as relatively few available data and the lack of a shared definition of "laboratory error" (also referred to as "blunder", "mistake", "problem", or "defect"). Despite these limitations, there was considerable concordance on the distribution of errors throughout the laboratory working process: most occurred in the pre- or postanalytical phases, whereas a minority (13-32% according to the studies) occurred in the analytical portion. The reported frequency of errors was related to how they were identified: when a careful process analysis was performed, substantially more errors were discovered than when studies relied on complaints or report of near accidents. The large heterogeneity of literature on laboratory errors together with the prevalence of evidence that most errors occur in the preanalytical phase suggest the implementation of a more rigorous methodology for error detection and classification and the adoption of proper technologies for error reduction. Clinical audits should be used as a tool to detect errors caused by organizational problems outside the laboratory.
            Bookmark
            • Record: found
            • Abstract: not found
            • Book: not found

            Basics of Anesthesia

              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Evidence for the positive impact of ISO 9001 and ISO 15189 quality systems on laboratory performance - evaluation of immunohaematology external quality assessment results during 19 years in Austria.

              Background ISO 9001 and ISO 15189 have been established as continuative models for quality systems beyond national laws, mandatory standards and guidelines of expert associations regarding analytical and organisational performance of medical laboratories and transfusion services. Although widely used, their impact on laboratory performance has not been investigated. Methods We retrospectively analysed the results of 167 laboratories in 59 distributions of the Austrian red cell immunohaematology external quality assessment (EQA) scheme in the years 1999-2017. The performance for each parameter and trends of individual participants were compared with respect to certification or accreditation status of participants' quality systems and to laboratory type. Results Considering more than 52,000 EQA results, the absence or presence of a laboratory quality management system showed different error rates. Laboratories with ISO 9001 or ISO 15189 certification/accreditation had 0.7% incorrect results, while this rate was doubled without such quality systems (1.4%, p=0.0002). Statistically significant error reductions were seen upon ISO 9001/ISO 15189 implementation (1.3% before vs. 0.7% after; p=0.0468). Transfusion services had fewer errors (0.9%) compared to hospital and independent laboratories (both 1.2%). Conclusions Implementation and maintenance of quality systems according to ISO 9001 or ISO 15189 as well as laboratory specialisation result in better analytical performance as can be seen in immunohaematology EQA results. The conclusion is that these results apply to other laboratory tests and perhaps to other areas of health care.
                Bookmark

                Author and article information

                Journal
                sm
                Sanidad Militar
                Sanid. Mil.
                Ministerio de Defensa (Madrid, Madrid, Spain )
                1887-8571
                December 2020
                : 76
                : 4
                : 245-253
                Affiliations
                [2] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Inmunología España
                [4] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Microbiología España
                [3] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Microbiología España
                [1] Madrid orgnameEscuela Militar de Sanidad orgdiv1Academia Central de la Defensa España
                [6] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Análisis Clínicos España
                [5] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Inmunología España
                Article
                S1887-85712020000400245 S1887-8571(20)07600400245
                10.4321/s1887-85712020000400007
                f2345da1-3b44-49d6-83ae-c1d697a062e9

                http://creativecommons.org/licenses/by/4.0/

                History
                : 23 July 2020
                : 14 May 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 22, Pages: 9
                Product

                SciELO Spain

                Categories
                Informe

                ISO 9001,Clinical Laboratories,Laboratorios Clínicos,Sistema de Gestión de la Calidad,Quality Management System

                Comments

                Comment on this article