lab management new

8/7/2019 Lab Management new

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Department of Pathology

(Laboratory) The term laboratory has been in

popular use, the Pathologist prefersto use the term Department ofPathology/ClinicalPathology/Laboratory Medicine

Primary Function:Confirming or rejecting a diagnosis


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Providing guidelines in patientmanagement.

Establishing a prognosis. Detecting disease through case

finding or screening.

Monitoring follow up therapy.


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Secondary function:

> Education and Research- Participation in the programs ofmedical staff, staff committees andclinical dept

- Continuing education program forthe MT

- Residency Program

- Cooperates with the hospital andmedical staff in conducting variousprograms


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LABORATORY MANAGEMENT

(Management Principles) The Director of Pathology is responsible in

the Professional and Administrativematters of the department.

In general, the Pathologists competence inprofessional matters can only be assumedbecause the education has been exclusivelyin the field for the past decades; but with

continuous modification in the field ofPathology the administrative concept canbe assumed as a function.


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Management principles are an affirmation of the conceptthat anything worth doing is worth doing well.

One Can summarize the Principles as follows:

Define the Problem, apply an analytical method whichreveals the basic facts and devise a solution

Not all, but at least some problems may be solved, orconsiderable improvement made.

Even if not solved, the analysis of the problem increasesknowledge or appreciation, in themselves useful.

- Kenneth L. McCoy, MD


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SCHEMATIC OUTLINE OF ACTIVITIESIN

PATHOLOGY AND LABORATORY MEDICINE

Leadership and Management Administration

----------------------------------------------------------------Indications and Technology and Interpretation and

Selection Generation Translation

----------------------------------------------------------------------------------------

TEACHING

---------------------------------------------------------------------------------------------

RESEARCH--------------------------------------------------------------------------------------------


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Organization and Operation of the

Laboratory The operation of a clinical laboratory and

effective delivery of service to clinicians,patients, and the public, require a complex

interdigitation of:1. Expertise in medical, scientific and

technical areas

2. Resources in the form of personnel,

laboratory and data processing equipment,supplies, and facilities

3. Skills in organization, management, andcommunications


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Organization and Operation of the

Laboratory All laboratory personnel, especially

those in the leadership and

management, must be aware ofcurrent accreditation andgovernmental regulations and evolvingpractice guidelines that relate not only

to laboratory services but to personnelmanagement, and marketing practices.


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The efficient operation andeffective delivery of laboratory

services are dependent on modernequipment, well trained staff,adequate and well designedphysical environment and a goodmanagement team.


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LEADERSHIP VERSUS MANAGEMENT:GOALSINDICATE DIRECTION AND

OBJECTIV

ES

LEADERSHIP---------------------------------------------

Goals: Where

---------------------------------------------MANAGEMENT

---------------------------------------------Objectives: HOW steps

1. Organize2. Plan

3. Direct

4. Control

5. Staff


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Leadership - is providing direction ofwhere one ( or an organization) is

going.

Management is providing the stepsof how to get there.


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BASIC MANAGERIAL

RESPONSIBILITIES- used in responseto many of the responsibilities facinglaboratory managers.1. Quality leadership2. Personnel management

3. Policy and Procedure manuals4. Criteria based-job descriptions5. Recruitment and Staffing6. Orientation7. In-service and continuing education8. Staff meetings9. Personnel records

10. Performance evaluation/ appraisals11. Discipline and dismissal12. Legislative/regulatory issues13. Medico-legal concerns14. Financial management15. Marketing16. Benchmarking

17. Productivity assessment


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QUALITY MANAGEMENT PROCESS OF

TOTAL QUALITY MANAGEMENT (TQM)

1. Find a problem or process to improve

2. Organize a team

3. Clarify what is known about the process4. Understand causes of theproblem/variation

5. Select the way the process is to be

improved6. Plan implementation of improvementsto be made


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7.Do what is appropriate to implement

8. Check data collected from monitoring customer outcome

9. Act to maintain and continue theprocess

One particular instrument used inestablishing quality management is the:

F O C U S P D C A


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FACILITY DE

SIGN PROCE

SS

Phase: Preparation Needs assessment

Staffingneeds/requirements

Technologic changes,current andanticipated

Identify team players(architect, lab staff,

med staff, interiordesigner, etc


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FACILITY DE

SIGN PROCE

SS

Phase: Function Activities to beperformed

Flow of people andmaterials

Storage

Equipment used

Utilities Laboratory

sectional needs


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FACILITY DE

SIGN PROCE

SS

Phase: SchematicDesign

Structural design

Identify constructionmaterials

Architectural design Cost

System options(plumbing, electricity,heating, ventilation,etc)


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FACILITY DE

SIGN PROCE

SS

Phase: Designdevelopment

Phase: Construction

Interior design

Bidding/

Negotiating contracts

Legal documentation

Actual construction

Completion andoccupancy


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- QUALITY

SYSTEM

S-

Quality, in all aspects of medical care and services, isthe primary goal of clinical laboratories.

Components of a Quality system are:

1. organizational structure

2. responsibilities

3. policies

4. processes

5. procedures6. resources established by executive management to

achieve and ensure quality


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A Quality system includes:

> Quality Control(QC)> Quality Assurance (QA)

> Quality Improvement (QI)

The broader-based systemsapproach ensures application ofquality principles throughout the

organization (use of such approachis changing the focus of qualityissues from detection to prevention)


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LABORATORY SAFETY Universal Precautions Consider ALL patients blood and body fluids to

be bio-hazardous regardless of diagnosis.

Always wash hands before and after contact withpatients.

Wear gloves when handling blood, body fluids,tissues or contaminated surfaces.

Wear gloves and waterproof aprons, masks andgoggles if splashing can occur or duringprocedures (e.g. dialysis, postmortem).

Dispose of all needles in puncture-proof boxes.

Minimize mouth-to-mouth transmission by

keeping mouth pieces readily available. Clean blood and body fluids spills with a solution

of bleach (10%) and water or with a hospitaldisinfectant.

Immediately report all needle sticks, accidentalsplashes and contamination of wounds by bodyfluids.


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LABORATORY SAFETY Personal Hygiene Wash promptly whenever a chemical has

contacted the skin.

No sandals, open toed shoes or clogs shallbe worn by laboratory personnel.

Clothing worn in the laboratory should offerprotection from splashes and spills, shouldbe easily removable in case of accident.

Laboratory clothing should be kept cleanand replaced when necessary.

Lab coats are not to be worn outside thelaboratory, especially in rest room or breakfacilities.

Do not rink, eat, smoke, or apply cosmeticsin the laboratory or chemical storage areas.

No food, beverage, tobacco, or cosmeticsproducts are allowed in the laboratory or

chemical storage areas at any time.


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LABORATORY SAFETY Housekeeping

The area must be kept as clean as the work allows. Each laboratory employee shall be responsible for maintaining the

cleanliness for his/her area. Reagents and equipment items should be returned to their proper

place after use. Chemical, especially liquids, should never be stored on the floor,

except in closed door cabinets suitable for the material to bestored.

Stored items or equipment shall not block access to the fireextinguisher(s), safety equipment, or other emergency items.

Stairways, hallways, passageways/aisles and access to emergencyequipment and/or exits must be kept dry and not be obstructed inany fashion, including storage, equipment, phone or other wiring.

No combustible material such as paper, wooden boxes, pallets,etc., shall be stored under stairwells or in hallways.

All working surfaces and floors should be cleaned regularly. All containers must be labeled with at least the identity of the

contents and the hazards those chemicals present to users


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LABORATORY SAFETY Electrical Safety

All electrical equipment shall be properly grounded.

Equipment, appliance and extension cords shall be ingood condition.

Extension cords shall not be used as a substitute forpermanent wiring.

Electrical cords or other lines shall not be suspendedunsupported across rooms or passageways.

Multi-outlet plugs shall not be used unless they have

a built-in circuit breaker. Most of the portable multiple outlets are rated at 15

amps.


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LABORATORY SAFETY GENERAL SAFETY EQUIPMENT

Fire Extinguishers

Ventilation Hoods Storage Cabinets

Safety Shields


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