Quality Indicators: Developing Indicators your turn

1
Quality IndicatorsDeveloping Indicators your
turn
Part B

• Michael A Noble
• Professor
• Medical Microbiology and Infection Control,
  Vancouver Coastal Health
• and
• Chair, Clinical Microbiology Proficiency Testing
  program,
• Chair, Program Office for Laboratory Quality
  Management
• Department of Pathology and Laboratory Medicine
• University of British Columbia

2
Total Testing Cycle forMedical Laboratories
Post-Analytic
Pre-Analytic
Analytic
Analysis Quality Control
3
Computer Nonsense Metrics
urine culture glucose INR
X100
NUPA hr Telephone minutes
Just because a computer can calculate a value,
doesnt mean that it should.
4
Seven Steps to Successful Indicators

• Objective
• Methodology
• Limits
• Interpretation
• Limitations
• Presentation
• Action plan