Relevant bibliographies by topics / Hospital laboratories India Quality control

Academic literature on the topic 'Hospital laboratories India Quality control'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Hospital laboratories India Quality control"

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Aggarwal, Kavita, Saurav Patra, Viyatprajna Acharya, Mahesh Agrawal, and Sri Krushna Mahapatra. "Application of six sigma metrics and method decision charts in improvising clinical Chemistry laboratory performance enhancement." International Journal of Advances in Medicine 6, no. 5 (September 23, 2019): 1524. http://dx.doi.org/10.18203/2349-3933.ijam20194155.

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Background: Six sigma is a powerful tool which can be used by laboratories for assessing the method quality, optimizing Quality Control (QC) procedure, change the number of rules applied, and frequency of controls run .The aim of this study was to quantify the defects or errors in the analytical phase of laboratory testing by sigma metrics and then represent the sigma value in Method Decision Chart.Methods: A retrospective study was conducted in a tertiary care hospital in Bhubaneswar, India. The clinical chemistry laboratory has been NABL accredited for the past 5 years and strictly quality checked. Internal and external quality control data was collected for a period of six months from January - June 2018 for 20 biochemical analytes. Sigma metrics for each parameter was calculated and plotted on method decision chart.Results: The sigma metrics for level 2 indicated that 6 out of the 20 analytes qualified Six Sigma quality performance. Of these seven analytes failed to meet minimum sigma quality performance with metrics less than three and another seven analytes performance with sigma metrics was between three and six. For level 3, the data collected indicated that seven out of 20 analytes qualified Six Sigma quality performance, six analytes had sigma metrics less than 3 and seven analytes had sigma metrics between 3 and 6.Conclusion: In our study Sigma value was highest for amylase and lowest for potassium. Use of alternative methods and/ or change of reagents can be done for potassium to bring the sigma value within an acceptable range.
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Thakur, Singh. "Total quality management, laboratory accreditation and external quality assessment schemes." Jugoslovenska medicinska biohemija 23, no. 3 (2004): 311–15. http://dx.doi.org/10.2298/jmh0403311t.

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Two contradictory pressures, ?high quality? and ?cost reduction? require the clinical laboratories to adopt effective management techniques such as Total Quality Management (TQM). It is not merely a management process for quality improvement in all spheres of industrial functioning but also a management philosophy for overall organization development. TQM has been adopted by many health care organizations including clinical laboratories in the developed world. In the developing countries, however, majority are still using the traditional frame work of quality management. Through the concept of Quality Assurance (QA) and Quality Control (QC) in health care laboratories in India is more than two decades old, it developed in a highly unequal plane and still faces multi factorial problems. External QA/ Proficiency Testing (PT) is used to compare performance of laboratories. This is recently made mandatory for accreditation process in India. Unfortunately only <10% of laboratories participate in EQA programs possibly due to high cost. Professional bodies/Institutions (ACBI, IAPM, ISHTM-AIIMS EHPT) and Government of India are working hard to make EQA Programs available at reasonable cost. National Board of Testing and Calibration Laboratories (NABL) has been setup by Department of Science and Technology, Government of India which has started accreditation of clinical laboratories since 1999. So for 33 laboratories (0.17%) has been accredited and almost the same number of applications are in process. The program is voluntary at the beginning, may be made mandatory later. We see a Herculean task ahead for NABL but they are doing a good job at low cost similar to international organization like ACP. The formation of laboratory policy with quality control as its integral part is very imperative in achieving, total quality management of clinical laboratories in India.
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Kaur, Harmanmeet, Labanya Mukhopadhyay, Nivedita Gupta, Neeraj Aggarwal, Lucky Sangal, Varsha Potdar, Francis Yesuraj Inbanathan, et al. "External quality assessment of COVID-19 real time reverse transcription PCR laboratories in India." PLOS ONE 17, no. 2 (February 8, 2022): e0263736. http://dx.doi.org/10.1371/journal.pone.0263736.

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Sudden emergence and rapid spread of COVID-19 created an inevitable need for expansion of the COVID-19 laboratory testing network across the world. The strategy to test-track-treat was advocated for quick detection and containment of the disease. Being the second most populous country in the world, India was challenged to make COVID-19 testing available and accessible in all parts of the country. The molecular laboratory testing network was augmented expeditiously, and number of laboratories was increased from one in January 2020 to 2951 till mid-September, 2021. This rapid expansion warranted the need to have inbuilt systems of quality control/ quality assurance. In addition to the ongoing inter-laboratory quality control (ILQC), India implemented an External Quality Assurance Program (EQAP) with assistance from World Health Organization (WHO) and Royal College of Pathologists, Australasia. Out of the 953 open system rRTPCR laboratories in both public and private sector who participated in the first round of EQAP, 891(93.4%) laboratories obtained a passing score of > = 80%. The satisfactory performance of Indian COVID-19 testing laboratories has boosted the confidence of the public and policy makers in the quality of testing. ILQC and EQAP need to continue to ensure adherence of the testing laboratories to the desired quality standards.
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Kim, Jae Han, Eun Jin Choi, Gyuhyeon Hwang, Jae Ho Lee, and Mi-Soon Han. "Survey and Solutions for the Current Status of Quality Control in Small Hospital Laboratories." Journal of Laboratory Medicine and Quality Assurance 40, no. 2 (June 30, 2018): 101–8. http://dx.doi.org/10.15263/jlmqa.2018.40.2.101.

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LaBeau, Kathleen M., Marianne Simon, and Steven J. Steindel. "Quality Control of Test Systems Waived by the Clinical Laboratory Improvement Amendments of 1988." Archives of Pathology & Laboratory Medicine 124, no. 8 (August 1, 2000): 1122–27. http://dx.doi.org/10.5858/2000-124-1122-qcotsw.

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Abstract Context.—Recent advances in laboratory testing technology have resulted in a rapidly increasing number of test systems targeted for physician office, point-of-care, and home health care settings. With enhanced error detection mechanisms and unitized reagents, these new systems simplify the testing process and the assessment of analytical test performance. Many also meet the criteria set by the Clinical Laboratory Improvement Amendments of 1988 (CLIA) to qualify as waived test systems, and laboratories using only waived tests are subject to very limited regulatory oversight. Objective.—To evaluate use patterns and perceptions about quality control requirements with respect to waived testing. Design and Setting.—Survey of a network of 431 hospital, independent, and physician office laboratories in the US Pacific Northwest. Results.—Responding laboratories (n = 221) were taking advantage of the availability of waived tests and using them to make definitive diagnoses. We found considerable differences between quality control practices and the laboratories' perceptions of quality control requirements. Most respondents were performing traditional quality control on waived tests, influenced by their interpretation of regulations, the intended use of the test, and the testing personnel employed. Conclusions.—Technology optimized for alternate quality control can represent an improvement in ease of use while meeting expectations for accuracy and providing relief from regulatory burdens. However, laboratory personnel exhibit confusion in applying new quality control systems.
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Bartlett, Raymond C. "Cost Containment in Infection Control: Effect of DRGs on Utilization of the Microbiology Laboratory." Infection Control 6, no. 8 (August 1985): 323–25. http://dx.doi.org/10.1017/s0195941700063190.

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Prospective reimbursement is changing hospital laboratories from profit centers to cost centers. As a result, hospital administrators will try to reduce expenses for operating laboratories. Clinical microbiology could suffer more seriously than other sections because these laboratories are least able to use automation to increase productivity. Both the volume of specimens submitted and the complexity of processing specimens continue to increase in most clinical microbiology laboratories and the only immediate solution, although unlikely, will be increases in personnel. Freezes on replacement hiring and elimination of vacated positions are already occurring in some laboratories. Increased work can be controlled by reducing the numbers of clinically unnecessary specimens that are submitted and the numbers of specimens that are of a type or of such quality that they would not be likely to produce clinically useful information. Secondly, the amount of work expended on certain types of specimens may be reduced both to eliminate unnecessary labor and produce reports that are actually more useful clinically. Eventually changes in the way in which hospitals and physicians are reimbursed may create a greater incentive for physicians to minimize laboratory use. In the meantime, the burden of living within available resources will fall on the clinical microbiologist.
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Yadav, Kapil, Rakesh Kumar, Chandrakant S. Pandav, and Madhukar G. Karmarkar. "Successful implementation of a laboratory iodization quality assurance system in small-scale salt production facilities in India." Public Health Nutrition 17, no. 12 (December 5, 2013): 2816–23. http://dx.doi.org/10.1017/s1368980013003145.

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AbstractObjectiveTo establish a laboratory iodization quality assurance system to support small-scale salt production facilities in India and to assess the level of agreement for the internal quality assurance (IQA) and external quality assurance (EQA) protocols.DesignOperational research. The IQA and EQA programme was established in the year 2008. Agreement between field laboratories and the reference laboratory for estimation of iodine content of salt from 2008 to 2011 was assessed. Agreement was assessed using the χ2 test, kappa statistics and the Bland–Altman plot.SettingSmall-scale salt producers in the states of Andhra Pradesh, Gujarat, Rajasthan, Tamil Nadu, Odisha and Karnataka; ‘field laboratories’ supporting the small-scale salt producers; and the ‘reference laboratory’ of the Regional Office (South Asia) of the International Council for the Control of Iodine Deficiency Disorders.SubjectsThree hundred small-scale salt producers in the states of Andhra Pradesh, Gujarat, Rajasthan, Tamil Nadu, Odisha and Karnataka and seventeen ‘field laboratories’.ResultsA total of 6573 salt samples for IQA and 347 salt samples for EQA were exchanged between field and reference laboratories during 2008–2012. Out of the total salt sample exchanges, 527 were from Andhra Pradesh and Odisha, 2343 from Gujarat, 2016 from Rajasthan and 1677 from Tamil Nadu and Karnataka. The overall between-laboratory agreement was for 61·6 % for IQA and 64·8 % for EQA. The mean difference between iodine content estimation of field laboratories and the reference laboratory was 0·3 ppm (sd 8·2 ppm) for IQA and –0·3 ppm (sd 3·5 ppm) for EQA.ConclusionsOur study successfully documents implementation of a laboratory iodization quality assurance protocol in laboratories supporting small-scale salt production facilities in India.
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Guillot, Sophie, and Nicole Guiso. "Follow-Up of External Quality Controls for PCR-Based Diagnosis of Whooping Cough in a Hospital Laboratory Network (Renacoq) and in Other Hospital and Private Laboratories in France." Journal of Clinical Microbiology 54, no. 8 (May 18, 2016): 2169–71. http://dx.doi.org/10.1128/jcm.00882-16.

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The French National Reference Centre (NRC) for Whooping Cough carried out an external quality control (QC) analysis in 2010 for the PCR diagnosis of whooping cough. The main objective of the study was to assess the impact of this QC in the participating laboratories through a repeat analysis in 2012.
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Tiffin, Shelley M., and Michael A. Noble. "External Quality Assessment of Transporting Infectious Substances in Canada." Canadian Journal of Infectious Diseases 10, no. 3 (1999): 246–51. http://dx.doi.org/10.1155/1999/658649.

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OBJECTIVE: To determine the degree of compliance with Transport Canada’s Transportation of Dangerous Goods Regulations for transporting infectious substances in Canada.DESIGN: A three-phase study including observation of packages arriving at the British Columbia Centre for Disease Control (BCCDC) provincial laboratory; observation of requested samples of either anEscherichia coliculture or serum, not human immunodeficiency virus (HIV) or HbsAg positive, from laboratories; and a questionnaire concerning training and certification of packers in laboratories.RESULTS: During phase 1, 500 packages arriving at the BCCDC provincial laboratory were assessed. All arrived intact, with 384 (76.8%) in a firm outer package. Only 178 (35.6%) contained absorbent material. Six samples were known to contain human immunodefiency virus or hepatitis B; all were appropriately packaged. Of the remainder, 11 (2.2%) were considered overpackaged, 192 (38.4%) acceptably packaged and 191 (38.2%) inadequately packaged. In phase 2, 138 requested packages were assessed. All arrived intact, 132 (95.7%) in a firm outer package. Ninety-six (69.6%) contained absorbent material. Only six (4.3%) were considered inadequately packaged. In phase 3, 171 laboratories responded to a questionnaire. Fifty-nine were from small laboratories, 53 from intermediate laboratories and 23 from large laboratories. Most laboratories (55.4%) relied on in-house resources to train packers. Only 26 (15.3%) facilities had no certified packers, and 60.8% noted they had a formal copy of the regulations available in the laboratory. Laboratory characteristics associated with the likelihood of overpackaging included number of technologists (χ2=5.72; P=0.058), number of samples processed by laboratories (χ2=8.46; P=0.015) and being a private laboratory as opposed to being a hospital laboratory (Fisher Exact two-tailed 0.040).CONCLUSIONS: Canadian laboratories tend to package safely and within the acceptable range of regulation, although not within the precision of regulation. Most laboratories have trained and certified packers. The most common error is the use of outer packaging that is not firm. Larger laboratories tend to overpackage resulting in increased costs.
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Chowdhury, Nasreen, Md Ibrahim, and Md Aminul Haque Khan. "Laboratory Errors: Types and Frequency in a Tertiary Hospital in Bangladesh." Journal of Bangladesh College of Physicians and Surgeons 33, no. 1 (June 5, 2016): 3–6. http://dx.doi.org/10.3329/jbcps.v33i1.27991.

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Introduction: In our country, very few of clinical laboratories are running proper quality control program and to the best of our knowledge the preanalytical, analytical, and postanalytical rates of laboratory errors have not been studied extensively. In this study we evaluated the preanalytical, analytical, and postanalytical components of laboratory errors in 3,200 consecutive specimens of a clinical chemistry laboratory in a tertiary hospital for measurement of different analyte concentrations in plasma or serum. Materials and methods: This study was conducted during the period from June 2009 to July 2010 on 3,200 specimens. Analytical errors were detected by repeat analysis of primary sample and by checking quality control. Results: The numbers of preanalytical, analytical and postanalytical errors were 23, 14 and 76 respectively among 32000 tests that we have done on 3,200 specimens (average 10 tests per specimen). Moreover, the causes of errors were analyzed and it was found that preanalytical errors were mostly due to specimen drawn distal to IV infusion, specimen for potassium first drawn into GREY tube (containing sodium fluoride and K EDTA) and then transferred into GREEN tube, long tourniquet time and underfilling of blood collection tube. The analytical errors were due to random and systemic errors and postanalytical errors were due to transcription errors. Conclusion: Results of our study suggest that errors mostly occur in the postanalytical part of testing and they are due to transcription errors. To reduce the laboratory errors we suggest introduction of Laboratory Information System (LIS) of the clinical laboratories connected with Hospital Management System along with stringent quality control program in preanalytical, analytical and postanalytical stages.J Bangladesh Coll Phys Surg 2015; 33(1): 3-6
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Books on the topic "Hospital laboratories India Quality control"

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Hospital accreditation program scoring guidelines. Chicago, Ill: Joint Commission on Accreditation of Hospitals, 1987.

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Joint Commission on Accreditation of Hospitals. Hospital accreditation program scoring guidelines: Medical staff standards. Chicago, Ill: Joint Commission on Accreditation of Hospitals, 1986.

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Hospital accreditation program scoring guidelines: Pathology & medical laboratory services standards. Chicago, Ill: Joint Commission on Accreditation of Hospitals, 1987.

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Office, General Accounting. Medicare: Past overuse of intensive care services inflates hospital payments : report to the Secretary of Health and Human Services. Washington, D.C: The Office, 1986.

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Office, General Accounting. Medicare: More hospital costs should be paid by other insurers : report to the ranking minority member, Committee on Finance, U.S. Senate. [Washington, D.C.]: The Office, 1987.

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Office, General Accounting. Medicare: Modest eligibility expansion for critical access hospital program should be considered : report to congressional committees. Washington, D.C: United States General Accounting Office, 2003.

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Office, General Accounting. Medicare: Improvements needed in the identification of inappropriate hospital care : report to the chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives. Washington, D.C: The Office, 1989.

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Office, General Accounting. Medicare: Assuring the quality of home health services : report to the ranking minority member, Special Committee on Aging, U.S. Senate. Washington, D.C: The Office, 1989.

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Office, General Accounting. Medicare: Improving quality of care assessment and assurance : report to the chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives. Washington, D.C: The Office, 1988.

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Office, General Accounting. Medicare: Past overuse of intensive care services inflates hospital payments : report to the Secretary of Health and Human Services. Washington, D.C: The Office, 1986.

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Book chapters on the topic "Hospital laboratories India Quality control"

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"Quality Control in Hospital Clinical Laboratories: A System Approach." In Handbook of Healthcare Delivery Systems, 591–600. CRC Press, 2016. http://dx.doi.org/10.1201/b10447-43.

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Goswami, Sourav. "Home Based Palliative Care." In Suggestions for Addressing Clinical and Non-Clinical Issues in Palliative Care. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98648.

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Palliative care aims at improving the quality of life of a patient who is suffering from a chronic serious ailment like that of advanced cancer. Nobody wants to be away from his/her own family, especially when it’s known, he has limited days to live in this world. A patient gets the best treatment when it’s given in his own home and that too by his close ones. When palliative care is provided at the patient’s home, it provides a sense of safety, privacy, confidentiality and peace of mind for the patient. Specialist home-based palliative care improves symptom control, health-related communication and psychosocial support. It helps in better preparing the patient and the family members to accept death. It is provided by a team of trained members which includes doctor, nurse, social worker, volunteers, physiotherapist etc. They pay regular visits at the home of the patient and provide necessary health care to the patient. Considering the increasing cost of treatment of chronic illnesses, it’s sometimes hard on the part of the family to continue treatment in a hospital or hospice. It’s especially true in scenarios where population are not protected financially, in countries like India. The family members also play a vital role in home-based palliative care. They get trained from the team to learn the basics of palliation. Home based palliative care needs to be integrated into regular home health care services.
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Reports on the topic "Hospital laboratories India Quality control"

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The PLHA-friendly achievement checklist: A self-assessment tool for hospitals and other medical institutions caring for people living with HIV/AIDS (PLHA). Population Council, 2003. http://dx.doi.org/10.31899/hiv2003.1005.

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The Population Council/Horizons (New Delhi and Washington, DC) and the Society for Service to Urban Poverty (New Delhi) are conducting an operations research study in three New Delhi hospitals. The study, entitled “Improving the hospital environment for HIV-positive clients in India,” is endorsed by the National AIDS Control Organization (NACO) of India. The main objective is to assess factors that affect the quality and type of care received by the general patient population, with special emphasis on patients with HIV. Another objective is to assess and address factors that affect staff safety with respect to infectious diseases. As part of the study, a practical checklist was developed that can be used by managers and others to identify institutional strengths, pinpoint problems, and set goals for improvement of services for people living with HIV/AIDS (PLHA) and staff safety. The PLHA-friendly Achievement Checklist is intended as a self-assessment tool for managers to use in gauging how well their facility reaches, serves, and treats HIV-positive patients. NACO plans to distribute the checklist to all government medical facilities throughout India.
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