Quality Phlebotomy

These flashcards cover essential terms and definitions related to Quality Phlebotomy, focusing on management systems, variables affecting specimen collection, and quality assurance practices.

Quality Management Systems (QMS)

A set of policies, standards, and procedures to ensure the highest quality patient care and safety.

Quality Control (QC)

Quantitative methods that monitor the quality of procedures to ensure accurate test results.

Quality Assurance (QA)

A larger set of methods that guarantee quality patient care, including patient preparation and collection protocols.

Continuous Quality Improvement

A major goal of QMS programs aimed at ongoing improvement in quality.

Joint Commission

An organization that mandates QMS programs and publishes yearly National Patient Safety Goals.

Quality System Essentials (QSE)

Twelve components that form the foundation of quality phlebotomy.

Documentation Record Management

Creation and maintenance of standard documents to ensure accurate reporting of patient results.

Preanalytic Variables

Factors that occur before analysis of a specimen that can affect test outcomes.

Analytic Variables

Factors that occur during specimen analysis which can affect the results.

Postanalytic Variables

Factors that occur after collection, which can impact the reporting of test results.

Variable

Any factor that can be measured or counted that affects the outcome of test results.

Patient ID

Verification that includes two identifiers, as required by the Joint Commission.

Delta Check

A quality procedure to compare current and previous patient results to identify possible errors.

Transportation Variables

Factors that include delivery method and sample treatment during transport.

Centrifuge Maintenance

The process of calibrating centrifuges every three months to ensure they run at the reported speed.

Accidental Puncture

An event that must be reported immediately for follow-up testing and counseling.

Aliquot Handling

The process of preparing multiple aliquots from a single specimen for testing.

Quality Improvement

Efforts aimed at reducing patient wait times, duplicate tests, and collection errors.

Specimen Analysis

The examination and testing of biological samples for diagnostic purposes.

4 criteria that make up documentation process

peocedure manual for lab procedures, floor book with schedules and other info, identificaion of variables that can affect pt care, continuing education for all lab staff members

if a phlebotomist wants to know turnaround time for a specific procedure, it can be found in

directory of service

how much time should elapse between time when specimen is collected and when serum or plasma separates from formed elements

2 hours

quality phlebotomy

refers to set of policies and procedures that ensure consistent high quality pt care and specimen analysis

the phlebotomist is most responsible for controlling

preanalytic variables

procedure manual

has protocols and other information about all tests performed in lab

what does the procedure manual detail about the tests

principal behind the test, specimen type required by test, collection method, and equipment/ supplies needed

patient prep that has an effect on sample quality

fasting, medication, exercise, age,stress

lipemic sample

caused by increase of blood in triglycerides, leading to cloudy appearance.

12 quality system essentials for QSE

Documents and records management, Organization and leadership, Personnel management, Equipment management, supplier and inventory management, process control management, information management, nonconforming event management, Assessment, Continual improvement, customer focus, facility and safety management

Yearly national patient safety goals

Set of guidelines established by The Joint Commission aimed at improving patient safety in healthcare settings.

how does QA differ from QC

focuses on ensuring processes are followed correctly to maintain quality standards, involves testing and verifying the actual products to ensure they meet quality specifications.

what is the purpose of a delta check

]compares a patient's current laboratory results to their previous results to identify significant changes or trends, detects potential errors or abnormalities.

Floor logbook

lists pts, room numbers, specimens collected, phlebs initials, dates and time of collection, and their outcomes

examples of how to control or monitor preanalytical variables

include proper patient identification, sample handling and transport, and ensuring correct blood draw techniques.

4 variables phleb must be aware of during procedure and examples of how to control or prevent each variable

ipatient identification, sample integrity, equipment function, and timing of collection, with controls such as confirming ID, using appropriate tubes, checking expiration dates, and adhering to collection protocols.

quality phlebotomy and its purpose

ensures accurate and reliable laboratory results by minimizing errors in the preanalytical phase, thereby improving patient care and diagnosis.

phleb doesnt have control over

patient prep

directory of services

information needed for smooth coordination of internal and external customers and lab personnel

philosophy, role, and purpose of process improvement as part of QMS

focus on cntinuous improvement in the quality of service provided, its tole is to set guidelines and to evaluate and change its processes and standard