1. Escape the Trap Climbing Over the Professional Service Need Assessment College of Medical Laboratory Science, Sri Lanka December 30, 2017 @ Teaching Hospital, Anuradhapura

2. 2 How do we achieve excellent performance in the laboratory? Organization Personnel Equipment Purchasing & Inventory Process Control Information Management Documents & Records Occurrence Management Assessment Process Improvement Customer Service Facilities & Safety December 30, 2018 @ TH A'pura www.slsmls.org

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4. How Behave Healthy Service 4www.slsmls.org December 30, 2018 @ TH A'pura

5. www.slsmls.org5 December 30, 2018 @ TH A'pura

6. 6 Scenario 1 “Director, Teaching Hospital Anuradhapura is just notified that He can allocate funds to initiate TQM program for your Laboratory.”  How do you assess the relevancy of such a system for your laboratory?  What are the initial steps you have made? December 30, 2018 @ TH A'pura www.slsmls.org

7. 7 Quality ? Achieving a 99% level of quality means accepting error 7 1 % December 30, 2018 @ TH A'pura www.slsmls.org

8. 8 8 Result: 1% Error December 30, 2018 @ TH A'pura www.slsmls.org

9. 9 Personnel  human resources  job qualifications  job descriptions  orientation  training  competency assessment  professional development  continuing education December 30, 2018 @ TH A'pura www.slsmls.org

10. 10 Scenario 2 “Director, Teaching Hospital Anuradhapura is just notified you that funds are available for the purchase of a computerized laboratory information system.”  How do you assess the relevancy of such a system for your laboratory?  What are the initial steps you have made? December 30, 2018 @ TH A'pura www.slsmls.org

11. December 30, 2018 @ TH A'pura www.slsmls.org11 »Manages information for the entire discovery process »Sample Registration »Automated Data Capture & Reduction »Experimental Results Management »Enforcement of Laboratory Workflow & SOPs »Interface with Instrumentation & Robotics »Project Management »Barcoding & Inventory Management What is Core LIMS?

12. December 30, 2018 @ TH A'pura www.slsmls.org12 »Every record in the system must have a unique name and a unique barcode »The barcode cannot be edited, but the name can be changed later »Every record in the system needs to be associated to one or more projects »Users can never delete records, but they can edit or deactivate them if they have permission »You can attach files or comments to any record type in the system »The LIMS tracks which user performed and timestamps all major events for every record (creation, edits, etc.) »The LIMS is highly configurable and your specific system will look slightly different LIMS - Key Core Concepts

13. www.slsmls.org13 Effective communication Effective reporting systems Effective reporting systems Confidential Data protection Data protection Checking processes Logs, worksheets Logs, worksheets Standardize d request forms Standardize d request forms Unique identifiers samples, patients Unique identifiers samples, patients Important elements December 30, 2018 @ TH A'pura

14. How behave TECHNICIANS 14www.slsmls.org December 30, 2018 @ TH A'pura

15. 15www.slsmls.org December 30, 2018 @ TH A'pura

16. www.slsmls.org16 December 30, 2018 @ TH A'pura

17. Diploma MLT Minimum 12yrs Experience Executive Diploma Graduate Level www.slsmls.org17 Management Quality Accreditation Etc.. Technology IT Etc.. Subject Oriented Sp Trainings Research Oriented work December 30, 2018 @ TH A'pura

18. www.slsmls.org18 Research Officer Research background is more important Bio Chemist Chemical Specialty is more important Laboratory Manager Experience is more Important Technical Manger Technology skills is more Important Quality Manager Academic background is more important Graduate Level Dip (MLT) + Ex (Dip) Experience 12 years Graduate Level Dip (MLT) + Ex (Dip) Experience 12 years Graduate Level Dip (MLT) + Ex (Dip) Experience 12 years December 30, 2018 @ TH A'pura

19. Essential Elements of Laboratory Management Human Resource Management (HRM) Quality Management (QM, TQM) Procurement and Supplies Management Laboratory Equipment Management Laboratory Information Management (LIM, LIS) Safety and Waste Management Laboratory Finance Management www.slsmls.org19 December 30, 2018 @ TH A'pura

20. Knowledge and Skills 20www.slsmls.org December 30, 2018 @ TH A'pura

21. 21 Occurrence Management  complaints  mistakes and problems  documentation  root cause analysis  immediate actions  corrective actions  preventive actions December 30, 2018 @ TH A'pura www.slsmls.org

22. 22 CMLOQO December 30, 2018 @ TH A'pura

23. www.slsmls.org23 Quality Manager Responsibilities Monitor quality management system Assure compliance Review all records Conduct, coordinate audits Investigate deficiencies

24. December 30, 2018 @ TH A'pura www.slsmls.org24 Integrate with other sites Financial management Financial management Access control Access control Track, analyze trends Track, analyze trends Track reports Track reports Detailed, legible reports Detailed, legible reports Data retrieval options QC Error reduction Advantages

25. December 30, 2018 @ TH A'pura www.slsmls.org25 Back-up requirements Back-up requirements Costs: purchase and maintenance Costs: purchase and maintenance Adapting to a new system Training: time and money Training: time and money Disadvantages

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29. Discussion topics TQM in our lab Reviewing and report Primary Health care Accademic Developments Performance basis Promotions December 30, 2018 @ TH A'pura www.slsmls.org29

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31. Report Validation Process December 30, 2018 @ TH A'pura www.slsmls.org31 Consultancy (Subject Related Consultant) Issue Reports Investigator (Technologist) Reviewer (Scientist or Senior Technologist

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33. 33www.slsmls.org December 30, 2018 @ TH A'pura