Later this week I begin my rotation of Quality Management for medical laboratory
residents to provide this group with some foundational information on
laboratory Quality. For those who are
not used to medical laboratory jargon, medical laboratory residents are
pathologists-in-training. These are the
people who in 5 or 6 years will be the people running sections of medical laboratories
in and in 10 years, many will be running their own medical laboratories. If we can introduce them to Quality
Management principles now, there is some hope that some of them will develop
and pursue an interest and make Quality part of their active career.
My seminar series is a total of 6 hours over about a month, so it is fair
concentrated. I cover issues like error,
and Quality Management and Standards and Accreditation and Proficiency and
Competency as well as Culture of Quality.
My standard approach is to give a Pre-test, then give the course and then
give a Post-Test to see if the information has been acquired.
Without giving the answers, I am offering access to the Quiz
questions.
For those that are interested, I will release the results later.
My apologies for the formating. The Quiz did not carry over as well as I would like, but I think you can still get the idea.
1: What is the approximate proportion of laboratory tests that
is associated with some form of error?
1
in 100: o
1
in 200: o
1
in 500: o
1
in 1000: o
1 in 3000: o
2: What is the approximate proportion of laboratory tests that
is associated with some form of significant error that is associated with harm
or inconvenience to a patient?
1
in 100: o
1
in 200: o
1
in 500: o
1
in 1000: o
1 in 3000: o
3: Which of the following best describes the W. Edwards Deming
cycle of activities associated with Quality and continuous improvement?
Plan – Do – Act - Repeat: o
Plan – Do – Revise -
Repeat: o
Plan – Do – Study -Act: o
Plan
– Do – Control - Revise: o
Plan – Revise – Repeat -
Register: o
4: Which describes the most expensive costs associated with
error?
The cost of error found
before the release of information (internal failure): o
The cost of error found
after release of information (external failure): o
The total combined costs of error
prevention and quality appraisal: o
The costs of error vary too much in
different industries to be predictable: o
5 The
International Standard that best provides guidance for Quality and Competence for
Medical Laboratories
ISO 9001:2008: o
ISO 17025: 1999: o
ISO 15189: 2007 o
ISO 17043:2010: o
ISO 17022:2005: o
6: Which of the following is NOT an authorized body in British
Columbia? (check all that
apply)
Ministry
of Health: o
College of Physicians
and Surgeons: o
Royal College of
Physicians and Surgeons of Canada: o
Diagnostic Accreditation
Program: o
College of American
Pathologists: o
Work
Safe BC: o
7: An organization that puts great emphasis on staff work
flexibility and research/innovation would be rated high in which cultural characteristics
Hierarchy
and Adhocracy: o
Clan and Adhocracy: o
Market and Adhocracy: o
Clan and Market: o
Hierarchy and Market: o
8: Which of the following is NOT considered a Principle of
Quality Management (check all that apply)
Customer
focus: o
Leadership: o
Involve
People: o
Innovation
first: o
Continuous
improvement : o
Process
Approach: o
Minimize
Risk: o
Focus
on Efficiency: o
Systematic
Management o
Base
Quality Decisions of Facts o
9: Which statement would be most correct in addressing Quality
issues in a laboratory?
Responsibility
for Quality participation falls to the Quality Manager: o
Responsibility for Quality
participation falls to the “top management”
including the Laboratory Head: o
Maintenance of Quality
is everyone’s responsibility: o
While everyone should be involved,
main responsibility rests with
the Quality Manager: o
Everyone should be
involved, main responsibility rests with
the “top management” including the
Laboratory Head: o
Quality best works as
a free and fluid democratic process without
defining any specific person or persons
as having main authority: o
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