Main Article Content

Abstract

Ensuring quality of laboratory services is the need of the hour in the field of health care. Six Sigma is a new management philosophy that seeks a nonexistent error rate, keeping in mind that we aimed to gauge our laboratory performance by sigma metrics. Internal quality control (QC) data was analysed retrospectively over a period of 6 month from February 2015 to July 2015. Laboratory mean, SD and coefficient of variation were calculated for all the parameters. We studied parameters which are in scope of NABL of our Laboratory. Quality assessed on sigma scale with a bench mark for minimum process performance of 3sigma and a goal for world class quality of 6 Sigma (σ).  Satisfactory sigma value (>6) were elicited for ALP & Total Bilirubin. We have achieved sigma metrics of the range 3-5 for   Albumin, AST, ALT, Total Cholesterol, Creatinine, Total Protein, Uric Acid, Glucose and Direct Bilirubin signifying acceptable laboratory performance with a scope for improvisation. Blood Urea performed poorly on the sigma scale with <3 sigma. The findings of our exercise emphasize the need for detailed evaluation and adoption of ameliorative measures in order to effectuate six sigma standards for all the analytical processes.

Keywords

Six sigma Coefficient of variation Total allowable error Bias Quality control

Article Details

How to Cite
Dr. Arpita Patel, Payal Patel, & Dr. Shilpa Jain. (2021). Evaluating performance of our clinical biochemistry laboratory by application of sigma metrics & other quality indicators- A pilot study. International Journal of Research in Pharmacology & Pharmacotherapeutics, 4(3), 349-353. https://doi.org/10.61096/ijrpp.v4.iss3.2015.349-353

References

  1. [1]. Westgard JO, Barry PL. Beyond quality assurance: committing to quality improvement. Lab Med. 1989;20:241–7.
  2. [2]. Nevalainen D, Berte L, Kraft C, Leigh E, Picaso L, Morgan T. Evaluating laboratory performance on quality indicators with six sigma scale. Arch Pathol Lab Med. 2000;124(4):516–9.
  3. [3]. Coskun A. Six sigma and calculated laboratory tests. Clin Chem. 2006;52:770–1.
  4. [4]. Harry M, Schroeder R. Six sigma: the breakthrough management strategy revolutionizing the world’s top corporations. New York, NY: Currency; 2000.
  5. [5]. Westgard JO, Klee GG. Quality management. In: Burtis CA, Ashwood ER, Bruns DE, editors. Tietz textbook of clinical chemistry. 4th ed. Philadelphia: Saunders; 2006.
  6. [6]. Revere L, Black K. Integrating six sigma with total quality management: a case example for measuring medication errors. J Healthc Manag. 2003;48:377–91.
  7. [7]. Tetrault G. Evaluating laboratory performance with the six sigma scale. Arch Pathol Lab Med. 2000;124(12):1748–9.
  8. [8]. Westgard JO, Westgard SA. The quality of laboratory testing today an assessment of r metrics for analytic quality using performance data from proficiency testing surveys and the CLIA Criteria for Acceptable Performance. J Clin Pathol. 2006;125: 343–54.
  9. [9]. Westgard JO. Quality control. How labs can apply six sigma principles to quality control planning. Clin Lab News. 2006;32: 10–2.
  10. [10]. Westgard JO. Internal quality control: planning and implementation strategies. Ann Clin Biochem. 2003;40:593–611.
  11. [11]. Westgard JO, Groth T, Aronsson T, Falk H, de Verdier CH. Performance characteristics of rules for internal quality control: probabilities for false rejection and error detection. Clin Chem. 1977;23:1857–67.
  12. [12]. Bhawana Singh, Binita Goswami, Vinod Kumar Gupta et al. Application of sigma metrics for the assignment of quality assurance in clinical Biochemistry Laboratory in India. Ind J Clin Biochem. April- June 2011; 26(2) : 131-135.