Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory
Introduction: Pathology laboratories are increasingly seeking accreditation to quality standards to assure Quality of Service (QoS). However, there is little data available regarding the value of this in laboratories with well-established Quality Management Systems (QMS). Moreover, critics of accred...
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doaj-9e4764a5770947d89839385c52f0463a2020-11-25T03:19:20ZengElsevierPractical Laboratory Medicine2352-55172020-05-0120Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratoryAlastair David Green0Lucille Kavanagh-Wright1Graham Robert Lee2Corresponding author.; Department of Clinical Chemistry and Diagnostic Endocrinology, Mater Misericordiae University Hospital, Eccles St Dublin 7, Dublin, IrelandDepartment of Clinical Chemistry and Diagnostic Endocrinology, Mater Misericordiae University Hospital, Eccles St Dublin 7, Dublin, IrelandDepartment of Clinical Chemistry and Diagnostic Endocrinology, Mater Misericordiae University Hospital, Eccles St Dublin 7, Dublin, IrelandIntroduction: Pathology laboratories are increasingly seeking accreditation to quality standards to assure Quality of Service (QoS). However, there is little data available regarding the value of this in laboratories with well-established Quality Management Systems (QMS). Moreover, critics of accreditation claim it redirects resources toward trivial issues. Our objective was to investigate the value of auditing for conformity with the ISO 15189:2012 standard in such laboratories. Design: and Methods: In total, 483 Audit-Identified Non-Conformities (AINCs) were documented within our department since transitioning to an ISO 15189:2012 compliant QMS. The potential consequences of these were assessed by three clinical laboratorians who assigned them into categories based on their likely impact. These were: Unlikely (no clear consequences); Possible (potential for poor QoS/harm); and Probable (Likely to cause poor QoS/harm). Additionally, total numbers/severity of Real-Time Non-Conformities (RTNCs) detected outside of auditing were examined to provide additional insight into the effects of accreditation on QoS. Results: According to majority decision: 395 (81.8%) of AINCs were classified Unlikely, 88 (18.2%) were Possible, and none were Probable. The relative proportion of Unlikely AINCs also rose over time. Total numbers and severity of RTNCs dropped in the short-term following transition to an ISO 15189:2012 QMS, but steadily rose thereafter. Conclusions: Our data suggest auditing for conformity with ISO 15189:2012 standards may be effective in attaining accreditation, but may have diminishing returns in the long-term once the QMS is established, unless there is continual improvement in the audit process to promote better use of resources.http://www.sciencedirect.com/science/article/pii/S235255171930160XAccreditationAuditingISO 15189Quality in pathology laboratoriesEffects of accreditation on quality |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alastair David Green Lucille Kavanagh-Wright Graham Robert Lee |
spellingShingle |
Alastair David Green Lucille Kavanagh-Wright Graham Robert Lee Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory Practical Laboratory Medicine Accreditation Auditing ISO 15189 Quality in pathology laboratories Effects of accreditation on quality |
author_facet |
Alastair David Green Lucille Kavanagh-Wright Graham Robert Lee |
author_sort |
Alastair David Green |
title |
Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory |
title_short |
Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory |
title_full |
Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory |
title_fullStr |
Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory |
title_full_unstemmed |
Investigation of the long-term yield of auditing for conformity with the ISO 15189:2012 quality standard in a hospital pathology laboratory |
title_sort |
investigation of the long-term yield of auditing for conformity with the iso 15189:2012 quality standard in a hospital pathology laboratory |
publisher |
Elsevier |
series |
Practical Laboratory Medicine |
issn |
2352-5517 |
publishDate |
2020-05-01 |
description |
Introduction: Pathology laboratories are increasingly seeking accreditation to quality standards to assure Quality of Service (QoS). However, there is little data available regarding the value of this in laboratories with well-established Quality Management Systems (QMS). Moreover, critics of accreditation claim it redirects resources toward trivial issues. Our objective was to investigate the value of auditing for conformity with the ISO 15189:2012 standard in such laboratories. Design: and Methods: In total, 483 Audit-Identified Non-Conformities (AINCs) were documented within our department since transitioning to an ISO 15189:2012 compliant QMS. The potential consequences of these were assessed by three clinical laboratorians who assigned them into categories based on their likely impact. These were: Unlikely (no clear consequences); Possible (potential for poor QoS/harm); and Probable (Likely to cause poor QoS/harm). Additionally, total numbers/severity of Real-Time Non-Conformities (RTNCs) detected outside of auditing were examined to provide additional insight into the effects of accreditation on QoS. Results: According to majority decision: 395 (81.8%) of AINCs were classified Unlikely, 88 (18.2%) were Possible, and none were Probable. The relative proportion of Unlikely AINCs also rose over time. Total numbers and severity of RTNCs dropped in the short-term following transition to an ISO 15189:2012 QMS, but steadily rose thereafter. Conclusions: Our data suggest auditing for conformity with ISO 15189:2012 standards may be effective in attaining accreditation, but may have diminishing returns in the long-term once the QMS is established, unless there is continual improvement in the audit process to promote better use of resources. |
topic |
Accreditation Auditing ISO 15189 Quality in pathology laboratories Effects of accreditation on quality |
url |
http://www.sciencedirect.com/science/article/pii/S235255171930160X |
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