Seis sigma no laboratorio clinico: impacto na gestao de performance analitica dos processos tecnicos



Título del documento: Seis sigma no laboratorio clinico: impacto na gestao de performance analitica dos processos tecnicos
Revista: Jornal brasileiro de patologia e medicina laboratorial
Base de datos: PERIÓDICA
Número de sistema: 000297197
ISSN: 1676-2444
Autores: 1
Instituciones: 1Universidade Federal do Rio Grande do Sul, Setor de Bioquimica e Endocrinologia, Rio Grande, Rio Grande do Sul. Brasil
Año:
Periodo: Oct
Volumen: 41
Número: 5
Paginación: 301-312
País: Brasil
Idioma: Portugués
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés BACKGROUND: The Six Sigma approach is a new technique to manage process quality performance in clinical laboratory, aligning quality and cost reduction targets. OBJECTIVES: The aim of this study was to evaluate the viability and the impact of the Six Sigma concepts in the clinical laboratory technical processes management. METHODS: It was made a study to compare 14 serum anilities in two automated chemistry systems, Bayer ADVIA 1650 and Ortho-Clinical Diagnostics VITROS 950, using sigma-metrics. Sigma-metrics was calculated using different performance specifications. Results: The highest metrics were found in uric acid and triglycerides assays in both analyzers using Clinical Laboratory Improvement Amendments (CLIA) and biological variation based specifications. The lowest metrics were found in AST and ALT assays on ADVIA 1650 analyzer and chloride on VITROS 950 analyzer. DISCUSSION: The results showed a tendency to higher sigma-metrics in anilities processed on VITROS 950 than ADVIA 1650. The specification limits definition showed to be an important step to a reliable performance evaluation using sigma-metrics. CONCLUSIONS: The use of sigma-metrics as an index of technical process quality performance allow the laboratory to design a cost-effective quality control system, aligning quality and cost goals, keeping the custumer satisfaction in a high level and the focus on financial condition of the organization
Resumen en portugués CONCLUSÕES:A utilização da métrica sigma como índice de performance dos processos técnicos no laboratório clínico proporciona a padronização de um sistema de controle de qualidade custo-efetivo, alinhando qualidade e metas de custo, com foco na satisfação dos clientes e na saúde financeira da organização
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Hospitales,
Métricas Seis Sigma,
Control de calidad,
Control de procesos,
Costos,
Administración,
Laboratorio clínico
Keyword: Medicine,
Diagnosis,
Hospitals,
Six Sigma,
Quality control,
Process control,
Costs,
Management,
Clinical laboratory
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