Quality
Quality Policy/ISO
"At Renuka Diagnostics, Korba, we are committed to providing Quality Conscious and Timely Clinical Laboratory and Pathology services. With the Patient as the center of all our professional activities, all our efforts aim towards the enrichment of clinical workup of the patient, and to keep making Continuous Improvement in both Professional and Management aspects."
Renuka Diagnostics Korba is one of the first medical laboratories in the State to be accredited by ISO 9001:2008 certification. The Quality Policy pursued by the Centre is an ongoing process and a stringent Quality Assurance System has been implemented that fulfils the ISO15189:2007 standards. We are also seriously pursuing the NABL accreditation not as an adornment, but to adopt the guidelines as a serious work culture.
EXTERNAL QUALITY CONTROL:
Based on its consistently reliable performance with Quality Service, Renuka Diagnostics is active participant of External Quality Assurance Programs conducted regularly by Bio-RAD EQAS, USA and of proficiency testing programmes conducted by CMC, Vellore.
INTERNAL QUALITY CONTROL:
Complying with the standard protocols of national and international guidelines, Quality Control samples are run every day at pre-determined intervals before commencement of testing of actual patient samples. Results are checked for compliance with Westgard rules using LJ charts target CV%. Thereafter, senior members of the different laboratory sections along with Senior Technicians review Levey Jenning control charts everyday to detect specific areas that require improvement.
Quality Assurance
Laboratory testing is a science professionally conducted with rigorous statistical analysis and quality controls. While Medical diagnosis has been called an art, a clinical reasoning process, not always mathematical, relying on information from multiple sources and experience. Laboratory testing is an important component in the diagnostic tool kit, but it is most reliable when used in conjunction with other meaningful data collected in the diagnostic process.
A great trust can be put in the data generated by today's exacting medical tests. A caveat to remember is that a diagnosis and treatment plan for a serious disease should never be based on a single medical test. Test findings are just one of the pieces of the diagnostic puzzle. Test Preparation Instructions must be followed carefully and tell the person collecting your sample about any exceptions you made.
Disclaimer
From the moment a test is ordered, attention to detail becomes an issue critical to the quality of lab results. To make it easier to see all the points where quality is monitored - and the areas where the quality of input is important – the laboratory tasks may be divided into three main phases:
Pre-Analytical Activities: when the test is ordered and the sample is collected Analytical Activities:
in the lab when the tests are conducted Post-Analytical Activities: between the time the test is run and the results are reported We at Renuka Diagnostics follow a comprehensive web-based, barcoded high quality software ['Maxim-LIS' by Birla Medosoft, Pune] for identification, labeling, distribution and forwarding of blood, body fluids and other samples using high quality appropriate anticoagulant vials and sampling material. While not infallible, each of our lab's quality control program rigorously defines requirements for staff proficiency, equipment maintenance and monitoring, and other standards of operations.
Pre-Analytic Activities: Where Quality Originates
From the moment a test is ordered, quality becomes an issue critical to the outcome. Quality assurance procedures extend to the following areas:
[a] Test ordering
[b] Specimen collection
[c] Sample Transportation to the testing site
[d] Sample handling/storage
[e] Completeness/Accuracy of patient information Renuka Diagnostics uses computerized systems/data to minimize errors in sample collection and test requests. User friendly software windows allow efficient and error free of test orders, minimizing the chance sample-patient-result mismatch. A lot also depends on cooperation from patient who is expected to follow preparation instructions and provide accurate information to the physician and the Lab.
Analytic Activities: Proceeding with Utmost Care
In the lab where the specimen is analyzed, quality assurance procedures guide and monitor all related activities, including the following:
[a] Instrument/Equipment maintenance and operation
[b] Test reagents
[c] Timely Supplies
[d] Diagnostic Team ranging from Pathologist to technical staff
[e] Actual test performance Renuka Diagnostics used semi and fully automated instruments to minimize human error. Most instruments have internal computer systems to detect malfunctions. We utilize standard Laboratory Best Practices and our own Renuka Diagnostics SOP [Standard Operating Procedure] to ensure that uniformity and quality of work flow is maintained despite change of shifts.
Post-Analytic Activities: Reporting with Quality
As test results are made available, work quality continues to be monitored in areas such as the following:
[a] Report sent to appropriate party
[b] Patient notification by SMS
[c] Web based delivery systems on pdf format
[d] Timely reporting of data
[e] Reference ranges included [f] Immediate notification of critical results to Hospital/Clinician.