<mxfile host="app.diagrams.net" agent="tch-process-diagram" version="24.0.0"><diagram id="fig-01-pdca-quality-indicator-loop" name="Figure 1 — PDCA quality indicator monitoring and CQI project lifecycle"><mxGraphModel dx="1000" dy="700" grid="1" gridSize="10" guides="1" tooltips="1" connect="1" arrows="1" fold="1" page="1" pageScale="1" pageWidth="1000" pageHeight="1434" math="0" shadow="0"><root><mxCell id="0"/><mxCell id="1" parent="0"/><mxCell id="title" value="Figure 1 — PDCA quality indicator monitoring and CQI project lifecycle" style="text;html=1;fontSize=20;fontStyle=1;align=left;verticalAlign=top;whiteSpace=wrap;fontFamily=Segoe UI;fontColor=#0F172A;" vertex="1" parent="1"><mxGeometry x="36" y="20" width="940" height="36" as="geometry"/></mxCell><mxCell id="lane_path" value="Pathologist" style="swimlane;horizontal=1;startSize=36;html=1;whiteSpace=wrap;fontStyle=1;fontSize=12;fontFamily=Segoe UI;fillColor=#5B3A8C;fontColor=#FFFFFF;strokeColor=#D6CEE2;swimlaneFillColor=#F4F1FA;rounded=1;arcSize=4;collapsible=0;" vertex="1" parent="1"><mxGeometry x="48" y="82" width="218" height="1228" as="geometry"/></mxCell><mxCell id="lane_cmt" value="Chief Medical Technologist / Laboratory Quality Manager" style="swimlane;horizontal=1;startSize=36;html=1;whiteSpace=wrap;fontStyle=1;fontSize=12;fontFamily=Segoe UI;fillColor=#B35C00;fontColor=#FFFFFF;strokeColor=#ECD6BF;swimlaneFillColor=#FDF3E8;rounded=1;arcSize=4;collapsible=0;" vertex="1" parent="1"><mxGeometry x="290" y="82" width="436" height="1228" as="geometry"/></mxCell><mxCell id="lane_mt" value="Medical Technologists" style="swimlane;horizontal=1;startSize=36;html=1;whiteSpace=wrap;fontStyle=1;fontSize=12;fontFamily=Segoe UI;fillColor=#2E7D32;fontColor=#FFFFFF;strokeColor=#CBDECC;swimlaneFillColor=#EDF8EF;rounded=1;arcSize=4;collapsible=0;" vertex="1" parent="1"><mxGeometry x="750" y="82" width="218" height="1228" as="geometry"/></mxCell><mxCell id="n1" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.3&lt;/font&gt;&lt;/b&gt;&lt;br&gt;PLAN: Plan and document approved quality indicator in F-QM-003-A-V0" style="rounded=1;arcSize=50;fillColor=#FCE9D3;fontColor=#0F172A;fontStyle=1;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="12" y="58" width="194" height="72" as="geometry"/></mxCell><mxCell id="n2" value="&lt;b&gt;&lt;font color=&quot;#2E7D32&quot;&gt;5.4.1&lt;/font&gt;&lt;/b&gt;&lt;br&gt;DO: Record indicator data using TCH Excel LIS or approved bench logs" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#2E7D32;" vertex="1" parent="lane_mt"><mxGeometry x="12" y="178" width="194" height="74" as="geometry"/></mxCell><mxCell id="n3" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.4.2&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Compile and trend indicator data monthly in F-QM-003-B-V0" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="12" y="300" width="194" height="74" as="geometry"/></mxCell><mxCell id="d1" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.4.3a&lt;/font&gt;&lt;/b&gt;&lt;br&gt;CHECK: Indicator target met?" style="shape=hexagon;perimeter=hexagonPerimeter2;fixedSize=1;size=18;fillColor=#FCEAD6;fontColor=#0F172A;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="7" y="422" width="204" height="60" as="geometry"/></mxCell><mxCell id="n4" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.1&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Continue routine monitoring against quality objectives" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="12" y="539" width="194" height="58" as="geometry"/></mxCell><mxCell id="n5" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.4.3b&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Initiate Action Plan and launch structured CQI study (F-QM-003-B-V0)" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="230" y="531" width="194" height="74" as="geometry"/></mxCell><mxCell id="n6" value="&lt;b&gt;&lt;font color=&quot;#5B3A8C&quot;&gt;5.5.3&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Pathologist review of planned CQI Project Charter (F-QM-003-B-V0)" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#5B3A8C;" vertex="1" parent="lane_path"><mxGeometry x="12" y="659" width="194" height="74" as="geometry"/></mxCell><mxCell id="n7" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.6.2a&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Implement improvement and evaluate effectiveness against target" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="12" y="781" width="194" height="74" as="geometry"/></mxCell><mxCell id="d2" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.6.2b&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Improvement achieved target?" style="shape=hexagon;perimeter=hexagonPerimeter2;fixedSize=1;size=18;fillColor=#FCEAD6;fontColor=#0F172A;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="7" y="903" width="204" height="60" as="geometry"/></mxCell><mxCell id="n8" value="&lt;b&gt;&lt;font color=&quot;#B35C00&quot;&gt;5.6.3&lt;/font&gt;&lt;/b&gt;&lt;br&gt;ACT: Standardize successful improvements into routine laboratory operations" style="rounded=1;arcSize=14;fillColor=#FFFFFF;fontColor=#1E293B;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="12" y="1011" width="194" height="74" as="geometry"/></mxCell><mxCell id="e1" value="&lt;b&gt;&lt;font color=&quot;#FFFFFF&quot;&gt;5.6.4&lt;/font&gt;&lt;/b&gt;&lt;br&gt;Review active quality indicators at annual Management Review" style="rounded=1;arcSize=50;fillColor=#B35C00;fontColor=#FFFFFF;fontStyle=1;strokeWidth=3;html=1;whiteSpace=wrap;fontSize=12;fontFamily=Segoe UI;shadow=1;strokeWidth=1.5;strokeColor=#B35C00;" vertex="1" parent="lane_cmt"><mxGeometry x="12" y="1134" width="194" height="72" as="geometry"/></mxCell><mxCell id="e1" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n1" target="n2"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="399.0" y="236.1"/><mxPoint x="859.0" y="236.1"/></Array></mxGeometry></mxCell><mxCell id="e2" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n2" target="n3"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="859.0" y="358.4"/><mxPoint x="399.0" y="358.4"/></Array></mxGeometry></mxCell><mxCell id="e3" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n3" target="d1"><mxGeometry relative="1" as="geometry"></mxGeometry></mxCell><mxCell id="e4" value="Yes" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="d1" target="n4"><mxGeometry relative="1" as="geometry"></mxGeometry></mxCell><mxCell id="e5" value="No" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=1.000;exitY=0.500;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="d1" target="n5"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="617.0" y="534.8"/></Array></mxGeometry></mxCell><mxCell id="e6" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n4" target="e1"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="399.0" y="719.0"/><mxPoint x="278.0" y="719.0"/><mxPoint x="278.0" y="1191.9"/><mxPoint x="399.0" y="1191.9"/></Array></mxGeometry></mxCell><mxCell id="e7" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n5" target="n6"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="617.0" y="709.0"/><mxPoint x="157.0" y="709.0"/></Array></mxGeometry></mxCell><mxCell id="e8" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n6" target="n7"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="157.0" y="839.1"/><mxPoint x="399.0" y="839.1"/></Array></mxGeometry></mxCell><mxCell id="e9" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n7" target="d2"><mxGeometry relative="1" as="geometry"></mxGeometry></mxCell><mxCell id="e10" value="Yes" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="d2" target="n8"><mxGeometry relative="1" as="geometry"></mxGeometry></mxCell><mxCell id="e11" value="No" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=1.000;exitY=0.500;exitDx=0;exitDy=0;entryX=1.000;entryY=0.500;entryDx=0;entryDy=0;dashed=1;" edge="1" parent="1" source="d2" target="n5"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="738.0" y="1015.5"/><mxPoint x="738.0" y="650.0"/></Array></mxGeometry></mxCell><mxCell id="e12" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.500;exitY=1.000;exitDx=0;exitDy=0;entryX=0.500;entryY=0.000;entryDx=0;entryDy=0;" edge="1" parent="1" source="n8" target="e1"><mxGeometry relative="1" as="geometry"></mxGeometry></mxCell><mxCell id="e13" value="" style="edgeStyle=orthogonalEdgeStyle;rounded=1;html=1;endArrow=block;endFill=1;endSize=5;strokeWidth=1.7;strokeColor=#475569;fontSize=10;fontStyle=1;labelBackgroundColor=#FFFFFF;fontFamily=Segoe UI;exitX=0.000;exitY=0.500;exitDx=0;exitDy=0;entryX=0.000;entryY=0.500;entryDx=0;entryDy=0;dashed=1;" edge="1" parent="1" source="e1" target="n1"><mxGeometry relative="1" as="geometry"><Array as="points"><mxPoint x="36.0" y="1252.0"/><mxPoint x="36.0" y="176.0"/></Array></mxGeometry></mxCell><mxCell id="legend" value="" style="rounded=1;arcSize=6;fillColor=#F8FAFC;strokeColor=#E2E8F0;html=1;" vertex="1" parent="1"><mxGeometry x="24" y="1328" width="952" height="62" as="geometry"/></mxCell><mxCell id="lg_pathologist" value="Pathologist" style="rounded=1;arcSize=30;html=1;whiteSpace=wrap;fontSize=11;fontFamily=Segoe UI;fillColor=#E6DDF2;strokeColor=#5B3A8C;strokeWidth=1.5;" vertex="1" parent="1"><mxGeometry x="40" y="1336" width="95" height="20" as="geometry"/></mxCell><mxCell id="lg_cmt_lqm" value="Chief Medical Technologist / Laboratory Quality Manager" style="rounded=1;arcSize=30;html=1;whiteSpace=wrap;fontSize=11;fontFamily=Segoe UI;fillColor=#FBE3C8;strokeColor=#B35C00;strokeWidth=1.5;" vertex="1" parent="1"><mxGeometry x="143" y="1336" width="319" height="20" as="geometry"/></mxCell><mxCell id="lg_medical_technologists" value="Medical Technologists" style="rounded=1;arcSize=30;html=1;whiteSpace=wrap;fontSize=11;fontFamily=Segoe UI;fillColor=#D5EFD9;strokeColor=#2E7D32;strokeWidth=1.5;" vertex="1" parent="1"><mxGeometry x="470" y="1336" width="152" height="20" as="geometry"/></mxCell><mxCell id="meta" value="Master: draw.io (this file). Parent: LAB-QM-003 5.1, 5.3, 5.4, 5.5, 5.6. Draft - pending review." style="text;html=1;fontSize=9;fontColor=#94A3B8;align=left;" vertex="1" parent="1"><mxGeometry x="24" y="1410" width="952" height="16" as="geometry"/></mxCell></root></mxGraphModel></diagram></mxfile>