| ID | Indicator | How it is calculated | Target | Frequency | Owner |
|---|
| Pre-examination |
| QI-PRE-01 | Specimen Rejection Rate | Rejected specimens ÷ total accessions received × 100 | < 1.0% | Monthly | Medical Technologist (Receiving) |
| QI-PRE-02 | Request Form / Labeling Completeness | Incorrectly labeled or identified requests ÷ total requests × 100 | < 0.5% | Monthly | Medical Technologist (Phlebotomy) |
| Examination |
| QI-ANA-01 | PT / EQAP Acceptable Performance Rate | Satisfactory PT results ÷ total PT challenges evaluated × 100 | 100% (min 80%) | Per survey / annual | Chief Medical Technologist |
| QI-ANA-02 | Internal QC Failure / Out-of-Control Rate | QC runs exceeding 13s or 22s limits ÷ total QC runs × 100 | < 2.0% | Monthly | Medical Technologists (Bench) |
| QI-ANA-03* | Equipment Downtime | Total equipment out-of-service time recorded for the month | Trending — target to be set | Monthly | Medical Technologists (Bench) |
| Post-examination |
| QI-POST-01 | Routine Test Turnaround Time (TAT) | Routine tests meeting stated TAT ÷ total routine tests × 100 | ≥ 95% | Monthly | Chief Medical Technologist |
| QI-POST-02 | STAT Test TAT Compliance | STAT tests released within 60 min ÷ total STAT tests × 100 | ≥ 98% | Monthly | Chief Medical Technologist |
| QI-POST-03 | Critical Values Notification Compliance | Critical values called within 15 min ÷ total critical values × 100 | 100% | Monthly | Medical Technologists (Testing) |
| QI-POST-04 | Corrected / Amended Report Rate | Corrected / amended reports ÷ total reports issued × 100 | < 0.2% | Monthly | Chief Medical Technologist |
| General QMS |
| QI-GEN-01 | Customer & Patient Satisfaction Rate | Positive satisfaction ratings ÷ total survey responses × 100 | ≥ 90% | Quarterly / annual | Chief Medical Technologist |
| QI-GEN-02* | Monthly Test Volume & Workload | Total tests performed in the month (count) | Trending only — no target | Monthly | Chief Medical Technologist |
TARGET MISSED
OR BAD TREND?
1 · OccurrenceAcute incident → LAB-QM-010
→
2 · CAPASystemic / recurring → LAB-QM-011
→
3 · Risk updateNew hazard → LAB-QM-009
→
4 · CQI studyBroader improvement → F-QM-003-B-V0
