Tarangnan Community Hospital — Clinical Laboratory

When the System Goes Down

LIS and power downtime — manual reporting and recovery (LAB-QM-IT-002 Figure 1).

INFOGRAPHIC IG-19
Source: LAB-QM-IT-002
Version V0 — DRAFT

1 · It happens — declare it

The trigger: power fails beyond the battery capacity of the UPS, or the computer cannot be booted.
Immediately inform the Chief Medical Technologist.
Notify inpatient nursing stations that manual reporting is active.
Primary analyzers continue running on emergency generator power.

2 · Work on paper — log everything

Samples are received using standard paper requisition slips with full patient identifiers — two identifiers.
Every manual report issued is logged on F-QM-IT-002-A-V0.
Critical values are reported verbally with read-back and documented on the downtime log.

3 · Recovery — prove it matches

Power or computer restored? Verify system stability before starting retrospective LIS entry (back-encoding).
Enter all tests logged on F-QM-IT-002-A-V0 into the electronic Lab-LIS.
A second technologist cross-checks the electronic entries against the paper originals.
Close out the downtime event only when transcription accuracy is verified with no unresolved discrepancies.

Power / LIS fails

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Inform the CMT

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Manual reporting — log all

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Restore + back-encode

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Second-person check