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F-QM-013-A-V0 — Management Review Record & Action Follow-Up Log

Type: Form · Version: V0 · Status: DRAFT — UNAPPROVED · Served read-only from the bundled QMS copies. The Drive master is untouched.

Parent document: LAB-QM-013 — Management Review Policy (parent is encoded in the form number)

Rendered in-browser from the project's Word file F-QM-013-A-V0-management-review-record.docx (policies-docx / forms-docx — the file Junry reviews). Formatting is faithful, not pixel-perfect; the DOCX is the official copy.

Document #	F-QM-013-A-V0	Parent Document	LAB-QM-013 — Management Review Policy

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# SECTION A — ANNUAL MANAGEMENT REVIEW RECORD

Part 1 — Review Identification & Meeting Type

Field	Details
Review Reference No.:	MR-YYYY-____
Date(s) Conducted:	YYYY-MM-DD
Meeting Venue:	Hospital Conference Room / Administrative Office
Review Type:	[ ] Annual Scheduled Review [ ] Extraordinary Review (Trigger: ________________________)

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Part 2 — Participants & Quorum

Governance Role	Name	Present
Hospital Director (Chair):		[ ] Yes [ ] No
Pathologist / Head of Laboratory:		[ ] Yes [ ] No
Chief Medical Technologist / LQM (Secretary):	Junry, RMT	[ ] Yes [ ] No
Safety Officer / Invited Personnel:		[ ] Yes [ ] No

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Part 3 — Planned Input Agenda & Evaluation Summary

Review of the required quality management inputs per LAB-QM-013 Section 5.4:

#	Mandatory Input Agenda Area	Sourced Record Reference	Summary of Deliberations & Findings
1	Status of actions from previous reviews	F-QM-013-A Section B	All previous action items reviewed; carryover noted below.
2	Internal and external changes affecting QMS	Hospital / DOH updates	Scope, staffing, and regulatory inspection updates reviewed.
3	Workload volume and clinical services	LIS test statistics	Primary test volume trends and referral patterns evaluated.
4	Adequacy of physical and human resources	Budget / Staffing review	Analyzer reagents, staffing complement, and UPS capacity reviewed.
5	Fulfilment of annual quality objectives	F-QM-001-A Part 4	Progress on strategic quality goals and annual targets evaluated.
6	Internal audit findings & nonconformities	F-QM-012-A / F-QM-010-A	Cycle 1 and Cycle 2 audit findings and root causes reviewed.
7	External regulatory and PT assessments	NEQAS / DOH LTO records	Proficiency testing performance and DOH licensing checklist audited.
8	Quality indicators performance trends	F-QM-003-A Part 1 & 2	Turnaround time, specimen rejection, and critical value metrics.
9	Status of corrective & preventive actions	F-QM-011-A Section B	Closed-loop effectiveness of open and completed CAPAs.
10	Client feedback, complaints, and surveys	F-QM-004-A Section B & D	Patient satisfaction scores (>=90% target) and complaint resolution.
11	Continuous quality improvement studies	F-QM-003-B Section A	Ongoing PDCA charters and clinical study outcomes evaluated.
12	Recommendations for system improvement	Staff submissions	New opportunities for workflow digitization and bench enhancements.

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Part 4 — Management Review Decisions & System Outputs

Output Dimension	Executive Decisions & Directives Approved by Hospital Director & Pathologist
1. QMS Effectiveness & Policies:	Approval of updated Quality Management Manual, policies, and continuous compliance measures.
2. Clinical Service Improvements:	Specific measures to streamline outpatient turnaround time and specimen collection quality.
3. Resource Allocations:	Budgetary commitments for analyzer service contracts, backup power maintenance, and staff CPD.
4. Quality Objectives for Next Year:	Approved revisions to Key Performance Indicators and new annual targets.

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# SECTION B — MANAGEMENT REVIEW ACTION & FOLLOW-UP LOG

The Chief Medical Technologist / Laboratory Quality Manager maintains this log to track all management directives through completion:

Action Ref No.	Status	Carryover to Next MR?
MR-ACT-01	[ ] Open [ ] Closed	[ ] Yes [ ] No
MR-ACT-02	[ ] Open [ ] Closed	[ ] Yes [ ] No
MR-ACT-03	[ ] Open [ ] Closed	[ ] Yes [ ] No
MR-ACT-04	[ ] Open [ ] Closed	[ ] Yes [ ] No

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Part 5 — Executive Concurrence & Authorization

Role	Name	Signature	Date
Documented by: Chief Medical Technologist / LQM	Junry, RMT
Reviewed by: Pathologist / Head of Laboratory
Approved by: Hospital Director