Quality Indicators — F-QM-003-A-V0 Register
The laboratory's quality indicators, with definitions, formulas and targets quoted exactly as written in the register — nothing invented. Values are computed from the demonstration snapshot and are not laboratory performance. Print this page for a clean management-review handout.
| ID | Indicator | Formula (as written) | Target | Snapshot value | Status | Governing document / material | Notes |
|---|---|---|---|---|---|---|---|
| QI-PRE-01 | Specimen Rejection Rate | (Rejected specimens / Total accessions received) × 100 | < 1.0% | 0.0% (0/67) | Meets target | F-QM-003-A-V0 · IG-03 wall chart | Demo snapshot. Denominator caveat: register says accessions; LUIB counts specimen rows. |
| QI-PRE-02 | Request Form / Labeling Completeness | (Incorrectly labeled requests / Total requests) × 100 | < 0.5% | — | No data | F-QM-003-A-V0 | Not computable: no labeling-error field exists in LUIB. Stays on F-QM-PRE-003-A-V0. |
| QI-ANA-01 | PT / EQAP Acceptable Performance Rate | (Satisfactory PT / Total PT challenges) × 100 | 100% (Min 80%) | — | No data | F-QM-ANA-004-A-V0 | Not computable: no EQA data in LUIB. Form-based only. |
| QI-ANA-02 | Internal QC Failure / Out-of-Control Rate | (QC runs exceeding 1-3s or 2-2s / Total QC runs) × 100 | < 2.0% | — | No data | LAB-QM-ANA-001 · IG-16 Westgard chart | Not computable: LUIB stores imported interpretations only; mapping to 1-3s/2-2s unverified. See QC page. |
| QI-ANA-03* | Equipment Downtime | Definition not yet written (added by decision 2026-10-21, trending) | To be set | — | No data | F-QM-ANA-005-A-V0 · IG-23 tagout chart | Not computable: no downtime records in LUIB (registry + planned activities only). |
| QI-POST-01 | Routine TAT Compliance | (Routine tests meeting stated TAT / Total routine) × 100 | ≥ 95% | 100.0% (737/737) | Meets target | LAB-QM-POST-003 · IG-12 TAT chart | Demo data only — real TAT logging PAUSED since 2026-08-22. |
| QI-POST-02 | STAT TAT Compliance | (STAT released within 60 min / Total STAT) × 100 | ≥ 98% | — (0/0) | No data | LAB-QM-POST-003 · IG-12 TAT chart | Demo data only. POST-003 text conflicts (30 vs 60 min) — register value 60 min used. |
| QI-POST-03 | Critical Values Notification Compliance | (Critical values called within 15 min / Total critical values) × 100 | 100% | 25.0% (3/12) | Off target | LAB-QM-POST-002 · Critical-value wall chart (WI) | Start anchor = first_finalized_at (PROPOSED mapping, unverified). 15-min rule decided 2026-10-21; masters unamended. |
| QI-POST-04 | Corrected / Amended Report Rate | (Amended reports / Total reports issued) × 100 | < 0.2% | 0.2% (13/6,501) | Near target | LAB-QM-POST-001 · IG-21 amended reports chart | Union of all 5 LUIB amendment tables. |
| QI-GEN-01 | Customer & Patient Satisfaction Rate | (Positive ratings / Total responses) × 100 | ≥ 90% | — | No data | F-QM-004-A-V0 | Not computable: no survey data in LUIB. Form-based only. |
| QI-GEN-02* | Monthly Test Volume / Workload | Count of finalized tests (trending only) | — (trending) | 53,437 finalized tests | No data | LAB-QM-003 · IG-02 QI chart | Added by decision 2026-10-21. By section: CHEM: 29,067, CLINICAL MICRO: 11,186, FECALYSIS: 1,833, HEMA: 8,177, SEROLOGY: 3,174 |
Status rule: green = meets the target as written; amber = near (rejection < 2.0%, amended < 0.5%, routine TAT ≥ 90%, STAT ≥ 94%, critical ≥ 90%); red = outside that band; grey = not computable from LUIB data.
TCH Laboratory — Quality Indicators (F-QM-003-A-V0) · Source: snapshot luib_snapshot.db,
2026-10-24 · Demonstration data — not laboratory performance · Read-only QMS dashboard prototype