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Related Experiment Videos

Trends in quality management.

R C Bartlett1

  • 1Department of Pathology, Hartford (Conn) Hospital 06115.

Archives of Pathology & Laboratory Medicine
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

Clinical laboratory quality control has evolved significantly since 1950. Modern approaches emphasize continuous quality improvement for cost-effective healthcare, moving beyond regulatory inspection.

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Area of Science:

  • Clinical laboratory science
  • Healthcare management
  • Quality improvement methodologies

Background:

  • Quality control in clinical laboratories has a history dating back to at least 1950.
  • Regulatory involvement has increased over the past 20 years, focusing on inspection and error detection.
  • The focus is shifting from internal laboratory processes to outcome-based indicators.

Purpose of the Study:

  • To explore the evolution of quality control in clinical laboratories.
  • To examine the impact of regulatory oversight on quality management.
  • To highlight the potential of continuous quality improvement (CQI) in healthcare.

Main Methods:

  • Historical review of quality control practices in clinical laboratories.
  • Analysis of the shift in focus from process monitoring to outcome measurement.

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  • Examination of industrial continuous quality improvement models.

    • Main Results:

    • Quality management has transitioned from internal process monitoring to external regulatory inspection and fault-finding.
    • Recent trends emphasize outcome indicators over process measures.
    • Continuous quality improvement offers a model for enhancing quality and reducing costs.

    Conclusions:

    • Continuous quality improvement, inspired by industrial models, presents an opportunity to improve clinical laboratory efficiency and quality.
    • This approach can lead to cost-effective healthcare delivery.
    • Adopting CQI may offer an alternative to government-managed healthcare systems.