Preventive Action Plan
Preventive Action Plan
Preventive Action Plan
PRE-ANALYTICAL PHASE
ANALYTICAL PHASE
POST ANALYTICAL
PRE-ANALYTICAL
Patient Sample Collection of sample Phlebotomists are Quality Manager and Laboratory Director & Continuous
Collection trained on sample Laboratory Director are Quality Manager
collection, order of draw given the responsibility
and only then they are to see that newly
allowed to draw patient appointed
sample. phlebotomists are well
trained and after
evaluation of their
competency, they are
allowed to draw patient
samples.
Patient Preparation Patient information Laboratory director & Laboratory Director & Done
booklet, training of Quality Manager have Quality Manager
receptionist been given the
responsibility to train
receptionists on patient
preparation and make
the patient information
booklet available
ANALYTICAL
Equipment Reduction of Breakdown CMC & AMC with LD & Quality Manager LD & Quality Manager Continuous
Maintenance Machine supplier have been given the
and responsibility to ensure
Performance that all equipment used
in the laboratory are
under AMC contract
Machine measurement Calibration of the Quality Manager & Quality Manager & As & when required
performance and Equipment Departmental I/Cs are Departmental I/Cs
establishing traceability to ensure that all
of the measurement. equipment are
calibrated as per the
calibration plan
Calibration records are
maintained Use of non-
calibrated equipment
must be prevented.
Reduction of equipment Checking of electrical Electrical dept. Should Electrical Dept. Continuous
performance error earthing by licensed ensure that the
Electrician electrical earthing of the
laboratory is optimal for
equipment
performance.
Accuracy of Test Quality in test results Quality control program Quality Manager & Quality Manager & Continuous
results is initiated, departmental I/Cs departmental I/Cs
1. Using available should review the QC
commercial data & perform
control appropriate root cause
2. Replicate & analysis wherever
Retesting outlier is identified.
3. Correlation of Accordingly corrective
results action to be taken.
4. Participation in
External Quality
Assurance
program
5. Interlaboratory
testing
POST ANALYTICAL
Test Report Reduction of Interfacing of all IT department has been IT Department Continuous
Typographical Error analyzers given the responsibility
to ensure that LIS
system is interfaced.
GENERAL
Safe work Human safety 1) Training on Sample Quality manager is to Quality Manager As per Schedule
Environment handling ensure that all
laboratory personnel
are trained.
2) Immunization Quality manager is to Quality Manager As per Schedule
ensure that all
laboratory personnel
are immunized.
3) Personal protective Quality manager is to Quality Manager As per Schedule
gears like gloves apron ensure that all personal
etc protective gears are
available.
4) Training of Quality manager is to Quality Manager As per Schedule
Laboratory Personnel on ensure that all
control & prevention of laboratory personnel
Adverse incidence. are trained.