Test Result Reporting: SLMTA Trainer's Guide
Test Result Reporting: SLMTA Trainer's Guide
MODULE 9
Test Result
Reporting
Performance Outcome
With satisfactory participation in the training and successful implementation of laboratory
improvement projects, a participant’s laboratory should achieve the following outcome:
Reporting of accurate test results and findings within established turn around time
Satisfied clients
TABLE OF CONTENTS
This activity supports the following laboratory management tasks and SLIPTA checklist items
Management Tasks 1.12 Develop and implement lab improvement plans based on best practices and
feedback from staff, patients, customers, quality indicators, and external
assessment
9.3 Consult with clients regarding specimen quality, test results and findings in a
professional manner and ensure each issue is resolved promptly and
documented appropriately
9.4 Conduct customer satisfaction survey to identify areas for improvement
Checklist Items 1.5 Laboratory Policies and Standard Operating Procedures Are policies and/or
standard operating procedures (SOPs) for laboratory functions, technical and
managerial procedures current, available and approved by authorized
personnel? (Communication (internal and external); Advisory Services;
Resolution of Complaints and Feedback; Continual Improvement)
4.1 Advice and Training by Qualified Staff Do staff members with appropriate
professional qualifications provide clients with advice and/or training
regarding required types of samples, choice of examinations, repeat
frequency, and interpretation of results?
4.2 Resolution of Complaints Does the laboratory investigate (review) and
resolves of customer complaints?
4.3 Laboratory Handbook for Clients – information to users Is there a laboratory
handbook for laboratory users that includes information on location of the lab,
services offered, laboratory operating times, instructions on completion of
request forms, instruction for preparation of the patient; sample collection
including patient collected samples, transport, agreed turnaround times,
acceptance and rejection criteria, availability of advice on examination and
interpretation of results; lab policy on protection of personal information,
laboratory complaints procedure?
4.4 Communication Policy on Delays in Service Is timely, documented notification
provided to customers when the laboratory experiences delays or
interruptions in testing (due to equipment failure, stock outs, staff levels, etc.)
or finds it necessary to change examination procedures and when testing
resumes?
4.5 Evaluation Tool and Follow up Is there a tool for regularly evaluating client
satisfaction, staff suggestions and is the feedback received effectively utilized
to improve services?
11.2 Quality Management System Improvement Measures Does the laboratory
ACTIVITY AT-A-GLANCE
Step Time Resources Key Points
Discuss why it is
Slides 9.4 to 9.7
1 important to focus on 5 min
customer needs
Job Aid 1
6 Discuss Job Aids 10 min
Job Aid 2
PROCESS
Preparation
Gather supplies required for the role-play.
Preselect three participants to perform the role-play. Provide them with Tool:
Clinic Day Role-play Script in advance.
Project Slides 9.8. Ask participants to brainstorm about how they could
assess customer satisfaction in their own lab. Remind them that they can
address the concerns of any of their customers.
Give participants 5 minutes to write down ideas on ‘post-it notes’ and post on
the flip chart. Possible responses include:
o Survey patients using a questionnaire regularly
Patient care is why laboratories exist. Laboratorians Perceive the patient’s point of
must strive to ensure the quality of services. view?
The extent to which customer expectations are met or Use the tools provided to
not must be determined by querying. assess customer satisfaction?
Customer satisfaction data will be critical to improve Use the tools provided to
laboratory service. improve customer service?
ACTIVITY OBJECTIVES
MET?
Setting:
Diabetic Clinic Day at your hospital/health center. The diabetic patients
come to your facility fasting and must have their blood drawn before they can
eat breakfast. The Laboratorian is to be positioned in the “lab”. The two
patients are to be positioned outside the “lab”.
Actors:
1) Laboratorian
2) Diabetic Patient #1
3) Diabetic Patient #2
Resources:
Cell phone (may borrow one from participants or provide toy cell
phone)
Lab Coat - to identify laboratorian (optional)
Table with sign designating “Laboratory” (optional)
Action:
Laboratorian: Talking on Cell Phone about personal matters. He /She never
even notices or acknowledges the patients. Makes conversation with friend
on cell phone.
Diabetic patient #1 (answering Diabetic patient #2): I do not even see the
laboratory technician. Shall we go into the lab to ask for assistance?
Diabetic patient #1 and #2 pretend to open the “door” and walk into the lab.
They observe the laboratorian on the cell phone.
The laboratorian continues to talk and does not notice the patients.
The END!
For inpatients:
Knock first before entering any patient room. Respect patient
privacy. If a patient is busy or has guests, greet them as above
and ask “May I draw your blood now?” If the answer is no, ask
the patient “When may I return to draw your blood?”
Patient asks, “What tests Answer: “There are a variety of reasons for a doctor to order
are being ordered? Why any laboratory test. Your doctor can explain exactly why he/she
is my doctor ordering is ordering tests on you.”
these tests?”
Patient complains about a Let the patient vent first then listen carefully to the problem.
long wait or poor Offer a sincere blameless apology like “I am sorry you had that
customer service experience. What can I do to help you?”
If follow-up is required, state: “I will speak with the appropriate
parties and we will get back to you. Thank you for bringing this
to our attention.” (Make no inference that someone failed to do
their job or should have done it differently.)
You miss the vein or fail Explain to the patient, “I had some difficulty in obtaining your
to obtain blood blood. I will need to make a second attempt to draw it. Please
bear with me as I try again.” (No excuses or comments on
veins are difficult, rolling veins, etc.)
Patient states doctor did Answer: “I will recheck your order with the doctor/nurse.”
not order these tests (Confirm with nurse the orders on the patient.)
On return, advise the patient “I have verified your orders with
the doctor/nurse and I do need to draw blood based on your
doctor orders.”
Distribution: Standard Operating Policy and Procedures Manual / All laboratory sections
Thank you for taking the time to complete our customer service survey.
This activity supports the following laboratory management tasks and SLIPTA checklist items
Management Tasks 1.12 Develop and implement lab improvement plans based on best practices and
feedback from staff, patients, customers, quality indicators, and external
assessment
9.3 Consult with clients regarding specimen quality, test results and findings in a
professional manner and ensure each issue is resolved promptly and
documented appropriately
9.4 Conduct customer satisfaction survey to identify areas for improvement
Checklist Items 1.2 Laboratory Quality Manual Is there a current laboratory quality manual,
composed of the quality management system’s policies and has the manual
content been communicated to, understood and implemented by all staff?
1.5 Laboratory Policies and Standard Operating Procedures Are policies and/or
standard operating procedures (SOPs) for laboratory functions, technical and
managerial procedures current, available and approved by authorized
personnel?(Resolution of Complaints and Feedback; Pre-examination
Processes)
2.2 Management Review Does the laboratory management perform a review of
the quality system at a management review meeting at least annually?
4.1 Advice and Training by Qualified Staff Do staff members with appropriate
professional qualifications provide clients with advice and/or training regarding
required types of samples, choice of examinations, repeat frequency, and
interpretation of results?
4.2 Resolution of Complaints Does the laboratory investigate (review) and
resolves of customer complaints?
4.3 Laboratory Handbook for Clients – information to users Is there a laboratory
handbook for laboratory users that includes information on location of the lab,
services offered, laboratory operating times, instructions on completion of
request forms, instruction for preparation of the patient; sample collection
including patient collected samples, transport, agreed turnaround times,
acceptance and rejection criteria, availability of advice on examination and
interpretation of results; lab policy on protection of personal information,
laboratory complaints procedure?
4.4 Communication Policy on Delays in Service Is timely, documented notification
provided to customers when the laboratory experiences delays or
interruptions in testing (due to equipment failure, stock outs, staff levels, etc.)
or finds it necessary to change examination procedures and when testing
resumes?
4.5 Evaluation Tool and Follow up Is there a tool for regularly evaluating client
ACTIVITY AT-A-GLANCE
Step Time Resources Key Points
Brainstorm ideas to
Flipchart &
5 improve 10 min
markers
communication
1 hr 30
TOTAL TIME:
min
PROCESS
Preparation
Prior to the workshop, make arrangements for at least three clinicians to come
and meet with the laboratorians.
o Specify the time, location, and expected duration of the activity.
o Provide Tool: Questions for Clinicians to invited clinicians so they can
prepare for the discussion.
o Explain the goal for the activity is to encourage communication and
teamwork for quality patient care.
therefore, there are issues that they did not know existed.
o Both clinicians and laboratorians appreciate mutual respect.
o Specimen rejection is fraught with misunderstanding and may be an
issue of frustration for both groups.
Step 6. Present Job Aid & Quality Improvement Project Plan 5 min
Present Job Aid: Creating a Clinician Handbook. With its clearly outlined
laboratory policies, a clinician handbook can serve as a key communication
tool. A handbook would include information on specimen management,
laboratory hours, expected turn-around-times, etc
Communication is the first step in building an effective Describe the concerns and
patient care team. requirements of other members
on the patient care team?
Both clinicians and laboratorians desire to provide
excellent patient care. Appreciate the importance of
ongoing teambuilding and
All members of the patient care team have specific communications between
requirements which must be met in order to provide the clinicians and laboratorians?
best patient care.
Explain the benefits of a written
Clinician Handbook?
1. In your viewpoint, what role does the laboratory play in patient care?
1. In your viewpoint, what actions does the clinician perform that enhance
the patient care provided by the laboratory?
4. Share an experience when the actions of the physician did not result in
provision of excellent patient care. Focus on how the patient was
affected.
Table of Contents