- Biomedical Laboratory Services (29.13)
- Transfusion Services (26.5, 26.6)
- Point-of-Care Testing Standards (10.11)
Nonconformities are adverse events that increase laboratory workloads, pose a risk to user safety (sample loss, test result delays, unperformed tests, erroneous results, results matched to the wrong user, etc.), and nonconformity management is costly.
Since 2012, we have been pilot testing an electronic platform (HOOP by Kiwi Technologies) to manage and resolve nonconformities: www.wehoop.com. Previous methods (a hard-copy form and use of the laboratory information system) proved ineffectual, but the intelligent platform has provided us with ways to communicate, collaborate, document, track, monitor and motivate, allowing us to achieve our nonconformity management objective. In fact, nonconformities decreased by more than 65% between 2012 and 2015, mainly driven by effective curative action. Thanks to this decrease, we have also realized significant savings in adverse event management. Between 2015 and October 2016, we saw an increase in adverse event reporting, because staff members are more motivated to report adverse events, including non-pretest events, and covering other laboratory activities. In the resolution of complex, often systemic problems, real savings start with the use of proper tools.