| Phase | Quality indicator | Value | Numerator / denominator | Target | Status | Trend | Note / corrective action |
|---|---|---|---|---|---|---|---|
| Pre-analytical | Sample rejection rate Rejected samples ÷ samples received × 100 | 1.31 % | 41 / 3,120 | ≤ 1.5 % | Green | – | |
| Pre-analytical | Recollection completed within 24 h Recollections done within 24 h ÷ rejections needing recollection × 100 | 94.4 % | 34 / 36 | ≥ 90 % | Green | – | |
| Pre-analytical | Identification errors Rejections for unlabelled or mislabelled samples ÷ samples received × 1,000 | 0.64 / 1,000 | 2 / 3,120 | ≤ 1 / 1,000 | Green | – | |
| Pre-analytical | Received outside stability or temperature Rejections for delayed transport or temperature excursion ÷ samples received × 100 | 0.29 % | 9 / 3,120 | ≤ 0.5 % | Green | – | |
| Pre-analytical | Home collections collected within slot Visits collected before the booked slot ended ÷ visits collected × 100 | 88.6 % | 248 / 280 | ≥ 90 % | Amber | – | Two phlebotomists on leave in week 3; route re-planned. |
| Pre-analytical | Transfer-manifest discrepancies Manifest items marked missing or rejected ÷ items dispatched × 100 | 0.4 % | 3 / 742 | — | No data | – | |
| Analytical | IQC runs rejected Rejected QC runs ÷ QC runs (not excluded) × 100 | 1.9 % | 9 / 468 | ≤ 3 % | Green | – | |
| Analytical | QC rejections with corrective action within 24 h Rejected runs acknowledged with corrective action within 24 h ÷ rejected runs × 100 | 100 % | 9 / 9 | ≥ 95 % | Green | – | |
| Analytical | EQAS results unacceptable Unacceptable EQAS/PT results ÷ results reported × 100 | 0 % | 0 / 14 | ≤ 5 % | Green | – | |
| Analytical | Repeat-run rate Results with a repeat run ÷ results × 100 | 1.2 % | 71 / 5,904 | — | No data | – | |
| Analytical | Analyzer results unmatched Unmatched analyzer messages ÷ inbound analyzer messages × 100 | 0.5 % | 22 / 4,410 | — | No data | – | |
| Analytical | Equipment downtime Sum of breakdown downtime minutes ÷ 60 | 3.5 h | ≤ 8 h | Green | – | ||
| Post-analytical | TAT outliers Samples signed later than receipt + the longest test TAT on the sample ÷ samples signed × 100 | 6.8 % | 205 / 3,015 | ≤ 10 % | Green | – | |
| Post-analytical | STAT median TAT Median minutes from receipt to sign-off for STAT orders | 48 min | — | No data | – | ||
| Post-analytical | Critical values acknowledged within target Critical alerts acknowledged within N minutes ÷ critical alerts × 100 | 82 % | 23 / 28 | ≥ 95 % | Red | – | Two calls unanswered on 14 Oct; escalation number updated. |
| Post-analytical | Amended reports Reports amended ÷ reports signed × 100 | 0.3 % | 9 / 3,015 | — | No data | – | |
| Post-analytical | Reports delivered within 30 min of sign-off Reports sent to the patient within M minutes of sign-off ÷ reports sent × 100 (no data if messaging is off) | 93.7 % | 2,780 / 2,967 | ≥ 90 % | Green | – | |
| Post-analytical | Complaints per 1,000 visits Complaints logged ÷ orders × 1,000 | 1.2 / 1,000 | 4 / 3,305 | — | No data | – |
Targets are set by the laboratory. "No data" means the source register had no entries for the month, not a value of zero. This report supports, and does not replace, the laboratory's management review.
Generated by PathLab Software on 04 Nov 2026, 14:58. Software outputs support, and never replace, the professional judgement of the laboratory's pathologist.