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Justificativas A revisao da necessidade do jejum para determinacao do perfil lipidico (colesterol total, LDL-C, HDL-C, nao-HDL-C e triglicerides [TG]) baseia-se nas seguintes justificativas: […] Posicionamento sobre a Flexibilizacao do Jejum para o Perfil Lipidico

PurposeThe purpose of this paper is to test the applicability and benefits of benchmarking as a tool for quality analysis in Brazilian laboratory medical services.Design/methodology/approachA primary observational study is performed in eight hospital laboratories by tracking the receipt, analysis and return to participants of monitoring reports relating to several quality indicators for the years 2005 and 2006. Whenever possible, the paper applies 6σ criteria as an independent assessment of process quality.FindingsData obtained for the eight laboratories showed a monthly average (±SD) of 178,579 (±153,670) tests performed per laboratory, with 40,256 (±44,858) requisitions and 4.77 (±1.33) tests per requisition. Overall, productivity was 7.35 (±2.46) tests per man‐hour of work (MHW), increasing to 15.36 (±6.00) when considering only the analytical sector staff. An average of 1.63 (±1.14) lost hours per hundred MHW were reported (level 3.6σ), with 3.86 (±5.10) accidents at work reported (AWR) per hundred thousand MHW (level 5.5σ) and 4.22 (±2.61) redraws per thousand requisitions attended (level 4.1σ). The turn‐around‐times were 2.25 (±0.98), 3.29 (±2.12) and 8.54 (±3.25) hours for glucose level, haemogram and human immunodeficiency virus serology, respectively.Practical implicationsBenchmarking proved to be a useful and feasible tool for quality management in Brazilian clinical laboratories, particularly when associated with independent tools for evaluating the quality of laboratorial processes.Originality/valueThis is the first Brazilian study reporting that benchmarking provides useful information on the performance of different clinical laboratory processes and, therefore, could become an important tool for laboratory management.

A prática da Medicina Laboratorial vem mudando em conseqüência do desenvolvimento tecnológico e regulamentações dos Sistemas de Saúde levando à implantação de Sistemas de Qualidade e monitoramento de indicadores. A aplicabilidade e os potenciais benefícios do Benchmarking como instrumento de análise da qualidade foram testados em um grupo de oito laboratórios hospitalares através do recebimento, análise e devolução aos participantes de Relatórios de Acompanhamento relativos a indicadores diversos dos anos de 2005 e 2006. O método 6 foi utilizado, quando aplicável, para avaliar a qualidade dos processos. Foram colhidos dados de indicadores de produção, produtividade, absenteísmo segurança no trabalho, recoletas e tempo para liberação de laudos. O Benchmarking é uma ferramenta útil e aplicável para a gestão de qualidade nos laboratórios clínicos, principalmente quando associado a instrumento independente de avaliação de qualidade de processos, porém é necessária a definição de mecanismos que garantam a confiabilidade dos dados primários utilizados nos programas Laboratory Medicine practice is changing as a result of technological development and regulations pressures, letting to the implementation of quality systems and monitoring indicators. This study tested Benchmarking applicability and benefits as a tool for quality analysis in brazilian laboratory medicine services. The study was performed with eight hospital laboratories through the receipt, analysis and return to the participants of Monitoring Reports, relating to several quality indicators for the years 2005 and 2006. 6 Sigma criteria was applied as independent assessment of process quality. Data obtained shows indicators of total production, productivity, absenteeism, safety at work, redraws and turn-around-times. Benchmarking showed to be a useful and feasible tool for quality management in Brazilian clinical laboratories, particularly when associated to independent tools for evaluating the quality of laboratorial processes