NameUnique IDEditionDate of Edition
Policy of Quality policy, Quality Objectives & Quality Indicators LSSTH/B/Central/D/5.5/5 1 01-03-2023
Preparing authorityApproving authorityReview periodReview Date
All teaching staffQuality Manager2 year10/09/2025
Printed copy of this document is considered uncontrolled. It should be compared with controlled electronic copy before use
Sr. No Date of Amendment Page & Clause Number of Amendment Amendment detail Reason for Amendment
1

QUALITY POLICY

  • The Laboratory Services Sir T Hospital (LSSTH), Bhavnagar is committed to provide timely , accurate and precise diagnostic services as per internal standard for medical laboratories and consultative services to all its users with maximum patient satisfaction. It will be operated by a group of qualified, trained & competent staff to minimize sample rejection and hurdles to patients.

QUALITY OBJECTIVES

  1. The laboratory will provide reports under defined Turnaround Time.
  2. The laboratory will do EQAS and IQC as per requirement of ISO 15189:2022 & NABL 112 for each examination under scope, subsequently to maintain accuracy and precision in patient reports.
  3. The laboratory will achieve maximum patient satisfaction under defined patient satisfaction rate.
  4. The laboratory will provide services with minimum sample rejection under defined sample rejection rate.

QUALITY INDICATORS

  1. The laboratory will maintain daily Turnaround Time outliers less than 10% of total Examination done in the laboratory.
  2. The laboratory will maintain monthly EQAS/ ILC with satisfactory or less than 3 Z-score in all the parameters from total scope of NABL accreditation.
  3. The laboratory will maintain monthly CV% of the parameter of the scope under TAE% mentioned in CLIA / standard guidelines.
  4. The laboratory will maintain customer feedback score more than 80% in 75% of total collected feedback forms. Here , we kept 80% of customer feedback as a satisfactory score.
  5. Laboratory will maintain sample rejection less than 10% of the total sample received.