Health and Safety and ward/environmental inspections and audits Monitoring adherence to policies via performance management programmes/appraisals The Laboratory Medicine IT Manager produces quarterly incident, accident, non-conformities and reports and also an annual report incorporated into the Laboratory Medicine annual management review. Monitoring of ethnicity and diversity and equality legislation where appropriate Meeting minutes / other evidence demonstrating effective functioning of arrangements as Outlined within the policy. Where a committee is nominated to review the policy / procedure compliance then that committee should also be consulted as part of the development and ratification process. Standard / Monitoring and audit process / issue Method By Committee Frequency CPA standards Scheduled Quality Manager or The Directorate of Monthly program of program of audit devolved Laboratory Quality for the Medical for The Directorate responsibility to Medicine Clinical Management Laboratory of Laboratory Quality and Governance and Audit. Medicine Quality Training team Quality Committee. Management member. System. Quality Manager or The Directorate of Monthly program of ISO15189 Scheduled devolved Laboratory Quality Standard for the program of audit responsibility to Medicine Clinical Management Medical for The Directorate Quality and Governance and Audit. Laboratory of Laboratory Training team Quality Committee. Medicine Quality member Management System. Quality Manager or The Directorate of Monthly program of Blood Safety and devolved Laboratory Quality Quality Scheduled responsibility to Medicine Clinical Management Regulations program of audit Quality and Governance and Audit. (BSQR) 2006 for The Directorate Training team Quality Committee of Laboratory member Medicine Quality Management System Quality Manager or Monthly program of Care Quality devolved The Directorate of Quality Commission responsibility to Laboratory Management Standards for Scheduled Quality and Medicine Clinical Audit. provider quality program of audit Training team Governance and checking for The Directorate member Quality Committee of Laboratory Medicine Quality Management
Health and Safety and ward/environmental inspections and audits Monitoring adherence to policies via performance management programmes/appraisals The Laboratory Medicine IT Manager produces quarterly incident, accident, non-conformities and reports and also an annual report incorporated into the Laboratory Medicine annual management review. Monitoring of ethnicity and diversity and equality legislation where appropriate Meeting minutes / other evidence demonstrating effective functioning of arrangements as Outlined within the policy. Where a committee is nominated to review the policy / procedure compliance then that committee should also be consulted as part of the development and ratification process. Standard / process / issue Monitoring and audit Method By Committee Frequency CPA standards for the Medical Laboratory ISO15189 Standard for the Medical Laboratory Blood Safety and Quality Regulations (BSQR) 2006 Care Quality Commission Standards for provider quality checking Scheduled program of audit for The Directorate of Laboratory Medicine Quality Management System. Scheduled program of audit for The Directorate of Laboratory Medicine Quality Management System. Scheduled program of audit for The Directorate of Laboratory Medicine Quality Management System Scheduled program of audit for The Directorate of Laboratory Medicine Quality Management Quality Manager or devolved responsibility to Quality and Training team member. Quality Manager or devolved responsibility to Quality and Training team member Quality Manager or devolved responsibility to Quality and Training team member Quality Manager or devolved responsibility to Quality and Training team member The Directorate of Laboratory Medicine Clinical Governance and Quality Committee. The Directorate of Laboratory Medicine Clinical Governance and Quality Committee. The Directorate of Laboratory Medicine Clinical Governance and Quality Committee The Directorate of Laboratory Medicine Clinical Governance and Quality Committee Monthly program of Quality Management Audit. Monthly program of Quality Management Audit. Monthly program of Quality Management Audit. Monthly program of Quality Management Audit.