Table 2 Gaps identified after audit and correct or preventive actions taken
S# | Gap identified | Corrective/preventive action taken |
|---|---|---|
1 | Unavailability of contacts of mostly outside referral patients | Medical receptionists and personnel entering information in the medical records were reminded to take patient contact numbers while ordering the TSH test |
2 | Technologists lack critical results reporting policy knowledge | A competency assessment of technologists was performed to evaluate knowledge of the critical results reporting policy Knowledge of the policy was made part of the technologist competency assessment form for serum TSH analysis |
3 | Critical results for TSH were not highlighted on a computer display | Critical results of TSH were highlighted and in a different colour in the integrated laboratory management system |
4 | No monitoring of critical results reported | The critical result reported was made a quality indicator with daily monitoring The goal was set as 100% critical results reported |