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Laboratory Administration
Operations
Organization of the Laboratory

Reviewer: Richard E. Horowitz, M.D. (see Reviewers page)
Revised: 15 June 2013, last major update June 2013
Copyright: (c) 2012-2013, PathologyOutlines.com, Inc.

Introduction
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Prerequisites
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  1. Clear designation of authority and responsibility
  2. Precise identification of operations to be performed and goals to be achieved
  3. Accurate assessment of available personnel, skills, space, equipment and supplies needed to perform operations and implement the Strategic Plan

Some things to do
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  1. The Organizational Chart
    1. Establishes core authority and responsibility (JC Requirements)
    2. Clarifies different authorities and responsibilities for the Laboratory Director, the Pathologists, the Laboratory Manager and the Technical Supervisors (CLIA requirements)
    3. Identifies hierarchies and relationships
    4. Clarifies reporting lines
    5. Clarifies expectations
    6. Types include Hierarchical, Horizontal and Matrix
    7. To be of value, the organizational chart must be prominently displayed
    8. See example of hierarchical chart below

  2. The Policy Manual(s)
    1. Policies are the laws and rules of the organization and its units
    2. Employee Handbook is published by human resource department
    3. Safety Manual generally comes from the risk management department
    4. IT and Purchasing Manuals originate in these departments
    5. The Laboratory (User) Manual is the responsibility of the laboratory and contains information for the laboratory's users:
      1. Laboratory Staff - names, phones, expertise
      2. Accreditation Information - CAP, AABB, CLIA
      3. Location, hours of operation
      4. Test Ordering Information, STAT's
      5. Specimen requirements, collection information
      6. Result reporting systems
      7. How to use computer
      8. Listing of individual tests including test name, synonyms, when to order test, patient preparation, what specimen to collect, availability, TAT, methodology, result interpretation, reference ranges, sensitivity, specificity, predictive value, diagnostic efficiency
      9. Other important information, e.g. POC testing

  3. Procedure Manuals contain the instructions for performing specific tests or other laboratory specific tasks such as Equipment Maintenance Manuals

Diagrams
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Hierarchical chart

End of Laboratory Administration > Operations > Organization of the Laboratory


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