Information
Management
1Information Management-Module 16
Information Management-Module 16 2
At the end of this activity, you will be able to:
Appreciate the importance of laboratory data
Describe important elements of an information
management system,
Explain things to consider when developing a
manual, paper-based information system;
Describe the advantages and disadvantages of a
computerized information management system
Properly capture data
Effectively utilize laboratory data for information
generation and decision making
Accurate & timely report on the quality indicators
Learning Objectives
Role in Quality Management System
Information Management-Module 16 3
The test result is the final
product of the laboratory.
Quality Lab
Report
Information Management-Module 16 4
Information Management-5.10
Paper-
based
Electronic
Establish processes for
managing data
Patient
information
Lab managers
need to ensure:
accessible
accurate
timely
secure
confidential
private
Quality Lab Report
ID 0905120047
Information Management-Module 16 5
Effective
communication
Effective
reporting
systems
Confidential
Data
protection
Checking
processes
Logs,
worksheets
Standardized
request forms
Unique
identifiers
samples,
patients
Important
elements
Unique Identifiers
Laboratories need to assign unique sample
identifiers:
Code: YYMMDDXXXX -0905120047 means sample
#47
received on May 12, 2009
Information Management-Module 16 6
Patient
identifiers
Test request form-5.4.3
Information Management-Module 16 7
ISO 15189
ISO
requirement
Laboratory
Logs/worksheets and checking processes
Information Management-Module 16 8
Laboratory
Data Protection
Information Management-Module 16 9
Paper-based systems
use durable materials for recording
storerecords properly
Computerized systems
schedule regular backup of data
Protect confidentiality / security
Information Management-Module 16 10
The laboratory director is responsible
for establishing policies and
procedures to:
safeguard a patient’s privacy
assure laboratory data confidentiality
Information Management-Module 16 11
Test results reporting systems-5.8;5.9.2
timely
accurate
legible
easily
understood
Quality
Lab
Report
ID
0905120047
Sample: MSU
Test: C&S
Report to:
Dr RB Brown
Date:09.06.27
Patient: Mary J Johnston DOB: 28 Mar 1949
Address: 1234 Littletown Road, Bergly Bay
Patient ID No.: ab907823_001
Communication
Develop a good system for communication:
within the laboratory
with clients
other health care providers
reference laboratories
with official agencies
Information Management-Module 16 12
Different
shifts
Information Management-Module 16 13
Computer
systems
incompatible
Transmission
errors
Data
organized
poorly
Archiving
poor
Forms
inadequate
ID
insufficient
Data
incomplete
Common
problems
Manual paper-based system
Information Management-Module 16 14
•Verify logs/registers
Requires registers and
logs with good design
that are:
practical to use and easy
to complete
make it easy to find data
make summarizing data
and writing reports easier
Information Management-Module 16 15
Age not
recorded
Village name
not recorded
Results
recorded
in village
column
Data entry
Information Management-Module 16 16
Unreadable-
thick felt-tip
pen used on
other side
Writing illegible
Manual paper-based system
Information Management-Module 16 17
final report is primary product –
make it professional
need a system for obtaining
duplicates or copies of reports for
archiving
assure safe storage of paper records
Information Management-Module 16 18
Goals:
•find results
•trace samples
•evaluate occurrences
Useful rules:
•keep everything for a designated time
•ensure easy access
•use a logical system for filing
•number in chronological order
Manual paper-based system-storage
Information Management-Module 16 19
Computerized LIMS
Software options
•in-house developed systems using
commercial database software
•fully developed commercial systems
Look for:
•permanence
–computer system maintenance,
backups
•security
–access
–Confidentiality
•traceability
•system speed, flexibility
Information Management-Module 16 20
Integrate
with other
sites
Financial
management
Access
control
Track,
analyze
trends
Track
reports
Detailed,
legible
reports
Data
retrieval
options
QC
Error
reduction
Information Management-Module 16 21
Advantages
Back-up
requirements
Costs:
purchase
and
maintenance
Adapting
to a new
system
Training:
time
and money
Information Management-Module 16 22
Disadvantages
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Summary
•System for managing both incoming and outgoing
data.
•May be paper-based or computer-based
•Both require a similar framework, including unique
identifiers, forms, logs and worksheets.
•Cost is a major factor in using a computer-based
system.
Information Management-Module 16 24
Key Messages
A good information management system will:
•ensure all data—the final product of the laboratory—
is well managed
•consider all the ways laboratory data will be used
when planning a system
•assure the accessibility, accuracy, timeliness, and
security of data
•ensure confidentiality and privacy of patient
information
Information Management-Module 16 25
Questions?
Comments?