QUALITY MANAGEMENT ASSOCIATED WITH A STRATEGIC PLANNING AND IMPACT ASSESSMENT
AFTER INTERVENTIONS IN A PUBLIC CLINICAL LABORATORY
Quality Management, Strategic Planning, Quality Tools, impact.
In Brazil, in the last three decades, quality management has entered the scenario of laboratory services for clinical analysis. This scenario showed up by the growing number of certifications and accreditations regulated by the INMETRO, mainly in private equity organizations. However, there is still limited interest in the implementation of quality management by public institutions linked to SUS. This dissertation demonstrates the importance of quality management and strategic planning for improving quality concerning products, services, process gear, information flows, organizational performance, medical decision making, and risk analysis within these public institutions. To carry out this exploratory-descriptive study on the Laboratory of Clinical and Toxicological Analysis (LACTFAR) from the Faculty of Pharmacy, Federal University of Bahia (UFBA), techniques, tools, and methodologies for quality management were used to achieve the results. In this sense, non-conformities could be shared into categories to emphasize infrastructure and process, which accounted for 78.1%, while the operational process accounted for 21.9% of occurrences in the general non-compliance index. This find indicates the direction that should be focused within the LACTFAR structure for the preparation of action plans and the application of resources for solving problems. Thus, we found that the process approach through process control is a fundamental tool because such results showed the non-conformities that were previously treated as ordinary situations and with no apparent solution. The knowledge of the interrelationships of the processes favors the identification of critical points to establish constant monitoring that provides visible benefits in the quality of the final product, thus reducing the rework shown in the reduction of non-conformities. Organizational development occurs based on internal changes guided by looking at changes in external scenarios, understanding the context in which the institution is inserted for its strategic direction.