ARSI UNIVERSITY ASELLA REFERRAL AND TEACHING HOSPITAL LABORATORY

ASELLA, ETHIOPIA
MANAGEMENT REVIEW FORM Format no SF-66 Effective Date Mes, 2009 E.C Version 01

Discussion Points Comments/Suggestions to be documented

Previous Review
Follow-up of action items from
previous reviews

Corrective Actions
Status of corrective actions taken
and required preventive actions
Reports
Reports from personnel

Statistics
Changes in volume and type of
work the laboratory undertakes

Biological reference ranges

Changes in the suitability of
biological reference ranges
Client Hand Book
Changes in the client handbook

Environmental Monitoring
Environmental ( Temperature)
monitoring log sheets
Specimen Rejection
Specimen rejection log
Equipment Maintenance
Equipment calibration and
maintenance records
IQC Records
IQC records across all test areas
PTs and Inter-laboratory comparison
Outcomes of PTs and other forms
of Inter-laboratory comparisons
TAT
Monitoring of turnaround time

Quality Indicators
Quality indicators

Internal Audits
 ARSI UNIVERSITY ASELLA REFERRAL AND TEACHING HOSPITAL LABORATORY
ASELLA, ETHIOPIA
MANAGEMENT REVIEW FORM Format no SF-66 Effective Date Mes, 2009 E.C Version 01

Outcomes from recent internal

audit records
External Audits/Assessments
Results of assessment(s) or audits
by external bodies
Handling of complaints
Customer complaints and feedback
Occurrences
Occurrence/incidence logs,
nonconformities and corrective
action reports

Improvement projects
Results of improvement projects

Operational Procedures
Operational procedures (for
potential sources of non-
conformance and opportunities for
improvement)
Referral Labs
Evaluation of performance of
referral laboratories
Suppliers
Evaluation of supplier performance
Document Review
Comments

Review Summary: Use the summary for the report to Lab team in the next Team meeting

Reviewed By: ______________________________ Sign: __________ Date: ___________