Which key performance indicators are most effective in evaluating and managing an in vitro fertilization laboratory?
Which key performance indicators are most effective in evaluating and managing an in vitro fertilization laboratory?
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DOI：
10.1016/j.fertnstert.2020.04.054
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发表时间：
2020-07-01
影响因子：
6.7
通讯作者：
Rienzi, Laura
中科院分区：
文献类型：
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作者：
Fabozzi, Gemma;Cimadomo, Danilo;Rienzi, Laura
该实验室是体外受精 (IVF) 诊所的核心，质量管理体系对其管理至关重要。我们审查主要结构、流程和结果关键绩效指标 (KPI)，为实验室管理人员提供旨在提高工作质量的具体工具。在处理 IVF 中的 KPI 时，必须强调三个概念：[1] 始终考虑三类指标（结构、过程和结果相关），[2] 仔细调整控制图，以便及时发现问题并采取纠正措施，或重新定义称为“进步建设”的过程中的控制限制，[3] 认为实现健康活产是一项多学科努力，受到多个混杂因素的影响，必须在分析中认识和解释这些混杂因素。在这方面，未来临床医生和胚胎学家之间共享的关键绩效指标有望提高 IVF 患者不孕不育护理的质量。 （Fertil Steril (R) 2020；114:9 -15。(C) 2020，美国生殖医学会。）
The laboratory is the heart of an in vitro fertilization (IVF) clinic, and a quality management system is critical for its administration. We review the main structural, process, and outcome key performance indicators (KPIs) to provide laboratory managers with concrete tools aimed at enhancing the quality of their work. Three concepts must be stressed when dealing with KPIs in IVF: [1] always consider the three types of indicators (structural, process, and outcome related), [2] carefully adapt the control chart to either promptly identify issues and adopt corrective measures, or rede fine the control limits in a process called ?progress building, ?[3] consider that achieving a healthy live birth is a multidisciplinary effort that is subject to several confounders, which must be recognized and accounted for in the analyses. In this regard, future KPIs shared among clinicians and embryologists are desirable to enhance the quality of infertility care for IVF patients. (Fertil Steril (R) 2020;114:9 -15. (C) 2020 by American Society for Reproductive Medicine.)