Aga Khan University Hospitals in Karachi, Pakistan and Nairobi, Kenya are private, not-for-profit institutions providing high quality health care. The Main Hospitals serve as the principal sites for clinical training for the University's Medical Colleges and Schools of Nursing and Midwifery in Pakistan and East Africa.
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Implementation of Quality Management Systems in accordance with College of American Pathologist (CAP), JCIA, ISO 15189 and ISO 9001
Prepare annual budget plan to run the laboratory quality programs such as CAP and ISO 15189.
Advice the Laboratory Director on quality programs.
Maintain communication with accrediting and regulatory bodies.
Ensure laboratory activities comply with CAP and ISO 15189 requirements.
Ensure all policy documents are current and implemented as written.
Ensure staff are trained, deemed competent and updated through continuous medical education with approved and current policy documents.
Ensure mandatory documents and records including patient material are retained in accordance with approved policy documents.
Ensure deficiencies raised by external auditors are closed within the stipulated timelines.
Incorporate JCIA requirements to the laboratory process.
Coordination and implementation of quality assurance activities in the Point Of Care Testing (POCT) Program
Advice the Laboratory Director or designee on POCT programs.
Develop a POCT program in accordance with accrediting and regulatory bodies.
Implement and continuously monitor the POCT program.
Ensure performance and documentation of routine and preventive maintenance of POCT equipment.
Coordination and implementation of quality assurance activities in the laboratory
Organize, plan and lead CAP and ISO 15189 audits in pathology departments.
Support the department in the running of the Departmental Quality Improvement and Patient Safety (DQIPS) committee.
Develop the Departmental Quality Plan through the institutions Chief of Staff’s Office.
Oversee the process of validation and or performance verification of existing and/ or new methods.
Ensure process control checks (EQA, IQC) are implemented.
Ensure pre-analytical, analytical and post-analytical aspects of the laboratory comply with approved policies.
Ensure equipment including reagents and other laboratory supplies are used and maintained in accordance with manufacturer's instructions or approved policy documents.
Occurrence Management Continuous Improvement
Ensure all occurrences are captured, investigated and resolved.
Perform annual self-assessments, internal audits and random checks.