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Set Turnaround-Time Targets and Watch for Breaches

Who / when: Dr. Bello, the lab admin, sets the turnaround goals the lab commits to; Chika and the bench team work to them. Turnaround time (TAT = Turnaround Time) is how long a result took — the minutes from when a sample was received (accessioned) to when its result was verified and released. Setting targets makes the lab accountable for speed, and the Breach List shows exactly which results missed.

A breach is a released result whose actual turnaround exceeded its target. The most specific target wins: a target on a test code beats one on the whole section, and a priority-specific target beats an all-priority one.

We’ll follow Dr. Bello setting a target, then reading the breaches.

  1. Lab Admin — open Labs → TAT Monitor. It has two tabs: “Targets” and “Breach List”.
  2. Lab Admin — on the “Targets” tab, add a target: choose its scope — a single test code or a whole lab section (e.g. Chemistry) — an optional priority (Routine, Urgent or STAT, or leave it all-priority), and the target in minutes. Save it. To remove a target, use its row control.
  3. Lab Admin — switch to the “Breach List” tab. The readouts show, for the window, how many results were Measured, how many Breached, and the Median and P90 (90th-percentile) turnaround in minutes. The list below names each breached result with its actual versus target minutes, so you can see exactly which ones ran late and by how much.

A persistent breach pattern — a section that keeps missing its STAT target, say — is a quality signal worth documenting and fixing. Raise it as a corrective action so the cause and the resolution are recorded and signed, exactly the evidence an accreditor expects. The Breach List gives you the what; the corrective action gives you the fix.