Fertility and Sterility: Which key performance indicators are most effective in evaluating and managing an in vitro fertilization laboratory? Dr.ssa Gemma Fabozzi
Gemma Fabozzi, Danilo Cimadomo, Roberta Maggiulli, Alberto Vaiarelli, Filippo Maria Ubaldi, and Laura Rienzi
Fertility and Sterility 2020 – DOI: https://doi.org/10.1016/j.fertnstert.2020.04.054
E’ stato pubblicato oggi in un’edizione speciale della prestigiosa rivista Fertility&Sterility un lavoro della Dottoressa Gemma Fabozzi dal titolo “Quali sono gli indicatori chiave di prestazione (KPI) più efficaci nella valutazione e nella gestione di un laboratorio di fecondazione in vitro”
Il lavoro descrive i principali KPI strutturali, di processo e di risultato che dovrebbero essere utilizzati da tutti i responsabili di laboratori di fecondazione assistita per monitorare le prestazioni del proprio laboratorio e fornire ai pazienti una qualità delle cure sempre migliore.
Abstract
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 redefine 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.
Key Words: IVF laboratory, key performance indicator, KPI, quality control, quality management