Quality Metric Evaluation for Point of Care Process Improvements

Great topic. I think Pre-analytic at POC is so difficult to figure out unless you have a blood gas instrument that detects hemolysis. For glucometer, I'm going to start tracking when patient ID is typed into the meter vs scanned. We've had a lot of mis-identifications lately. I wish there was a way to tell entry vs scan on the iSTAT - if anyone knows how, please let me know!
I will forever monitor critical comments - the improvement in the last 5+ years is huge, but the second I stop sending daily emails, we fall off. 

Here's what we monitor that is reported to our Lab wide Quality Team:
Corrected reports
Invalid/Unacceptable QC or QC not performed
Patient ID errors
Preventable instrument error codes (ISTAT, Clinitek and Hemochron)
Misuse of coworker access

Other items we monitor on QI and is reported to the location, but not on the Lab wide Quality report:
Delayed patient ID errors (example: used a canceled admission, used a prior discharged admission but it is the same patient)
Reagents or QC Not dated
Reagents or QC used past the expiration date (labeled expiration, instruments won't let them go past manuf date)

QI Template Example.xlsx

Example of my own QI template used for areas doing ISTAT ACT testing.  Each of my POC Coordinators have a matching sheet for their instruments/locations..  On each one is a QI access sheet.  To report to the Lab Quality team, I consolidate those for each person to get totals.