Tools, Technologies and Training for Healthcare Laboratories

Questions? Concerns? Want to place this order by phone?
Call 203-980-1647 - or email

Basic Quality Management Systems

A new reference on Quality Management Systems, addressing both management and technical requirements of quality systems for medical laboratories.
Base price with tax
Salesprice with discount
Tax amount
Price / kg:

 2014, 290 pages, 6 x 9 perfect-bound
ISBN13: 978-1-886958-28-9
ISBN 1-886958-28-9

written by James O. Westgard, PHD and Sten Westgard, MS
With contributions from Leo Serrano, MS, FACHE, Cheryl Wildermuth, MS MT(ASCP), Gabriel Migliarino, PhD, and Evangelina Hernandez, MS

Download a free TOC and excerpt of the book

  • 17 Chapters
  • Index
  • Discussion of all ISO 15189, CLIA General Laboratory System Regulations, WHO/CDC/CLSI guidelins
  • Practical guide to the CLSI guidelines, ISO standards, CLIA Final Rules as well as Accreditation Requirements
  • Demonstration of Two laboratories that implemented ISO 15189 QMS

Compliance is no longer enough

It's become clear in the US that the CLIA final rules set too low a bar. For laboratories that want to compete, thrive, and distinguish themselves from their competition, they need to strive for a higher level of quality. A Quality Management System is the next level of quality that differentiates the best labs from the rest of the pack. 

What's a laboratory to do?

In this vital new manual, Dr. James O. Westgard, sorts through all the ISO standards, CLSI guidelines, WHO and CDC recommendations, as well as the trends and fads, distilling Quality Management Systems into something less fuzzy and more concrete. With practical step-by-step directions, laboratories can begin their QMS journey immediately

Here are just some of the topics covered:

  • Deming's "Plan-Do-Check-Act" cycle - the fundamental building block for developing scientific quality managment processes
  • Three-stage implementation model focusing on management requirements, technical requirements, and inspection/accreditation
  • Application of a Six Sigma Quality Management System, using the powerful tools and concepts from the Six Sigma movement to accelerate QMS implementation
  • Introduction of Westgard Sigma Rules™ as a simpler approach for matching the QC needed to the performance of the method
  • Introduction of Sigma Proficiency Assessment Charts as a Quality Monitor for External Quality Assessment and Proficiency Testing programs, enabling the estimation of measurement uncertainty
  • Examples of real-world laboratories that have implemented ISO 15189 QMS both in the US and abroad

So  do I really need to understand Quality Management Systems?

Rather than making an uncoordinated set of attempts to assure quality, the Quality Management System unifies, systematizes, and standardizes Quality in the medical laboratory. It heightens Quality Management to the level of organizational culture. It ingrains the correct practices into the entire staff. While this seems like a tall order, Dr. Westgard shows practical ways to implement indicators, checklists, and benchmarks to achieve this level of quality.  


Table of Contents

I: Basic Quality Management Systems for Regulation and Accreditation 
1. Understanding Quality Management Systems1
2. Reviewing QMS Essentials11
3. Focusing on ISO 1518923
4. Preparing for QMS Implementation37
5. Implementing Management Requirements59
6. Implementing Technical Requirements79
7. A Lab's Journey to CAP-ISO 15189 Accreditation95
II. Six Sigma Quality Management Systems for Examination Procedures 
8. Developing a Scientific Quality System107
9. Defining Quality for Intended Use131
10. Selecting an Examination Procedure145
11. Validating Performance of an Examination Procedure159
12. Defining Statistical QC Procedures 171
13. Formulating Total Quality Control Plans189
14. Monitoring Nonconformities207
15. Measuring the Uncertainty of Measurements223
16. Managing Quality in the Real World239
17. Improving Quality in the Real World245