Transitioning to a Cost of Quality Culture among Medical Laboratories: a Scoping literature Review

Introduction: organizational culture impress organizational performance and resulted to quality improvement and productivity of organizations. Also, quality quality culture as a set of organizational culture is aimed continency quality improvement and assure the desired quality among medical laboratories. Laboratory services improvement is not happened without cost spending. Limited resources, and lack of strategic approach for prevention of waste of resources, it is it is necessary medical laboratory leader understand how to use resources which prevent undesired quality. Therefore, this research is aimed to analyze the cost of quality culture among the medical laboratories by a scoping literature review and how to establish the cost a quality culture through these organizations. Methodology: This research was a scoping literature review conducted using Persian and English data base and culture, organizational culture, quality, total quality management, cost of quality culture, Medical laboratory, clinical laboratory, hospital, health care organization and cost of quality keywords. References from 1990 to 2022 in Persian and English language were used after screening and evaluation and excluded nonrelated papers, and consequently 80 reference was selected for this research. Result: Establishment of cost for quality culture and considering its elements, for example staff training, assessing, prevention, performance and collaboration for measured hidden and non-hidden cost of quality, failures and detailed inventory in pre analytical, analytical and post analytical stages impress medical laboratories budgeting and patient care and safety and help to appropriate patient’s diagnosis and treatment. Conclusion: Medical laboratories leaders should review periodic and also continuously their supportive services valuation. Complete understanding and preparation for medical laboratories leaders for creation of appropriate organizational climate for discussion and participation of staffs about cost of quality culture and good performance and observing accreditation requirements and applied regulation, and regulation of continuously financial cost reports about the failures happened many help to laboratories’ return an investment and confirm their financial performance. Although, complete identification and attaining the laboratory processes, for example cost of failures are so difficult, but cost spending and unnecessary investment in this way can result waste of resources and negative outcomes. Creation of supervising teams for evaluation of cost of quality costume may empower laboratories financial performance.