Building a Quality Culture in the Lab: Practical Steps for Technologists and Supervisors

Jan 9 / Oday Alubaidi

In every clinical laboratory, people talk about quality—quality control, quality indicators, ISO 15189, audits, and nonconformities. But having documents and procedures is not the same as having a quality culture.

A quality culture is what happens when quality is part of everyday behaviour, not just something people remember a week before an inspection. It shows up in the small decisions technologists, assistants, and supervisors make every day: how they handle samples, how they document, how they speak up about problems, and how they treat colleagues and patients.

The good news is that you don’t have to be a lab director to influence quality culture. Whether you are a bench technologist or a section supervisor, you can take real, practical steps to help build a safer, stronger lab.

What does “quality culture” actually mean?

A quality culture in the lab is more than having SOPs and QC rules. It’s a shared mindset that says:

  • “Doing it right” is more important than “doing it fast.”
  • Everyone is responsible for quality, not just the quality officer.
  • Errors are reported and discussed to learn from them—not to blame and shame.
  • Staff are encouraged to ask questions, raise concerns, and suggest improvements.
In a strong quality culture, people don’t only comply because they “have to” for accreditation—they do it because they care about patient safety and professional standards.

Why technologists and supervisors are critical

We often assume that only managers or quality officers shape quality culture. In reality:

  • Technologists and technicians are the ones who actually perform tests, handle specimens, and follow procedures.
  • Supervisors and section heads set the tone for daily practice: what is tolerated, what is corrected, and what is celebrated.

If the bench ignores problems, quality culture weakens. If supervisors dismiss concerns, people stop speaking up. But if technologists and supervisors model good behaviour, the entire lab shifts.

Practical steps for technologists

Here are some concrete things individual technologists and technicians can do to support a quality culture:

1. Treat every sample like it belongs to someone you know
Behind every tube is a person waiting for answers. When you remember this, it becomes easier to:

  • Follow identification procedures carefully
  • Avoid shortcuts in labelling and documentation
  • Take pre-analytical issues seriously (e.g., hemolysis, wrong tube, insufficient volume)

2. Follow procedures consistently—and help keep them realistic

SOPs only work if they reflect reality and are actually followed. If you notice that a procedure is:

  • Outdated
  • Unrealistic
  • Confusing

Don’t ignore it. Bring it to your supervisor or quality team and help improve it. This turns negative complaining into constructive input.

3. Speak up about errors and near-misses

Nobody enjoys admitting a mistake, but in a quality culture, errors and near-misses are valuable information. When something goes wrong:

  • Document what happened
  • Inform the appropriate person
  • Focus on “how do we prevent this in the future?” rather than “who is to blame?”

If people see you doing this calmly and professionally, they are more likely to do the same.

4. Take QC and maintenance seriously

Quality control and maintenance checks are easy to see as “extra tasks,” but they are the backbone of quality. Take them seriously by:

  • Running QC as required—not when convenient
  • Investigating unusual patterns or shifts
  • Documenting maintenance thoroughly
  • Asking questions if something doesn’t look right

Practical steps for supervisors and section heads

Supervisors and section heads have a special role in shaping daily behaviour. Here are ways they can support a quality culture:

1. Lead by example

Staff watch what you do far more than what you say. If you:

  • Respect procedures
  • Document properly
  • Admit your own mistakes

Your team will understand that you mean it when you say quality matters.

2. Create a safe space for reporting problems

If every incident leads to anger or punishment, people will hide problems. Instead, work toward:

  • Focusing on systems and process issues, not just individual blame
  • Thanking the staff for bringing issues forward
  • Having short, respectful debriefs on what happened and how to improve

You can still have accountability—but framed within learning and improvement.

3. Use indicators and audits as tools, not weapons

Quality indicators, internal audits, and inspections are not meant to “catch people,” but to show where the system needs attention. Share indicator results with your team, and:

  • Explain what they mean
  • Ask for input on how to improve
  • Turn findings into small, realistic action plans

When staff understand the “why” behind audits and indicators, they engage more positively.

4. Invest in training and CPD

A lab that values quality will value continuous learning. Encourage your staff to:

  • Take part in internal and external training
  • Update their knowledge on standards like ISO 15189
  • Build both technical and management/quality skills

This not only strengthens the lab—it also makes staff feel invested in and respected.

The role of ISO 15189 in quality culture

ISO 15189 provides a formal framework for medical laboratory quality and competence. But implementing ISO 15189 is not just about checking items off a list. It requires:

  • Understanding the spirit of the standard, not just the words
  • Translating requirements into practical daily habits
  • Building the leadership and communication skills that support change

That’s why clinical laboratory management training, like the programs offered by MedLabTech Academy, can be so valuable. Instead of reading the standard in isolation, you learn:

  • How ISO 15189 connects to your actual workflow
  • How to participate in or lead internal audits
  • How to handle nonconformities, root cause analysis (RCA), and CAPA
  • How to use quality indicators and risk assessments in a meaningful way

This isn’t just information—it’s preparation to be an active part of the lab’s quality journey.

How MedLabTech Academy helps build quality culture

At MedLabTech Academy, our courses are designed to support both individual development and lab-wide quality efforts.

For example:

  • The Clinical Laboratory Management CPD Certification Online Course helps technologists, supervisors, and quality officers understand:
    • Laboratory governance and workflow
    • Quality management systems (QMS) and risk management
    • Internal audits, nonconformities, and accreditation readiness
  • The Advanced Clinical Laboratory Management & Accreditation (ISO 15189) program (for more advanced learners and leaders) focuses on:
    • Deeper ISO 15189 application
    • Leadership and change management
    • Capstone projects that can be applied to real labs

Labs and organizations can also enroll groups of staff in these programs as part of their internal quality and accreditation strategy.

Small actions, big impact

Building a quality culture in the lab does not happen in one day or with one policy. It happens through:

  • The way you handle today’s sample
  • How you respond to today’s nonconformity
  • How do you speak to a colleague who made a mistake
  • Whether you choose to keep learning and improving

Technologists, technicians, supervisors, quality officers, and managers all have a role. The more people understand quality principles and feel empowered to act on them, the stronger the culture becomes.

If you want to strengthen your own ability to contribute to quality and accreditation—or support your lab’s progress toward ISO 15189—MedLabTech Academy is here to help.

 Learn more about our Clinical Laboratory Management
and
ISO 15189–focused programs
at: www.medlabtechacademy.ca
Contact us: info@medlabtechacademy.ca

Quality culture doesn’t start with a checklist.
It starts with people—including you.