Sperm recovery rate, defined as the percentage recovery of progressively motile sperm after washing as compared to pre-washing, can be used as a laboratory KPI, providing useful information for inter-operator comparison and proficiency testing.Ī laboratory should develop its own standard based on WHO guidelines. Morphology is another important parameter and WHO proposes a cut -off of 4% normal should be kept in mind while reporting the percentage. You should invest in a maklers chamber which helps in analysing the correct sperm count and motility. For that reason, it is very important for laboratories to adopt the correct method of doing semen analysis and sperm preparation. Therefore, reported values for sperm concentration and motility must be understood to have high certainty of measurement any association between semen analysis characteristics, yield and fertility potential will remain unclear if you are using inappropriate semen analysis techniques. Sperm KPIĪndrology laboratory PIs are related to sperm recovery rate, and sperm motility post-wash. The expected proportion of motile spermatozoa in the final washed preparation showed values of 90% for competency and 95% for the benchmark.Ī major issue when considering semen analysis data is that many ART laboratories do not employ methods that meet the minimum standards required by the World Health Organization (WHO). Of the Alpha survey respondents, 80% indicated that their laboratory determined the MII rate, with median competence and benchmark values of 75% and 90%, respectively. Its potential value is as a marker of the efficiency of ovarian stimulation and triggering. Oocyte maturity rate, generally related to nuclear maturity, is defined as the proportion of oocytes at MII stage. The expected recovery rates, based on several studies, are generally ranging from 70 to 80% as the competence level, and 85–100% as the benchmark value. The rationale for this is the expectation that the follicles that have achieved a certain size. Oocyte recovery rate is defined as the likelihood of aspirating a COC from each follicle over a certain size, as measured on the day of triggering.
#Lbr indicators series
In general, the results of a series of KPIs will provide an adequate overview of the most important steps in the IVF laboratory process (2) Some of the important KPI are listed as follows: Key Performance Indicators (KPIs) are deemed essential for evaluating the introduction of a technique or process, establishing minimum standards for proficiency, monitoring ongoing performance, and benchmarking and quality improvement. Embryology KPIs track performance and benchmark against industry standards (1). Systematic monitoring of embryology key performance indicators (KPIs) is an important component of quality management within the IVF laboratory. KPIs also help in determining whether any team member in the lab needs more training or fine-tuning in any of the procedures. Remember the lesser the number of variables, the easier it is to analyse and reach the source of the problem. This will give an indication that the problem may lie in the stimulation or the cold chain of injections and so on. For instance, you see a dip in your pregnancy rates, but you know that there is strict adherence to SOP and all the embryologists are performing within benchmark. Standard operating procedures along with benchmarks reduce variability in your procedure, thereby creating a robust operating system inside the laboratory. As your team expands and you add on more embryologists in your stand-alone centre or centres, it is very important to have benchmarks and KPIs to evaluate and standardize the performance of embryologists.