The laboratory is the heart of an in vitro fertilization (IVF) clinic, and a quality management system is critical for its administration. We review the main structural, process, and outcome key performance indicators (KPIs) to provide laboratory managers with concrete tools aimed at enhancing the quality of their work. Three concepts must be stressed when dealing with KPIs in IVF: [1] always consider the three types of indicators (structural, process, and outcome related), [2] carefully adapt the control chart to either promptly identify issues and adopt corrective measures, or redefine the control limits in a process called "progress building," [3] consider that achieving a healthy live birth is a multidisciplinary effort that is subject to several confounders, which must be recognized and accounted for in the analyses. In this regard, future KPIs shared among clinicians and embryologists are desirable to enhance the quality of infertility care for IVF patients.

中文翻译：

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哪些关键绩效指标对评估和管理体外受精实验室最有效？

实验室是体外受精 (IVF) 诊所的核心，质量管理体系对其管理至关重要。我们审查主要的结构、过程和结果关键绩效指标 (KPI)，为实验室管理人员提供旨在提高其工作质量的具体工具。在处理 IVF 中的 KPI 时必须强调三个概念：[1] 始终考虑三类指标（结构、过程和结果相关），[2] 仔细调整控制图，以便及时发现问题并采取纠正措施，或在称为“进度建设”的过程中重新定义控制限，[3] 认为实现健康活产是一项多学科努力，受制于几个混杂因素，必须在分析中认识到并考虑这些混杂因素。在这方面，