Evaluation of Quality Indicators in a Laboratory Supporting Tertiary Cancer Care Facilities in India
|
|
- Elmer Stevenson
- 5 years ago
- Views:
Transcription
1 Evaluation of Quality Indicators in a Laboratory Supporting Tertiary Cancer Care Facilities in India Savitha Anil Kumar, MD, 1* Prashanth Jayanna, PhD, 2 Shilpa Prabhudesai, MD, 1 Ajai Kumar, MD 2 Lab Med Summer 2014;45: DOI: /LMP0E6DVC0OSLYIS ABSTRACT Objective: To collect and tabulate errors and nonconformities in the preanalytical, analytical, and postanalytical process phases in a diagnostic clinical laboratory that supports a super-specialty cancer center in India, and identify areas of potential improvement in patient services. Methods: We collected data from our laboratory during a period of 24 months. Departments in the study included clinical biochemistry, hematology, clinical pathology, microbiology and serology, surgical pathology, and molecular pathology. We had initiated quality assessment based on international standards in our laboratory in 2010, with the aim of obtaining accreditation by national and international governing bodies. We followed the guidelines specified by International Organization for Standardization (ISO) 15189:2007 to identify noncompliant elements of our processes. Advances in our knowledge of the molecular basis of disease have increased the capability of laboratory professionals to investigate complex diseases such as cancer using a variety of tests that provide diagnostic, prognostic, and risk-stratification information. 1-3 The clinical use of these tests makes it essential that the results are highly accurate and reproducible with a minimal occurrence of errors. 4-6 Thus, objective measures must be identified that enable quantitative evaluation of the Abbreviations QC, quality control; QMSs, quality management systems; QIs, quality indicators; NABL, National Accreditation Board for Testing and Calibration Laboratories; CAP, College of American Pathologists; QA, quality assurance; ISO, International Organization for Standardization; SOPs, standard operative procedures; TAT, turnaround time; NCs, nonconformances; LIS, laboratory information system; ILQA, interlaboratory QA. 1 Triesta Reference Laboratory and 2 Triesta Research and Development Division, HealthCare Global Enterprises, Ltd, Bangalore, India *To whom correspondence should be addressed. drsavithanilkumar@gmail.com Results: Among a total of 144,030 specimens that our referral laboratory received during the 2-year period of our study, we uncovered an overall error rate for all 3 process phases of 1.23%; all of our error rates closely approximated the results from our peer institutions. Errors were most common in the preanalytical phase in both years of study; preanalytical- and postanalytical-phase errors constituted more than 90% of all errors. Conclusion: Further improvements are warranted in laboratory services and are contingent on adequate training and interdepartmental communication and cooperation. Keywords: quality indicators, laboratory medicine, tertiary cancer center, errors, quality control, quality management performance of a laboratory in providing critical diagnostic data domains. 7,8 In a large clinical laboratory, mistakes are inevitable given the volume of specimens, the number of individuals handling these specimens, and the number of steps involved in the testing process. However, appropriate training, quality control (QC) checks, and periodic review of protocols have been shown 9,10 to minimize errors. Medical laboratories have developed rigorous quality management systems (QMSs) consisting of a number of quality indicators (QIs) that are used to monitor laboratory functions. Such systems include audits by internal and external evaluators, as well as accreditation by nationally and internationally recognized organizations such as the National Accreditation Board for Testing and Calibration Laboratories (NABL) and the College of American Pathologists (CAP), all of which have been demonstrated 11,12 to promote highly effective quality assurance (QA) procedures. Preparations for such audits include documentation, implementation, and adherence to International Organization for Standardization (ISO) 15189: Lab Medicine Summer 2014 Volume 45, Number 3
2 standards. These preparations encompass creating and/ or adapting quality policies, the quality manual(s), qualitybased system procedures, standard operative procedures (SOPs), the safety manual(s), and the primary specimen collection manual(s). Also included are creation and/or adaptation of technical and quality records related to tests, equipment, supplies, internal QC measures, proficiency tests, and turnaround time (TAT). The laboratory maintains and periodically reviews all records related to concerns, feedback from doctors and clients, daily and audit-revealed nonconforming data (hereafter, nonconformances [NCs]), corrective and preventive actions undertaken, staff training, and competency evaluation. Based on these records, the laboratory can establish various technical and quality-based activities that its staff can analyze quarterly to generate review summaries to be published in quality reports. In this article, we summarize our experience operating and maintaining a QMS that serves the referral laboratory of an Indian tertiary cancer care center during a 2-year period from January 2010 through December As part of our QA program, we enumerated variables from the preanalytical (specimens rejected due to collection and labeling issues), analytical (elements that did not conform with QC procedures) and postanalytical (amended reports) phases that occurred in the various sections of the laboratory. Materials and Methods Our cancer care hospital caters to the needs of more than 30,000 new patients annually. Its headquarters, located in Bangalore, India, is a 250-bed hospital that offers a wide spectrum of services, including diagnostic support for a variety of cancer-associated morbidities. The diagnostic services of the laboratory involve the disciplines of biochemistry, hematology and clinical pathology, microbiology and serology, surgical pathology, and molecular pathology. The laboratory is accredited by the NABL and CAP; it is well equipped with biosafety level 2 (BSL 2) facilities for handling a variety of clinical specimens. The staff are well trained in virtually all common laboratory techniques and in ISO 15189:2007 quality system principles. Johnson & Johnson), the MINICAP electrophoresis platform (Sebia Electrophoresis, Norcross, GA), and other auxiliary equipment for specimen processing. The hematology and clinical pathology departments use the Sysmex XT-4000i and 1800i automated cell count analyzers (Sysmex Corporation, Kobe, Japan), the Stago STA Compact and Stago STart automated and semiautomated hemostasis workstations (Diagnostica Stago Inc, Parsippany Troy Hills, NJ), and the CLINITEK Status automated urine analyzer (Siemens AG, Munich, Germany). For blood cultures, the microbiology section uses the semiautomated mini API and the BacT/ALERT 3D automated systems (both by biomérieux SA, Marcy l Etoile, France) for identifying bacteria and typing their antimicrobial resistance levels. The surgical pathology section is supported by the Leica TP1020 automated tissue processor, the Leica EG1150 H automated embedding module, a Leica CM1850 cryostat (Leica Biosystems, Wetzlar, Germany), and several Xmatrx automated slide processors (BioGenex Laboratories, Inc, San Ramon, CA). Our molecular pathology section is equipped with a Dako CyAn ADP flow cytometer (Beckman Coulter, Inc, Brea, CA). All instruments are calibrated at regular intervals according to a defined schedule of maintenance; laboratory personnel document daily maintenance, instrument failures, and corrective actions for each instrument. We subject all instrumentation to required validation studies before clinical use. Specimens received from the outpatient and inpatient departments, are labeled with the patient identifying and order information and a unique barcode generated by our laboratory information system (LIS). Specimen data captured in the LIS include the name, age, and sex of the patient; full name of the referring consultant; specimen type; date and time of collection; time of receipt of specimen; and signature of the technical staff member(s) who handled the specimen. Laboratory personnel screen specimens for preanalytical errors before processing those specimens; specimen acceptance and rejection criteria are based on ISO 15189:2007 guidelines. Data from specimens not adhering to the criteria are rectified, sometimes by requesting a repeat specimen, and the reason for rejection is documented. Laboratory staff members periodically review and perform root cause analysis of specimenrejection trends to identify frequent preanalytical errors. The clinical biochemistry section is equipped with the Vitros 350 autoanalyzer (Ortho-Clinical Diagnostics, Johnson & Johnson, Raritan, NJ), the Vitros ECiQ immunoassay analyzer (Ortho-Clinical Diagnostics, Specimens marked urgent are processed by laboratory personnel immediately after receipt; consultants enter the reports for such specimens as soon as possible into the LIS. Consultants will convey predefined critical Summer 2014 Volume 45, Number 3 Lab Medicine 273
3 Figure 1 Errors in the 3 phases of laboratory practice at a tertiary cancer care hospital in India % 6.1% laboratory findings to the treating physicians immediately; a read-back policy is in place for the nursing staff and the consultants who receive the information. Laboratory personnel release regular reports to the physician and patient (depending on circumstance) after verification and authentication. This report includes the TAT, which is the time period from collection of the specimen through dispatching of reports. The TAT varies from test to test; the following TAT values constitute a representative range for different departments: biochemistry, 2 hours to 24 hours; hematology and clinical pathology, 2 hours to 48 hours; microbiology and serology, 24 hours to 7 days; surgical pathology, 20 minutes to 4 days; molecular pathology, 2 days to 14 days. Laboratory staff members also maintain a record of amended reports issued, to evaluate the occurrence of postanalytical errors. Laboratory managers analyze these records monthly and suggest or undertake corrective and/or preventive actions to reduce or eliminate the future occurrence of such errors. Our laboratory subscribes to proficiency evaluations at the national and international levels, such as the external QA programs offered by CAP and interlaboratory QA (ILQA) measures. We process QA specimens in the same manner as routine specimens. If proficiency testing programs are unavailable for a particular test, we perform split-specimen analyses to ensure the accuracy of results. We document all steps in the analytical process to minimize the occurrence of errors. Staff training, in the form of a continuing education program, is mandatory at regular intervals, to ensure that staff members possess current knowledge of the techniques and technologies used in the laboratory. We based our evaluation of laboratory performance on quality indicators in all 3 phases of specimen processing; 50.4% namely, the preanalytical, analytical, and postanalytical phases. The data presented herein were collected from specimens that arrived in our laboratory between January 2010 and December Results 39.8% 49.4% Preanalytical variables Analytical variables Postanalytical variables 44.5% Our referral laboratory received a total of 144,030 specimens during the 2-year period of our study. We observed a 30.49% increase in the specimen numbers from the first year to the second. We calculated the overall error rate for all 3 analytical phases by dividing the total number of errors by the total number of specimens; the result was 1.23%. Errors were most common in the preanalytical phase in both years of the study; preanalytical- and postanalytical-phase errors constituted more than 90% of the total errors (Figure 1). Preanalytical components included specimen collection, quality, labeling, and delivery. Table 1 identifies the various preanalytical indicators that we used as benchmarks in this study. Hemolysis was the most common cause of specimen rejection (4.74/1000), followed by clotted specimens (0.83/1000). The other indicators included incomplete request forms (0.01/1000), labeling errors (0.08/1000), and inappropriate or wrong container (0.07/1000). We combined indicators with an extremely low frequency of errors, such as lipemic specimens (0.006/1000), and observed a total prevalence of 0.39/1000 for the low frequency indicators. Table 2 shows the prevalence of certain quality indicators for the analytical processes we use in our laboratory. We decided to include noncompliance with quality assurance 274 Lab Medicine Summer 2014 Volume 45, Number 3
4 measures for the analytic process as an indicator of the performance of the laboratory (0.06/1000). Proficiency testing performance, which compares the analytical results in our laboratory to peer laboratories, appeared to be the major source analytical errors (0.9/1000). The postanalytical variables that we used to measure the quality of our laboratory services are listed in Table 3. Analysis exceeded the specified testing time for 666 specimens (4.62/1000), whereas we gave out a total of 82 amended reports (0.57/1000). We followed the guidelines specified by ISO 15189:2007 for laboratory quality and competence. Accordingly, we recorded incidents of NCs with the standard management and technical requisites outlined in the ISO quality manual. The number of such NCs that occurred during the 2-year duration of our study is shown in Figures 2A and 2B. Among the management requirements, the highest number of NCs was recorded for maintenance of quality and technical records in both years. Regarding the technical specifications, we most often recorded deviations from the required standards for the preexamination procedures. Discussion Quality, as a measure of excellence, is a critical feature of service-oriented professions such as healthcare from the medical and commercial standpoints. Modern medical interventions rely heavily on laboratory testing; 13 hence, the quality of these services can have crucial repercussions on patient safety and the effectiveness of treatments. Quality assurance becomes especially critical in tertiary cancer care centers that offer advanced therapies for intractable cancers. In such patients, healthcare professionals often order and/or perform a battery of tests to assess the status of the patient and his or her disease before formulating a plan of therapy. In this environment the precision, accuracy, and speed at which these tests are performed are highly important in determining the type and timing of the clinical interventions. Our hospital is supported by a multidisciplinary laboratory that performs routine tests and advanced diagnostic tests that encompass the disciplines of molecular pathology and molecular biology. We report herein the error rates in our laboratory and compare them to recently reported averages. 14 The overall error rate in our laboratory during a 2-year period was 1.23%; this figure is within the range of 0.1% Table 1. Prevalence of Preanalytical Quality Indicators a Year Total No. (No. per 1000) Variable of Specimens Hemolyzed 295 (4.72) 388 (4.76) 683 (4.74) Clotted 63 (1.01) 56 (0.69) 119 (0.83) Incomplete 1 (0.02) 1 (0.01) 2 (0.01) Unlabeled/wrongly labeled 7 (0.11) 4 (0.05) 11 (0.08) Inappropriate or wrong container 7 (0.11) 3 (0.04) 10 (0.07) Other 30 (0.48) 26 (0.32) 56 (0.39) Total errors 403 (6.45) 478 (5.86) 881 (6.12) a n = 144,030. Table 2. Prevalence of Analytical Quality Indicators a Year Total No. (No. per 1000) Variable of Specimens Noncompliance with QC measures 6 (0.10) 3 (0.04) 9 (0.06) Proficiency-testing performance 73 (1.17) 56 (0.69) 129 (0.9) Total errors 79 (1.26) 59 (0.72) 138 (0.96) QC, quality control. a n = 144,030. Table 3. Prevalence of Postanalytical Quality Indicators a Year Total No. (per 1000) Variable of Specimens Amended reports 27 (0.43) 55 (0.67) 82 (0.57) Prolonged turnaround time 291(4.66) 375 (4.6) 666 (4.62) Total errors 318 (5.09) 430 (5.27) 748 (5.19) a n = 144, Summer 2014 Volume 45, Number 3 Lab Medicine 275
5 A Reporting of Results B Postexamination Procedures Assuring the Quality of Examination Procedures Examination Procedures Preexamination Procedures Laboratory Equipment Accommodation and Environmental Conditions Figure 2 Personnel No. of NCs to 3.0% that had been published by Lippi et al 15 in a summary of data from a number of studies. The rate decreased across the study period from 1.28% to 1.19%, which may be due to the increased number of specimens handled by the laboratory and also the implementation of the QA training program in the laboratory. Our reports mirrored the results of several earlier studies in that the preponderance of errors occurred in the preanalytical and postanalytical phases. The analytical phase of the laboratory process, which consists of steps directly related to specimen testing, has been shown to be amenable to improvements; this is due to technological advances, as well as adoption of universal internal QC procedures. In keeping with this trend, our analytical error rate showed the largest improvement, falling from 1.26 per 1000 to 0.72 per 1000 during the 2-year period of our study. We believe that improved instrumentation, in tandem with enhanced training of personnel, will further decrease this error rate. The preanalytical phase, which encompasses processes that mostly occur outside the laboratory, includes test ordering, specimen transport, and specimen processing, is the phase where most errors in the total testing process occur; for instance, Hammerling 14 reported a range of 46% to 68.2% (of total laboratory-related errors). Some studies have focused solely on errors occurring in this phase. 24,25 All of our preanalytical variables dealt with specimen quality; we observed that hemolysis was the most frequent cause of specimen rejection. These results are consistent with those of other studies performed in India and elsewhere We observed a slight increase in the rate of hemolyzed specimen across the study period (4.72/1000 to 4.76/1000), which may have occurred Management Reviews Internal Audits Quality and Technical Reports Continual Improvement Preventive Action Corrective Action Identification and Control of NC Resolution pf Concerns Advisory Services External Services and Supplies Examination by Referral Laboratories Review of Contracts Document Control Quality Management System Organization and Management because of an increased patient load that produced greater demand on the infrastructure at the phlebotomy counter. Rates of mistakes in labeling (0.08/1000) were low in our study; we expect this low error rate is due to the barcoding system in place for specimen handling in our laboratory. Postanalytical errors can occur in processes involving the verification, transcription (electronic or manual), and communication of test results to the health care professionals. Our postanalytical error rates were within a range reported previously, 29 with increased TAT being the most commonly recorded NC issue (4.62/1000); this is within the specifications reported in another study by Kirchner et al. 30 Report reissue was the other criterion that we and other researchers enumerated; the rates for this item were comparable to those reported by Kirchner et al. Although merely reporting on the performance status of QIs does not improve the quality of services provided by the laboratory, it plays a highly important role in identifying potentially problematic areas within the total testing process. 28 Further, preparations for audits hinge on the systematic, transparent, and consistent reporting of deviations from the established procedures. This process, coupled with appropriate and conscientious corrective and preventive actions, will address failures within the system and help laboratory staff to achieve the goals of a patientcentered laboratory service. LM Acknowledgments No. of NCs Nonconformities recorded in our hospital laboratory. A, Recorded in fulfilment of management requirements of the International Organization of Standardization (ISO) guideline 15189:2007. B, Recorded in the fulfillment of technical requirements of the ISO guideline 15189:2007. NCs indicates nonconformities. This work was financially and materially supported by HealthCare Global Enterprises Ltd, including its Triesta Lab Medicine Summer 2014 Volume 45, Number 3
6 reference laboratory and division of research and development (R&D), Bangalore, India. References 1. Guidi GC, Lippi G. Will personalized medicine need personalized laboratory approach? Clin Chim Acta. 2009;400: Guidi GC, Lippi G. Laboratory medicine in the 2000s: programmed death or rebirth? Clin Chem Lab Med. 2006;44: Panteghini M. The future of laboratory medicine: understanding the new pressures. Clin Biochem Rev. 2004;25: Lippi G, Fostini R, Guidi GC. Quality improvement in laboratory medicine: extra-analytical issues. Clin Lab Med. 2008;28: Lippi G, Guidi GC. Risk management in the preanalytical phase of laboratory testing. Clin Chem Lab Med. 2007;45: Plebani M. Exploring the iceberg of errors in laboratory medicine. Clin Chim Acta. 2009;404: Committee on Quality of Health Care in America. Kohn LT, Corrigan J, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; Panteghini M. Traceability, reference systems and result comparability. Clin Biochem Rev. 2007;28: Comprehensive Accreditation Manual for Pathology and Laboratory Services. Northfield, IL: The Joint Commission; Shahangian S, Snyder SR. Laboratory medicine quality indicators: a review of the literature. Am J Clin Pathol. 2009;131: Erasmus RT, Zemlin AE. Clinical audit in the laboratory. J Clin Pathol. 2009;62: Harper J, SenGupta S, Vesela K, et al. Accreditation of the PGD laboratory. Hum Reprod. 2010;25: Boone DJ. Is it safe to have a laboratory test? Accred Qual Assur. 2004;10: Hammerling JA. A review of medical errors in laboratory diagnostics and where we are today. Lab Med. 2012;43: Lippi G, Plebani M, Simundic A-M. Quality in laboratory diagnostics: from theory to practice. Biochemia Medica. 2010;20: Astion ML, Shojania KG, Hamill TR, Kim S, Ng VL. Classifying laboratory incident reports to identify problems that jeopardize patient safety. Am J Clin Pathol. 2003;120: Bonini P, Plebani M, Ceriotti F, Rubboli F. Errors in laboratory medicine. Clin Chem. 2002;48: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129: Plebani M. Laboratory errors: How to improve pre-and post-analytical phases? Biochemia Medica. 2007;17: Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53: Plebani M, Carraro P. Mistakes in a stat laboratory: types and frequency. Clin Chem. 1997;43: Stull TM, Hearn TL, Hancock JS, Handsfield JH, Collins CL. Variation in proficiency testing performance by testing site. JAMA. 1998;279: Witte DL, VanNess SA, Angstadt DS, Pennell BJ. Errors, mistakes, blunders, outliers, or unacceptable results: how many? Clin Chem. 1997;43: Simundic A-M, Nikolac N, Vukasovic I, Vrkic N. The prevalence of preanalytical errors in a Croatian ISO accredited laboratory. Clin Chem Lab Med. 2010;48: Wiwanitkit V. Types and frequency of preanalytical mistakes in the first Thai ISO 9002:1994 certified clinical laboratory, a 6-month monitoring. BMC Clin Pathol. 2001;1: Chawla R, Goswami B, Singh B, Chawla A, Gupta VK, Mallika V. Evaluating laboratory performance with quality indicators. Lab Med. 2010;41: Goswami B, Singh B, Chawla R, Mallika V. Evaluation of errors in a clinical laboratory: a one-year experience. Clin Chem Lab Med. 2010;48: Sciacovelli L, Sonntag O, Padoan A, Zambon CF, Carraro P, Plebani M. Monitoring quality indicators in laboratory medicine does not automatically result in quality improvement. Clin Chem Lab Med. 2012;50: Plebani M. Errors in clinical laboratories or errors in laboratory medicine? Clin Chem Lab Med. 2006;44: Kirchner MJA, Funes VA, Adzet CB, et al. Quality indicators and specifications for key processes in clinical laboratories: a preliminary experience. Clin Chem Lab Med. 2007;45: To read this article online, scan the QR code, ascpjournals.org/content/45/3/272.full. pdf+html Summer 2014 Volume 45, Number 3 Lab Medicine 277
The prevalence of preanalytical errors in a Croatian ISO accredited laboratory
Clin Chem Lab Med 2010;48(7):1009 1014 2010 by Walter de Gruyter Berlin New York. DOI 10.1515/CCLM.2010.221 The prevalence of preanalytical errors in a Croatian ISO 15189 accredited laboratory Ana-Maria
More informationPreanalytical Errors in Laboratory - Their Consequences and Measures to Reduce Them
Preanalytical Errors in Laboratory - Their Consequences and Measures to Reduce Them Tazeen Farooqui, Student of MBA (HM), College of Hospital Administration, TMU, Moradabad Email:-tazeenfarooqui01@gmail.com
More informationPatient safety and risk management in medical laboratories: theory and practical application
Perspective Page 1 of 7 Patient safety and risk management in medical laboratories: theory and practical application Ada Aita 1,2, Andrea Padoan 1,2, Giorgia Antonelli 1,2, Laura Sciacovelli 2, Mario Plebani
More informationExploring the Initial Steps of the Testing Process: Frequency and Nature of Pre-Preanalytic Errors
Clinical Chemistry 58:3 638 642 (2012) Laboratory Management Exploring the Initial Steps of the Testing Process: Frequency and Nature of Pre-Preanalytic Errors Paolo Carraro, Tatiana Zago, and Mario Plebani
More informationAllen D. Leman Swine Conference
Allen D. Leman Swine Conference Volume 39 2012 Published by: Veterinary Continuing Education Sponsors We thank the following sponsors: Platinum Bayer Animal Health Pfizer Animal Health Gold Novartis Animal
More informationCME/SAM. Determination of Turnaround Time in the Clinical Laboratory
Clinical Chemistry / Turnaround Time in a Clinical Laboratory Determination of Turnaround Time in the Clinical Laboratory Accessioning-to-Result Time Does Not Always Accurately Reflect Laboratory Performance
More informationThe effect of education and 4-year experience in the evaluation of preanalytical process in a clinical chemistry laboratory
Available online at www.medicinescience.org ORIGINAL RESEARCH Medicine Science International Medical Journal Med Science 2018;7(4):905-9 The effect of education and 4-year experience in the evaluation
More informationCAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology
CAP Companion Society Meeting at USCAP 2009 Quality Assurance, Error Reduction, and Patient Safety in Anatomic Pathology Core Components of a Comprehensive Quality Assurance Program in Anatomic Pathology
More informationTHE VALUE OF CAP S Q-PROBES & Q-TRACKS
THE VALUE OF CAP S Q-PROBES & Q-TRACKS Peter J. Howanitz MD Professor, Vice Chair, Laboratory Director Dept. Of Pathology SUNY Downstate Brooklyn, NY 11203, USA Peter.Howanitz@downstate.edu OVERVIEW Discuss
More informationPRE AND POST EXAMINATION ASPECTS
PRE AND POST EXAMINATION ASPECTS Mario Plebani Department of Laboratory Medicine, University-Hospital of Padova, Padova, Italy. Key words: total testing process, laboratory errors, quality specifications,
More informationPractice Levels and Educational Needs for Clinical Laboratory Personnel
Practice Levels and Educational Needs for Clinical Laboratory Personnel Document: Practice Levels and Educational Needs for Clinical Laboratory Personnel Classification: Date: June 25, 2009 Status: Approved
More informationGarbage in garbage out! Dr Mike Cornes: Principal Clinical Scientist Royal Wolverhampton NHS Trust
Garbage in garbage out! Dr Mike Cornes: Principal Clinical Scientist Royal Wolverhampton NHS Trust Overview Background Current initiatives How to do it? How to present it? Consequences of poor quality
More informationLaboratory QA. Quality-Improvement Measures as Effective Ways of Preventing Laboratory Errors. Rachna, Agarwal, MD 1 * ABSTRACT
Quality-Improvement Measures as Effective Ways of Preventing Laboratory Errors Rachna, Agarwal, MD 1 * Lab Med Spring 2014;45:e80-e88 DOI: 10.1309/LMD0YIFPTOWZONAD ABSTRACT Laboratory error is defined
More information01/12/14. Nomen Omen: Analytical performance goals Performance goals. Performance criteria. Quality specifications
Nomen Omen: Analytical performance goals Performance goals Performance criteria Quality specifications 1 The level of performance required to facilitate clinical decision-making. Callum G Fraser may we
More informationBenchmarking Laboratory Quality
Benchmarking Laboratory Quality Paul Valenstein, MD, 1 Frank Schneider, MD 2 ( 1 Department of Pathology, St. Joseph Mercy Hospital, Ann Arbor, MI, 2 Department of Pathology, Duke University Medical Center,
More informationInternational Journal of Advanced Research in Biological Sciences ISSN : Research Article
International Journal of Advanced Research in Biological Sciences ISSN : 2348-8069 www.ijarbs.com Research Article A Reflection on pre and post Analytical errors in Haematology Laboratories 1 Dr Vinay
More informationHeart of America POC Group Quality Management Making it Meaningful
Heart of America POC Group Quality Management Making it Meaningful Maximize Your Existing Quality Management System to Deliver Greater Value Georgine Paulus, BSMT(ASCP) Senior Staff Inspector College of
More informationAn error management system in a veterinary clinical laboratory
441782JVDXXX10.1177/1040638712441782Hooij berg et al.error management in a veterinary laboratory Special Article An error management system in a veterinary clinical laboratory Journal of Veterinary Diagnostic
More information3/14/2016. The Joint Commission and IQCP. Objectives. Before Getting Started
The Joint Commission and IQCP Stacy Olea, MBA, MT(ASCP), FACHE Executive Director Laboratory Accreditation The Joint Commission AACC 2015 Objectives Identify the three components of IQCP Determine a starting
More informationCLIA s New IQCP Requirements Are in Effect, or Are They?: Implementing Laboratory Risk Management Now to Ensure Success
CLIA s New IQCP Requirements Are in Effect, or Are They?: Implementing Laboratory Risk Management Now to Ensure Success Jack Zakowski, PhD, FACB Director, Scientific Affairs and Professional Relations
More informationPURPOSE: This policy provides an overview of SHANDS Jacksonville Laboratory s commitment to the care and safety of the patients we serve.
PAGE 1 of 5 TITLE: Provision of Care Regarding Laboratory Services PURPOSE: This policy provides an overview of SHANDS Jacksonville Laboratory s commitment to the care and safety of the patients we serve.
More informationPOCKET GUIDE TO THE ACCREDITATION STANDARDS (ISO 15189:2014)
(GLENMARIE BRANCH) POCKET GUIDE TO THE ACCREDITATION STANDARDS (ISO 15189:2014) Know the requirement!! Prepared by: Dr.Lily Manorammah Contents INTRODUCTION:... 3 OUR STRATEGY... 3 MANAGEMENT REQUIREMENTS...
More informationPATIENT SAFETY/ORIGINAL RESEARCH
PATIENT SAFETY/ORIGINAL RESEARCH Significant Reduction of Laboratory Specimen Labeling Errors by Implementation of an Electronic Ordering System Paired With a Bar-Code Specimen Labeling Process Peter M.
More informationQuality Laboratory Practice and its Role in Patient Safety
Quality Laboratory Practice and its Role in Patient Safety (Policy Number 06-01) Policy Statement ASCP supports the development and maintenance of high quality practice standards for laboratory testing
More informationStrategies for Good Communication of the Medical Laboratory Staff with the TB Program and Healthcare Providers
Strategies for Good Communication of the Medical Laboratory Staff with the TB Program and Healthcare Providers Vasiti Uluiviti Regional Laboratory Coordinator PIHOA 2017 PITCA Meeting Sept 11 th 15 th
More informationEDUCATIONAL COMMENTARY KEY COMPONENTS OF AN INDIVIDUALIZED QUALITY CONTROL PLAN
Commentary provided by: E Susan Cease MT(ASCP) Laboratory Manager Three Rivers Medical Center Grants Pass, OR EDUCATIONAL COMMENTARY KEY COMPONENTS OF AN INDIVIDUALIZED QUALITY CONTROL PLAN Educational
More informationUsing the epoc Point of Care Blood Analysis System Reduces Costs, Improves Operational Efficiencies, and Enhances Patient Care
Using the epoc Point of Care Blood Analysis System Reduces Costs, Improves Operational Efficiencies, and Enhances Patient Care Clarke Woods, BS, RRT, FABC, Director, Cardiopulmonary Services, Pinnacle
More informationOrganisation of a Clinical Laboratory. Peter O Loughlin SA Pathology
Organisation of a Clinical Laboratory Peter O Loughlin SA Pathology AACB Curriculum 5. Laboratory Management (a) Organisation of a Clinical Laboratory (FAACB) Hospital Management Structure and the Clinical
More informationPlan for Quality to Improve Patient Safety at the POC
Plan for Quality to Improve Patient Safety at the POC SHARON S. EHRMEYER, PH.D., MT(ASCP) PROFESSOR, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE DIRECTOR OF MEDICAL TECHNOLOGY PROGRAM UNIVERSITY OF
More informationSTANDARDS Point-of-Care Testing
STANDARDS Point-of-Care Testing For Surveys Starting After: January 1, 2018 Date Generated: January 12, 2017 Point-of-Care Testing Published by Accreditation Canada. All rights reserved. No part of this
More informationPlan for Quality to Improve Patient Safety at the POC
Plan for Quality to Improve Patient Safety at the POC SHARON S. EHRMEYER, PH.D., MT(ASCP) PROFESSOR, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE SCHOOL OF MEDICINE AND PUBLIC HEALTH MADISON, WI = Quality
More informationLaboratory Risk Assessment: IQCP and Beyond. Ron S. Quicho, MS Associate Project Director Standards and Survey Methods, Laboratory July 18, 2017
Laboratory Risk Assessment: IQCP and Beyond Ron S. Quicho, MS Associate Project Director Standards and Survey Methods, Laboratory July 18, 2017 Objectives Explain the importance of risk assessment in the
More informationREPOSITIONING OUR CLINICAL LABORATORIES FOR EFFECTIVE AND EFFICIENT HEALTHCARE DELIVERY. By Prof. Ibironke Akinsete Chairman PathCare Nigeria
REPOSITIONING OUR CLINICAL LABORATORIES FOR EFFECTIVE AND EFFICIENT HEALTHCARE DELIVERY. By Prof. Ibironke Akinsete Chairman PathCare Nigeria Overview of Clinical Laboratories The duties of clinical laboratories
More informationImproving Your POC Program: An Upside Down Map. Sheila K. Coffman MT(ASCP)
Improving Your POC Program: An Upside Down Map Sheila K. Coffman MT(ASCP) If you have seen ONE Point of Care program You have seen ONE Point of Care Program. If only there was a MapQuest for POC... Or
More informationPolicy Subject Index Number Section Subsection Category Contact Last Revised References Applicable To Detail MISSION STATEMENT: OVERVIEW:
Subject Objectives and Organization Pathology and Laboratory Medicine Index Number Lab-0175 Section Laboratory Subsection General Category Departmental Contact Ekern, Nancy L Last Revised 10/25/2016 References
More informationBarbara De la Salle UK NEQAS
Barbara De la Salle UK NEQAS Right Blood Right Result - Right Time Every Time Right Test Right Action Right Patient Right Sample Right Result Right Experience Right Time Right Cost Systematic quality improvement
More informationSAFE PRACTICE 14: LABELING DIAGNOSTIC STUDIES
Safe Practices for Better Healthcare 2010 Update SAFE PRACTICE 14: LABELING DIAGNOSTIC STUDIES The Objective Reduce the risk of misinterpretation of radiology, laboratory, and pathology studies due to
More informationRobert L. Schmidt, MD, PhD, MBA, Jeanne Panlener, MT(ASCP), and Jerry W. Hussong, DDS, MS, MD
An Analysis of Clinical Consultation Activities in Clinical Pathology Who Requests Help and Why Robert L. Schmidt, MD, PhD, MBA, Jeanne Panlener, MT(ASCP), and Jerry W. Hussong, DDS, MS, MD From the Department
More informationClinical and Laboratory Standards Institute: Addressing POCT Needs; The Good, The Bad, and The Risky
Clinical and Laboratory Standards Institute: Addressing POCT Needs; The Good, The Bad, and The Risky Marcy Anderson MS, MT(ASCP) Director, Education 3 Rivers POCT Network June 7, 2012 Today s Presentation
More informationVoluntary national programs to track laboratory quality,
Clinical Laboratory Specimen Rejection Association With the Site of Patient Care and Patients Characteristics Findings From a Single Health Care Organization Azadeh Stark, PhD; Bruce A. Jones, MD; Deborah
More informationHealth Management Information Systems: Computerized Provider Order Entry
Health Management Information Systems: Computerized Provider Order Entry Lecture 2 Audio Transcript Slide 1 Welcome to Health Management Information Systems: Computerized Provider Order Entry. The component,
More informationIQCP. Ensuring Your Laboratory s Compliance With Individualized Quality Control Plans. November/December 2016
IQCP Ensuring Your Laboratory s Compliance With Individualized Quality Control Plans November/December 2016 Objectives Describe the different components of an IQCP Review new CAP checklist requirements
More informationuality Management Tools
www.cap.org uality Management Tools The CAP s comprehensive collection of Quality Management Tools (QMT) strengthens your knowledge of key laboratory processes, identifies quality improvement opportunities,
More information5/8/2015. Individualized Quality Control Plans (IQCP) Changes to the CMS Quality Requirements. CLIA Quality Control Evolution of the Process
Individualized Quality Control Plans (IQCP) Changes to the CMS Quality Requirements John Shalkham, MA, SCT(ASCP) Office of Quality Assurance Wisconsin State Laboratory of Hygiene Clinical Assistant Professor,
More informationPhysician Satisfaction With Clinical Laboratory Services. A College of American Pathologists Q-Probes Study of 81 Institutions
Physician Satisfaction With Clinical Laboratory Services A College of American Pathologists Q-Probes Study of 81 Institutions Shannon J. McCall, MD; Rhona J. Souers, MS; Barbara Blond, MBA; Larry Massie,
More informationClinical Laboratory Science Courses
Clinical Laboratory Science Courses 1 Clinical Laboratory Science Courses Courses CLSC 2111. Molecular Diagnostics Lab. This laboratory provides the basic skills necessary for performing and applying molecular
More informationLaboratory Accreditation in Thailand A Systemic Approach
Kigali Conference / Laboratory Accreditation in Thailand Laboratory Accreditation in Thailand A Systemic Approach Naiyana Wattanasri, MSc, Wannika Manoroma, MSc, and Somchai Viriyayudhagorn Key Words:
More informationQUALITY POLICY MANUAL. Revision: 05 Author: T. Joseph Issue Date: 6/6/2010 Approved By: Dr S. King
This document together with the procedures specified in this manual, represent the quality management system of Laboratory Services & Consultations Ltd. It has been complied to meet the requirement of
More informationBest Practices for Equipment Calibration and Analytical Controls in the Diagnostics Laboratory
Best Practices for Equipment Calibration and Analytical Controls in the Diagnostics Laboratory George Rodrigues, Artel (slides 2-16) Rebecca Butler, CareDx (slides 17-29) Agenda Agenda Theory / Regulations
More informationMandatory accreditation of Medical labs in France: Benchmark for the EU countries? Michel Vaubourdolle
Mandatory accreditation of Medical labs in France: Benchmark for the EU countries? Michel Vaubourdolle SFBC Accreditation WG chairman EFLM A/ISO WG chairman Head of Department of Laboratory Medicine and
More informationJournal Club. Medical Education Interest Group. Format of Morbidity and Mortality Conference to Optimize Learning, Assessment and Patient Safety.
Journal Club Medical Education Interest Group Topic: Format of Morbidity and Mortality Conference to Optimize Learning, Assessment and Patient Safety. References: 1. Szostek JH, Wieland ML, Loertscher
More informationStandards for Forensic Drug Testing Accreditation
Standards for Forensic Drug Testing Accreditation 2013 Edition cap.org Forensic Drug Testing Accreditation Program Standards for Accreditation 2013 Edition Preamble Forensic drug testing is a laboratory
More informationLab Quality Confab Process Improvement Institute. New Orleans, LA. John Waugh 11/3/2015
Implementing a Single Quality Management System Across Multiple Hospitals of the Henry Ford Health System: Combining ISO 15189 with Lean to Deliver More Value Lab Quality Confab Process Improvement Institute
More informationQMP-LS: A Canadian Regional EQA Program How Labs Get In and Out of Trouble in Ontario
QMP-LS: A Canadian Regional EQA Program How Labs Get In and Out of Trouble in Ontario Anne Raby Mayo/NASCOLA Coagulation Testing Quality Conference April 14 th, 2009 2 Disclosure Relevant Financial Relationship(s)
More informationInternal Quality Assurance Framework Microbiology
Internal Quality Assurance Framework Microbiology The Royal College of Pathologists of Australasia received funding from the Department of Health, under the Quality Use of Pathology Program (QUPP) to develop
More informationWristband Errors in Small Hospitals
PHLEBOTOMY J a n e C. Dale, MD Stephen W. Renner, MD Wristband Errors in Small Hospitals A College of American Pathologists' Q-Probes Study of Quality ssues in Patient dentification Although methods of
More informationThe detection and prevention of errors in laboratory medicine
Review Article The detection and prevention of errors in laboratory medicine Mario Plebani Department of Laboratory Medicine, University Hospital of Padova, Padova, Italy Corresponding author: Mario Plebani,
More informationReferral Laboratories
Introduction: A clinical laboratory often requires the assistance of an outside facility or facilities to perform unique or unusual services, as a backup service, or for routine services that the referring
More informationFrom customer satisfaction survey to corrective actions in laboratory services in a university hospital
International Journal for Quality in Health Care 2006; Volume 18, Number 6: pp. 422 428 Advance Access Publication: 26 September 2006 From customer satisfaction survey to corrective actions in laboratory
More informationInternational Organization for Standardization (ISO) 15189
Review Article General Laboratory Medicine Ann Lab Med 2017;37:365-370 https://doi.org/10.3343/alm.2017.37.5.365 ISSN 2234-3806 eissn 2234-3814 International Organization for Standardization (ISO) 15189
More informationLearning Objectives. Individualized Quality Control Plans. Agenda. Another Way To Determine QC? Hooray!!!! What is QC?
Learning Objectives State when an IQCP is required Individualized Quality Control Plans Andy Quintenz Scientific / Professional Affairs Compare / Contrast Traditional QC approach with Risk Based QC List
More informationPotential challenges when assessing organisational processes for assurance of clinical competence in labs with limited clinical staff resource
Contents 1. Introduction... 1 2. Examples of Clinical Activity... 2 3. Automatic selection and reporting... 3 Appendix 1... 8 Appendix 2... 9 1. Introduction ISO 15189 is necessarily written such that
More informationOriginally defined by Lundberg, 1 a critical value represents
CAP Laboratory Improvement Programs Assessment Monitoring of Laboratory Critical Values A College of American Pathologists Q-Tracks Study of 180 Institutions Elizabeth A. Wagar, MD; Ana K. Stankovic, MD,
More informationCOMMISSION ON LABORATORY ACCREDITATION. Laboratory Accreditation Program TEAM LEADER ASSESSMENT OF DIRECTOR & QUALITY CHECKLIST
Revised: 09/27/2007 COMMISSION ON LABORATORY ACCREDITATION Laboratory Accreditation Program TEAM LEADER ASSESSMENT OF DIRECTOR & QUALITY CHECKLIST Disclaimer and Copyright Notice The College of American
More informationStandards for Laboratory Accreditation
Standards for Laboratory Accreditation 2017 Edition cap.org 2017 College of American Pathologists. All rights reserved. [ T y p e t h e c o m p a n y a d d r e s s ] CAP Laboratory Accreditation Program
More information2/15/2017. Reducing Mislabeled and Unlabeled Specimens In Acuity Adaptable Units
Reducing Mislabeled and Unlabeled Specimens In Acuity Adaptable Units Jennifer Kitchens MSN, RN, ACNS-BC, CVRN Clinical Nurse Specialist Acuity Adaptable Esther Onuorah, MSN, RN, CMSRN Staff Nurse Acuity
More informationHannah Poczter, AVP, Laboratories, Cari Gusman, Administrative Director, Ed Giugliano, PhD, Project Manager, Certified Six Sigma Black Belt
Using Ongoing Risk Assessments in All Labs to Yield Big Dividends: Why Northwell Health Now Provides Risk Assessments to Hospital Labs in Other Systems Hannah Poczter, AVP, Laboratories, Cari Gusman, Administrative
More informationDisclosures. Relevant Financial Relationship(s): Nothing to Disclose. Off Label Usage: Nothing to Disclose 6/1/2017. Quality Indicators
Laurie Griesmann, Quality Specialist May 17, 2017 Disclosures Relevant Financial Relationship(s): Nothing to Disclose Off Label Usage: Nothing to Disclose 1 Objectives Define a quality indicator. Recognize
More informationInternational Journal of Biological & Medical Research
Int J Biol Med Res.2015;6(1):4849-4859 Int J Biol Med Res www.biomedscidirect.com Volume 3, Issue 1, Jan 2012 Contents lists available at BioMedSciDirect Publications International Journal of Biological
More informationCrosswalk of Regulations And Guidance Affecting Laboratories Sorted by QSE. May 2017
Crosswalk of Regulations And Guidance Affecting Laboratories Sorted by QSE May 2017 Introduction This crosswalk of regulatory references is arranged by Quality System Essentials (QSEs), the fundamental
More informationJoint Commission Laboratory Accreditation: Why It Is Right For Your Organization
Joint Commission Laboratory Accreditation: Why It Is Right For Your Organization Jennifer Rhamy MBA, MA, MT(ASCP)SBB, HP Executive Director, Laboratory Accreditation Program 1 Objectives 1. Define the
More informationGuidance on Quality Management in Laboratories
Guidance on Quality Management in Laboratories series QULAITY IBMS 1 Institute of Biomedical Science Guidance on Quality Management in Laboratories As the UK professional body for biomedical science the
More informationPoint of Care Testing Clinical Practice Standard and Policy (LTR31449) Version: 2.01
Page 1 of 15 Purpose: To ensure that point-of-care (decentralized) laboratory testing is high quality and cost-effective, in order to contribute to optimal patient care within Vancouver Coastal Health
More informationClinical Laboratories West Virginia University Hospitals. Resident Orientation
Clinical Laboratories West Virginia University Hospitals Resident Orientation Peter L. Perrotta, MD Medical Director Clinical Laboratories pperrotta@hsc.wvu.edu Joseph A. DelTondo, DO Director of Autopsy
More informationJob Description. TDL Laboratory Staff, Clients and Customers, Group Blood Transfusion Manager
Job Description Job Title: Location: Reporting to: Accountable to: Liaises with: Senior Biomedical Scientist (Blood Transfusion) BMI London Independent Pathology Lead Group Laboratory Director Regional
More informationQC Explained Quality Control for Point of Care Testing
QC Explained 1.0 - Quality Control for Point of Care Testing Kee, Sarah., Adams, Lynsey., Whyte, Carla J., McVicker, Louise. Background Point of care testing (POCT) refers to testing that is performed
More informationCE Update [generalist compliance/regulation management/administration and training] COLA Accreditation An Educational Experience
your lab focus 284 CE Update [generalist compliance/regulation management/administration and training] COLA Accreditation An Educational Experience Jennifer L. Rivers, Catherine M. Johnson, MT(ASCP) COLA,
More informationLaboratory Services. Specimen Collection & Rejection Procedure
Laboratory Services Specimen Collection & Rejection Procedure According to both the Clinical Laboratory Improvement Amendment (CLIA) regulations and the College of American Pathologist s (CAP) Accreditation
More informationNational Reference Laboratory Quality Dashboard. Quality Improvement Metrics Q4 2016
National Reference Laboratory Quality Dashboard Quality Improvement Metrics Q4 2016 INTRODUCTION Accreditation is an important tool used to demonstrate the commitment and competence of medical laboratories
More informationDriving Clinical Excellence in Microbiology with Consolidation, Real-Time Dashboards and Physician Concierge Services
Driving Clinical Excellence in Microbiology with Consolidation, Real-Time Dashboards and Physician Concierge Services Executive War College May 1, 2013 David Vinson med fusion, Lewisville, TX Introduction
More informationSAMPLE. Statistical Quality Control for Quantitative Measurement Procedures: Principles and Definitions
4th Edition C24 Statistical Quality Control for Quantitative Measurement Procedures: Principles and Definitions This guideline provides definitions, principles, and approaches to laboratory quality control
More information2015 OAP Pathologist Assistant Meeting, September 19 - Niagara Falls, Ontario. EQA and the Grosslab Alan Wolff, PA, MLT. Quality in the Gross Lab
Quality in the Gross Lab Lakeridge Health, Oshawa, Ontario Describe what EQA is Describe the IQMH position and requirement Be aware of the current state of EQA for grossing Have identified good methods
More informationPT/EQA for the Total Laboratory Testing Cycle: Focus on Pre-Examination
PT/EQA for the Total Laboratory Testing Cycle: Focus on Pre-Examination Michael A Noble MD FRCPC Clinical Microbiology Proficiency Testing University of British Columbia Vancouver BC Canada The North America
More informationGreetings from the Big Apple
To CAPA or Not To CAPA: Focusing on Error Prevention to Improve Quality and Reduce Cost Hannah Poczter, AVP; Cari Gusman, Director of Quality Management; Ed Giugliano, PhD; Gerard Luna, Methods Coordinator
More informationTutorial: Basic California State Laboratory Law
Tutorial: Basic California State Laboratory Law This document is meant to cover basic elements of state laboratory law and should not be relied upon in place of legal advice or the official codes of California.
More informationAsian Journal of Research in Biological and Pharmaceutical Sciences Journal home page:
Research Article ISSN: 2349 4492 Asian Journal of Research in Biological and Pharmaceutical Sciences Journal home page: www.ajrbps.com PHYSICIANS SATISFACTION WITH LABORATORY SERVICES AT KING FAISAL HOSPITAL
More informationSample. A guide to development of a hospital blood transfusion Policy at the hospital level. Effective from April Hospital Transfusion Committee
Sample A guide to development of a hospital blood transfusion Policy at the hospital level Name of Policy Blood Transfusion Policy Effective from April 2009 Approved by Hospital Transfusion Committee A
More informationERN board of Member States
ERN board of Member States Statement adopted by the Board of Member States on the definition and minimum recommended criteria for Associated National Centres and Coordination Hubs designated by Member
More informationObjectives. Pre & Post-Analytic Phases What is Important? Potential for Errors in Healthcare. What is the goal of health care?
Pre & Post-Analytic Phases What is Important? Catherine Otto, Ph.D., MBA, MLS(ASCP) CM Rutgers University, School of Health Professions, Division of Clinical Laboratory Sciences CLEC 2018 February 23,
More informationSUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE
SUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE No: LAB-1 Subject: PROCEDURES FOR HANDLING Page 1 of 6 INPATIENT AND OUTPATIENT LABORATORY Prepared by: Dynesdal Wint
More information: Suzanna Immanuel Place, date of birth : Jakarta, 11 th March 1953 Education : MD FMUI 1978 Profession : Clinical Pathologist (SpPK) FMUI 1984
Name : Suzanna Immanuel Place, date of birth : Jakarta, 11 th March 1953 Education : MD FMUI 1978 Profession : Clinical Pathologist (SpPK) FMUI 1984 Consultant [SpPK(K)] ISCP (PDSPatKlin) 1996 Office :
More informationSAMPLE. Use of Delta Checks in the Medical Laboratory
1st Edition EP33 Use of Delta Checks in the Medical Laboratory This guideline provides approaches for selecting measurands for which delta checks are useful, establishing delta check limits and rules for
More informationCPSM STANDARDS POLICIES For Rural Standards Committees
CPSM STANDARDS POLICIES The Central Standards Committee (CSC) of The College of Physicians and Surgeons of Manitoba (CPSM) is a legislated standing committee of the CPSM and reports directly to the Council.
More informationhttps://e-dition.jcrinc.com/common/popups/printchapter.aspx?rwndrnd=
Page 1 of 9 Effective ate: January 9, 2017 Overview: A laboratory test is an activity that evaluates a substance(s) removed from a human body and translates that evaluation into a result. A result can
More informationPhysician satisfaction and emergency (stat) laboratory turnaround time during various developmental stages
Peer reviewed ORIGINAL ARTICLE Physician satisfaction and emergency (stat) laboratory turnaround time during various developmental stages AJ Groenewald (PhD) HD Potgieter (M Tech) Department of Chemical
More informationCAP Most Frequent Deficiencies and How to Avoid Them. March 11, 2015
CAP 2015 Most Frequent Deficiencies and How to Avoid Them Jean Ball MBA,MT(HHS),MLT(ASCP) Inspection Services Team Lead Laboratory Accreditation Program March 11, 2015 Objectives: Participants will be
More informationSOP WP6-QUAL-04, Version 1.0, 23 February 2014 Page 1 of 8. SOP Title: Laboratory (GCLP) supervision visits
SOP WP6-QUAL-04, Version 1.0, 23 February 2014 Page 1 of 8 SOP Title: Laboratory (GCLP) supervision visits Project/study: NIDIAG: this SOP applies to all NIDIAG clinical studies (WP2). 1. Scope and application
More informationPreanalytical errors in hospitals. Current research and process-oriented improvement initiatives Labquality Days Helsinki 2009 Olof Wallin, MD/PhD
Preanalytical errors in hospitals Current research and process-oriented improvement initiatives Labquality Days Helsinki 2009 Olof Wallin, MD/PhD Main topics The total testing process Preanalytical errors
More informationABSTRACT AJCP /ORIGINAL ARTICLE
AJCP /ORIGINAL ARTICLE Neonatal Intensive Care Unit Quality Initiative Identifying Preanalytical Variables Contributing to Specimen Hemolysis and Measuring the Impact of Evidence-Based Practice Interventions
More information6/28/2016. Questions? Workshop 6 CAP Inspection Preparation Thursday, June 23, 2016
Workshop 6 CAP Inspection Preparation Thursday, June 23, 2016 Allan W. Fraser Jr., CG(ASCP)CM, CCS, CQA(ASQ) Quality Assurance Manager, Quest Diagnostics at Nichols Institute Questions? Have you been inspected
More information