Transcript New Tools and Approaches for Monitoring and Analyzing Internal and External Clinical Laboratory Performance Ilira Shtepani, Kit Johnson, Norman Neumann Provincial Laboratory.

New Tools and Approaches for Monitoring and Analyzing Internal and External Clinical Laboratory Performance
Ilira Shtepani, Kit Johnson, Norman Neumann
Provincial Laboratory for Public Health, Calgary and Edmonton, Alberta, Canada
IQLMC 2005,
[email protected]
External Quality Assurance Process in ProvLab
Context
EQA Deficiency Form
Process
Existing External
Quality
Assurance Survey
The External Quality Assurance scheme is an important quality assurance
tool for the validation of analytical measurements and fundamental as part
of an overall quality strategy in specialized laboratories for public health
diagnostic testing.
Is the Existing EQA
Survey Available/
Appropriate?
No
Database is Updated
Yes
Objective
New External
Quality Assurance
Survey
Is Annual
Renewal of EQA
Required?
End
YES
Develop a new approach and real-time tool for monitoring and analyzing the
External Quality Assurance Process in order to assess the laboratory
diagnostic testing performance.
New EQA Survey is
Entered in the Database
No
Survey is Ordered
Are Import
Permits
Required?
Yes
Notification of Decision is Sent to
the EQA Survey Participant/
Supplier
Import Permits are
Ordered
No
Evaluate New EQA Survey Using
Appropriate Selection Criteria
Survey is Entered in the
EQA Schedule
Survey Panel is Received
and Distributed
Method
New EQA
Survey
Accepted?
Yes
Survey Panel is
Tested and Reported
No
Survey Results are Received
The External Quality Assurance Process is reviewed along with its
importance in planning, evaluation and improvement of laboratory test
programs.
End
Survey Results are
Reviewed and Evaluated
Yes
EQA Deficiency Form Initiated
In addition to the process description, the interaction and coordination
among programs and survey providers is discussed.
TYPE BASED OCCURRENCE DISTRIBUTION
Based on External Quality Assurance data, a new approach to processing,
analyzing, monitoring and reporting the laboratory data using an in-house
developed software is presented along with the advantages for quality
management and overall efficiency in maintaining and tracking this quality
indicator with less cost and turnaround time.
Does Survey
have
Deficiency?
EQA Deficiency is Followed
Up & Completed
81%
Has Laboratory Received a
CAP-Initiated EQA
Deficiency Form ?
5%
14%
No
Yes
No
Required Follow-up is Performed
Successfully Closed
Deficiency
In Process
Form is Completed and Returned
to CAP Within the Designated
Timeframe
Quality Report
Results
Conclusions
The software links the process among all testing areas, automatically
updates the current status of laboratory data with deadline reminders, and
facilitates a quicker response to deficiencies with electronic notification for
peer review. The software features additional statistical and graphical tools
for data analysis and generation of custom-made reports.
Rapid processing of External Quality Assurance surveys through
automated reporting and updating facilitates quicker responses to
deficiencies, and is useful for real-time tracking of overall laboratory
performance.
External Quality Assurance Survey Schedule 2005
2
1
Information
1
Program
Supplier
1
All
Cal./Edm.
All
All
Survey Type
Code
Help ?
Status1
All
Supplier
Deficiency Follow -up
Testing Area
Site
Calendar
All
T echno lo gist C o o rdinato r
R espo nsible
/ M anager
Program Leader
Responsible
New Entry
General Information
Edm HBsAG
Miscellaneous Panels Hepatitis Panel A
Edm LPS-A
Notification
PO #
PO file
Price
Anticipate
Date
Received
d Date of Supplier
Date
Arrival
Replied
Receiving
Survey Process
Initials
Date
Delivered
of
Start Date Due Date
Received
to:
Receiver
Clerical Information
NML(LCDC)
Virology
B.LeBlanc
A.Chow
?
Lab Preparedness Survey Panel A
CAP
Multiple Areas
B.Lui,
M.Lovgren
M.Lovgren
N/A
Edm HC6-A
C.TrachomatisChlamydia/GC(NAA)
Panel A
CAP
Bacteriology
A.Chow
A.Chow ,
M.Lovgren
Edm F-A
Mycology Panel A
CAP
N.Mycol
P.Tomlin
C.Sand
Results
Send Out
End Date
Successfully
(Date)
Supplier
Accept
Results
Technical Information
No
2005/02/17
KW
N
Yes 328201 $270.00 2005/01/27 2005/02/07
NO 2005/03/01
BK
CS
N/A
Yes 328200 $281.51 2005/01/27 2005/01/24
NO 2005/02/02
BK
NLW
K.Kow alew ska
Yes 328201 $384.00 2005/01/27 2005/02/28
NO
2005/02/17 2005/03/03 2005/02/18
Area
Type
A/B/C
Due
Date
Testing Area 1
Status
Area
Type
A/B/C
Due
Date
Testing Area 2
NO
CAP Initiated Deficiency
Status
Area
Type
A/B/C
Due
Date
Status
Received
Due Date
Closed
Date
Testing Area 3
2005/02/18
YES
2005/02/16
Deficiency A / B/ C
Deficiency Follow -up
N/A
Deficiency
Level III
A
2005/04/08
Enterics
B
Suvey Status
SOP's
Program
Notified
Schedule
Need Import
Permit
Final Report
2005/04/08
Level III
In process
C
2005/04/08
Done
28 03 2005 28 03 2005 28 03 2005
Closed
In process
Notified only