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Medical Forum / General / Laboratory / January 2007

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Quality control in the labs

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nusaiba - 27 Jan 2007 11:34 GMT
Hello,

I am a quality officer and i would like to know what are some of the
control procedures that are followed in the immunology lab? in other
words, we do screening for about 1500 blood samples a day for both HIV
and HBs.  Are there any ways of doing quailty control on the tests?
JEDilworth - 28 Jan 2007 06:38 GMT
So, what you're saying, if I read this correctly, is that you perform 1500
test per day with no QC?????? You're kidding, right? What kind of lab is
this? Is this in the US?

You don't run commercial controls with known ranges, or known
positives/negatives? Your kit's package insert should have QC information.

I certainly wouldn't want you to report out my results without any QC
done.....

Judy Dilworth, M.T. (ASCP)
Microbiology

> Hello,
>
> I am a quality officer and i would like to know what are some of the
> control procedures that are followed in the immunology lab? in other
> words, we do screening for about 1500 blood samples a day for both HIV
> and HBs.  Are there any ways of doing quailty control on the tests?
Manky Badger - 28 Jan 2007 12:36 GMT
> So, what you're saying, if I read this correctly, is that you perform 1500
> test per day with no QC?????? You're kidding, right? What kind of lab is
[quoted text clipped - 8 lines]
> Judy Dilworth, M.T. (ASCP)
> Microbiology

Mind you, it's nice to see a vaguely on-topic post rather than drivel from
the ferrous fool :o)
JEDilworth - 30 Jan 2007 07:07 GMT
You're so right :-).

Judy Dilworth, M.T. (ASCP)
Microbiology

> Mind you, it's nice to see a vaguely on-topic post rather than drivel from
> the ferrous fool :o)
nusaiba - 28 Jan 2007 17:53 GMT
We do have negative and positive controls and we do not give out
results without the controls.  However, what I meant is that are
charts suitable to measure its effectivness? Because someone (who is
American) from the Americal Hospital that we have in Dubai once told
me that if you are doing screening then you only to check your
negative and positive controls.  Is this true? or is it more effective
to have charts?

On Jan 28, 10:38 am, "JEDilworth" <bactit...@nospamhortonsbay.com>
wrote:
> So, what you're saying, if I read this correctly, is that you perform 1500
> test per day with no QC?????? You're kidding, right? What kind of lab is
[quoted text clipped - 15 lines]
> > words, we do screening for about 1500 blood samples a day for both HIV
> > and HBs.  Are there any ways of doing quailty control on the tests?
JEDilworth - 30 Jan 2007 07:07 GMT
I have not been in any part of the lab but microbiology since 1988. However,
I think you must keep track of lot numbers, outdates, received dates. You
must keep good records. If you're still on paper, your worksheets must
reflect these lot numbers and their results.  I think you have to cross
reference controls from old kits to new somehow.

Can someone else with more recent experience doing this type of QC testing
please comment? QC in micro is really a different deal entirely than with
immunology.

Judy Dilworth, M.T. (ASCP)
Microbiology

> We do have negative and positive controls and we do not give out
> results without the controls.  However, what I meant is that are
[quoted text clipped - 3 lines]
> negative and positive controls.  Is this true? or is it more effective
> to have charts?
Manky Badger - 28 Jan 2007 10:43 GMT
> Hello,
>
> I am a quality officer and i would like to know what are some of the
> control procedures that are followed in the immunology lab? in other
> words, we do screening for about 1500 blood samples a day for both HIV
> and HBs.  Are there any ways of doing quailty control on the tests?

So what do you want to QC?

Whether the name on the blood sample bears any relation to the name of the
patient from whom it was collected?
Whether the name on the blood sample bears any relation to the name on your
LIS
Whether you actually get the right result at the "test-tube" stage?
Whether you actually report a result?
Whether you actually report the correct result?
Whether the report reaching the patient's bedside is the one you sent out?
Whether you're complying with local protocols?
Whether you're complying with national recommendations?

What you've asked is a good 2000+ word essay for a trainee. Perhaps you
might like to be more specific in what you're asking.
 
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