U1 LAB: QUALITY CONTROL Flashcards
(24 cards)
Objectives of Quality Control
- ensure quality services that guarantees patientβs satisfaction
- produce high quality sections within and between laboratories
- generate accurate, timely, and complete reports
- reduce turn around time
- promote ethics and professionalism
- enhance improved performance
- enhance continuous training and professional development
Histopath Reports include:
- Surgical
- Cytopathology
- Autopsy
Autopsy report can only be done with those na may?
residency training
How many copies of histopath reports should be prepared?
Three copies
Three copies for?
- Patient
- Laboratory
- Medical record
Signatories must be present in?
Request and Result forms
Whose signatory must be present in a surgical pathology report?
Pathologist
Specimen Handling
- Fix (with Formalin)
- Label
Routine turn-over
Frozen
5 to 15 minutes
Routine turn-over
Autopsy
1 month (if not an emergency)
Storage of Specimen
Specimen
3 to 6 months, 3 yrs if medicolegal
Storage of Specimen
Tissue Blocks, Slides
at least 10 years
Pre-Analytical Requirements
- Laboratory design
- Personnel
- Equipment
- Sampling
- Request Form
- Fixation
- Transportation
- Registration
- Laboratory Number
- Reagents
- ICT
Analytical Requirements
- Grossing
- Tissue processing
- Standard Operating Procedures
- Controls
- Equipment
- Screening of slides
- Documentation
Errors in grossing can stem from the?
pathologist
Errors in tissue processing can stem from?
Medical technologist
Post-Analytical Requirements
- Reporting
- Interpretation
- Typing of Reports
- Communication
- Auditing
- Dispatch of reports
- Block archive
- Tissue bank
- CPD
- Inventory
- Critical value reporting
- LIS
Result details must include:
- Patient identification data
- Name and address of laboratory
- Name of requesting physician
- Laboratory ID number
- Date of specimen procurement (specimen date)
- Date of arrival of specimen in the laboratory
- Sample type
- Anatomical site of origin
- Relevant clinical details
In microscopic diagnosis, you must record the following:
- all grades of squamous and/or glandular intra-epithelial neoplasia
- invasive lesion
Distribution of a lesion will note if what specimen has been submitted?
orientated specimen
These are classified and graded according to national protocols and guidelines.
invasive lesions
Internal Quality Control
- Performance evaluations
- Periodic audit
- Monitoring of non-conformities
- MDT review of slides
- Monitoring histopathology detection and reporting rates
- Correlation of cytology with clinical/histological outcome
This is the time between date of reporting results of specimen from date of specimen arrival within laboratory.
Turnaround Time (TAT)
T/F: There is no EQAS in histopathology.
True
Internal and External Audit