230 likes | 648 Views
http://www.generalcomics.com/medical-cartons-funny-pictures-jokes ... Issues Final Word. http://www.generalcomics.com/medical-cartons-funny-pictures-jokes ...
E N D
1. Using CQAS Data in the Laboratory Brendan J Fitzpatrick
Chief Medical Scientist
Haematology Dept.,
2. Quality Issues my profile 36 yrs Laboratory experience
>30 yrs in Haematology
Used to be Public (HSE) now Private
FIBMS CSci, - Haematology
MIBiol CBiol, - Biochemistry
MSc. Management of Operations
Poster Presentations on Quality
2006 NEQAS Annual Meeting, Belfast
Won the Mitchell Lewis Award
2008 NEQAS Annual Meeting, Durham
2008 IEQAS Annual Meeting Dublin
3. Quality Issues the laboratory perspective
4. Quality Issues the problems
5. Quality Issues the APTT problem APTT showing a pattern of Negative D.I.s
6. With a Reference Range of 22.5 - 31.0 seconds for the batch of APTT Reagent, a frequency of 12 16% short APTTs was identified by a 6 month lookback on the work.
Simultaneously plotting of Normal and Abnormal control showed the following: Quality Issues the APTT problem
7. Quality Issues the APTT problem
8. Quality Issues the APTT problem
9. Quality Issues the APTT problem
10. Quality Issues the APTT problem
11. Quality Issues the APTT problem
12. Quality Issue Solved ??
13. Quality Issues Summary
Problem identified e.mailed Inspector Clouseau (Sue)
Simultaneously looked at specific group in CQAS Reports
Identified possible affected individuals from Special Survey information
As Batch of APTT Reagent was nearing expiry date obtained new batch early
Validated performance locally and by 2 CQAS Trials implemented and problem solved
14. Quality Issues the FIBRINOGEN problem Situation here is Main Analyser (560) is performing OK, the Backup Analyser (540) is yielding higher results than 560 which is causing data to be trimmed by CQAS
Only 3 users still with CA 500 series and one does not participate in Fibrinogen estimation
Solutions tried;
recalibration,
fresh reagents,
match 540 to 560.
15. Quality Issues the FIBRINOGEN problem
16. Quality Issues the FIBRINOGEN problem
17. Quality Issues the FIBRINOGEN problem
18. Quality Issues the FIBRINOGEN problem
19. Quality Issues the FIBRINOGEN problem
20. Quality Issues the FIBRINOGEN problem
21. Quality Issues Problems Resolved ?
22. Quality Issues Solutions
23. Quality Issues Final Word