malaysia standard iso 15189:2014 - bp healthcare
TRANSCRIPT
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Malaysia Standard ISO 15189:2014
Technical Requirements for Quality and Competence for Medical Laboratory
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1. Personnel
2. Accommodation and Environmental conditions
3. Laboratory Equipment, Reagent, and Consumables
4. Pre-examination Processes
5. Examination Processes
6. Ensuring Quality of Results
7. Post-examination Process
8. Reporting of Results
9. Release of Results
10. Laboratory Information Management
Outlines for Technical Requirements
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Organizational Plan
Qualification
Appropriate education, training, experiences, and skills needed.
Job Descriptions – Duties
Orientations
Introduction of organization, department/area, terms and conditions of employment, facilities, health & safety.
5.1 Personnel
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Training – Quality assurance and Quality Management
Authorization to perform particular tasks
Pre-analytical
Analytical
Post-analytical
Competence assessment
Personnel for making judgments/opinions/interpretation etc must be appropriately qualified and experienced.
5.1 Personnel
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Reviews of Performance – Competence Reassessment
Periodically conducted
Continuing Education – CME
Confidentiality of Patients
Not influenced by internal or external pressures.
Records Everything!!!!!
5.1 Personnel
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Laboratory and Office Facilities
Suitable, sufficient and safe.
Not affected for quality works
Efficient communication
Organized effectively for incompatible activities
Protected from recognized hazards.
Sufficient facilities (electricity, water, ventilation, waste disposal….)
5.2 Accommodation and Environment
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From: Director
To: Quality Manager
On Friday Evening at 5pm, Haley’s Comet will be visible in this area, an event which occur every 75 years. Please have employees to assemble in the yard and I’ll explain this rare phenomenon to them. In case of rain we will not be able to see anything so assemble them in the training room and I will show them a documentation film of it.
Communication Distortion
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From: Quality Manager
To: Operational Manager
By the order of the director on Friday at 5pm Haley’s Comet will appear above the yard. If it rains please assemble employees and proceed to the training room where this rare phenomenon ill take place, something which occurs every 75 years.
Communication Distortion
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From: Operational manager
To: LISCOM
By order of the Director at 5pm on Friday the phenomenal Haley’s Comet will appear in the training room. In case of rain in the yard, the Director will give another order, something which occurs every 75 years.
Communication Distortion
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From: LISCOM
To: HODs
On Friday at 5pm the Director will appear in the training room with Haley’s Comet, something which happens every 75 years. If it rains the director will order the Comet into the yard.
Communication Distortion
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From: HODs
To: All MLTs
When it rains on Friday at 5pm the phenomenal 75 years old Bill Haley, accompanied by the Director, will drive his Comet through the yard to the training room.
Communication Distortion
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Storage Facilities – Documents, Consumables, Supplies
Clean and well maintained.
Appropriate storages for dangerous materials
5.2 Accommodation and Environment
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Qualified for :
Fitness of purpose
Meeting quality specification
Documented maintenance plan/program/calibration/metrological traceability
Uniquely labeled
Verified upon installation
5.3 Laboratory Equipment
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Only operated by authorized personnel
Machine breakdown
Records!!!!
Identity
Contacts
Dates
Operator’s Manual
Performances
5.3 Laboratory Equipment
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Information for users or patients
Special preparation for certain tests
Request Form
Unique ID, details, test required, relevant clinical information, date and time of collection……
Specimen collection, storage, transportation
Sample receptions
Acceptance/Rejection criteria
Records!!!!!
5.4 Pre-Examination Processes
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Test Methods
Meet the needs
Published/established methods
Verified/validated before use
Method verification vs Method validation
Measurement of Uncertainty
Qualitative results vs Qualitative results
Biological Reference Intervals
5.5 Examination Processes
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Records!!!! (Technical Procedures) Principle of Test
Type of acceptable specimens
QC requirement
Calibration
Safety control
Result interpretation
Limitation
Revise annually/as-needed
Common language
Must be controlled
5.5 Examination Processes
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Design of IQC plan
“The laboratory shall design QC procedures that verify the attainment of the intended quality of results”
Quality Specification, Medical Decision Levels.
Eliminating mistakes
Materials/Data
5.6 Ensuring the Quality
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External Quality Assurance
Alternative approaches
Records!!!!
5.6 Ensuring the Quality
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Reviews of Results
IQC, Clinical Information, previous results
Sample storage after analysis
5.7 Post-Examination Processess
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Report to be received by appropriate persons
Within the reports :
Accurate, clearly and unambiguously
Clear identification of person who authorizing, checking and releasing
Comments on sample quality, critical results, interpretations.
5.8 Reporting of Results
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Documented procedures for releasing the results.
Who can, who to.
Compromised results
Due to primary specimens (type, quality)
5.9 Release of Results
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Confidentiality
Authorization
Responsibilities Patient info
Results Enter
Results Amendment
Release results and reports
5.10 Laboratory Information System
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Epilogue
Right Sample From the
Right patient At the
Right Time Using the
Right container
Right Result For
Right Test
Right Report Given at
Right Time To
Right Patient