qa and qc in histopathology 2 by fehmi

7/30/2019 Qa and Qc in Histopathology 2 by Fehmi

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QUALITY

ASSURANCE/QUALITY

CONTROL IN

HISTOPATHOLOGY


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TOTAL QUALITY MANAGEMENT Quality control

Quality

assurance

Quality

improvement


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OUR VALUES OUR QUALITY

SERVICES

vision

mission Core values

Safety policy Quality policy

AKUH

FOUNDADTION

Hospital

services

SATISFIEDCUSTOMER


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Quality improvement

is the practice of

Continuously assessing

And adjusting performance

Using scientifically

Accepted procedure.

Quality control,Is an integral component of

Quality assurance and is the

aggregate of process

And techniques to detect,

reduce, and correct

Deficiencies in an analytic

Process

Quality AssuranceIn pathology and laboratory

Medicine is the practice of

Assessing performance in

All steps of the laboratory

Testing cycle including

Pre- analytic, analytic, and

Post analytic phases to

Promote excellent outcomes

In medical care

TOTAL QULAITY PLAN OFHISTOPATHOLOGY


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QUALITY CONTROLQC aims to identify defects in the finished product. Quality control,

therefore, is a reactive process

GOAL ----- The goal of QC is to identify defects after a product is

developed and before its released..

QUALITY ASSURANCEQA is aims to prevent defects with a focus on the processused to make the product .it is a proactive quality processGoal---- The goal of QA is to improve development and

test processes so that defects do not arise when the productis being developed.


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QUALITY CONTROL EMPHASISES ON THREE

ASPECTS

.Hitopathology

Q/C

1.Elements such as controls, job management,

defined and well managed

processes,[performance and integrity criteria, andidentification of records

2.Competence, such as knowledge, skills,

experience, and qualifications

3.Soft elements, such as personnel integrity,

confidence, organizational culture, motivation,team spirit, and quality relationships.
http://en.wikipedia.org/wiki/Integrityhttp://en.wikipedia.org/wiki/Confidencehttp://en.wikipedia.org/wiki/Organizational_culturehttp://en.wikipedia.org/wiki/Motivationhttp://en.wikipedia.org/wiki/Team_spirithttp://en.wikipedia.org/wiki/Team_spirithttp://en.wikipedia.org/wiki/Motivationhttp://en.wikipedia.org/wiki/Organizational_culturehttp://en.wikipedia.org/wiki/Confidencehttp://en.wikipedia.org/wiki/Integrity


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TWO

PRINCIPLE OF

QUALITY

ASSURANCE

ASPECTS OF QUALITY ASSURANCE

"Fit for purpose", the service

should be suitable for the intended

purpose; and "Right first time",

mistakes should be eliminated.


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following are the continuous QA

parameters are recommended:

1-Intradepartmental consultation

review

2-frozen section review3-Histopathology case review


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4-incident reporting

5-histopathology QC

6 -turn around time

7-vertical case review/audit-

8-autopsy QA

9-cytology QA


10/2010

ALL RECOMMENDED PROGRAMME AREANALYZED FROM THREE ASPECTS INHISTOPATHOLOGY:

A- Pre analytical aspects (before analysis)pre-steps as equipment/reagent Q.C, control run,request confirmation of test/stain and correctidentification.

B- Analytical aspects (during analysis)

procedural Q.C how we are performing test.C- Post analytical aspects (after analysis )such as reporting right patient should have right

report


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RECIVINGBENCH

H$E BENCH

SEMEN DR CYTOGENETICS

SPECIALPATHOLOGY

GROSS BENCHCUTTING AND

EMBEDDING

CYTOLOGY

FLOW

CYTOMETERY


12/2012

Receiving is the first step where we assure allconfirmations regarding any sample received in

histopathologyWe assure biopsy sample should received in formalin.If not, PS# C/P /M.R# with patient name is entered inquality control log book, dictate as without formalin,and without formalin letter is sent to respective doctors

to reduce this error.We have to make sure that sample (either biopsy/cytology)must be received with required information(history ,confirm age name ,gender, clinical diagnosisand biopsy/cytology site ).

Sample is hold and entered in hold log book in case of


13/2013

make sure correct charging correct reporting date

(LB/SB/MB).

Ensue receiving of X-ray where it is required (bone

specimen).

PBCR must required block as well as previous reports ensure

it if not available as per protocol rejection may consider.

Receiving bench ensure sample not received in formalin .


14/2014

After receiving sample has to move toward respective benches.where we consider bench related quality aspects.

Gross Benchensure proper working of gross station.Ensure gross room cleaning before work.Change formalin if needed.Perform daily Q.C of gross station after checking it.Entered sample information in Q.C log book if received withoutformalin.

Entered B.T # in B.T quality control file.Always make sure negative pressure of exhaust system forEffective quality and safety as well.Ensure formalin Q.C for effective fixation where required usezinc formalin.


15/2015

One of the very important aspect of histopathology is

frozen section.

Ensure time management for frozen (reporting 20 minutes

/frozen)

Cryostat Q.C is done before frozen.Entry is done in frozen log book.

Indicator data is maintained for confirmation of timely

reporting of frozen and to check delay of frozen to cause-

effect analysis.

As frozen received inform to doctor immediately for frozen.One of the most important thing is frozen should not

received in formalin or saline or any other solvent other

wise it will be rejected for frozen.


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Ensure equipment Q.C on all benches check PPM.(check

equipment temperature/working/reagents/daily maintenance)

Follow bench protocol for quality assurance .

Run control to ensure equipment/reagent are in excellentworking condition.

Keep a record of control.

If any error is noticed in control search cause of it, eliminate it

than perform test or stain.

we assure that which reagent should store on roomtemperature /refrigerator and marked them with temperature

tag to avoid any quality error.


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For wrong addressograph and for wrong labeling we entered the

copy of form and information in tissue committee file.Any issue regarding quality is discussed during QICC meeting andcorrective and preventive action are taken.Qualified staff is trained for work after multiple test judgmentshe/she will be allowed to work independently.There is no compromise in quality assurance in histopathology dueto the most sensitive nature of manual work. Incase of anymajor/minor nonconformities it has to be informed to supervisorand immediate investigation has to be done.

Delayed report is informed to patient with specific reason and it isentered in comments section of Sample in order to have a record ofit.


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QICC (QUALITY INDICATOR

COORDINATION COMMITTEE)

QUALITYINDICATORS

APPROVAL OF

NEW TEST AND

PROCEDURE

REVIEW AND

REPORT

ANALYSIS

1. internal q.c as equipment PPMreagents accuracy

2. Appraising. introduction of standards

innovative test procedure

3. Providing feedback .how quality is

improving if any suggestion any

issues in QICC meeting it is

discussed


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OUR ACHIEVEMENTSTOWARD QUALITY

ASSURANCE

ISO CERTIFIED

JCIA CERTIFIED

MOVING TOWARDCAP


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Thank You!!!

Fahmida umer shaikh

qa and qc in histopathology 2 by fehmi

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