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Quality Control Changes. Organization Resources Equipments Supplier Issues. Process Control . Documentation. Deviations. Assessments. Process Improvement. Facility & Safety. AABB Standards. Organization Resources Equipments Supplier Issues. Process Control . Documentation. - PowerPoint PPT Presentation

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Page 1: Quality Control Changes
Page 2: Quality Control Changes

Quality ControlChanges

Page 3: Quality Control Changes

AABB Standards1. Organization2. Resources3. Equipments4. Supplier Issues.5. Process Control.6. Documentation.7. Deviations.8. Assessments.9. Process Improvement.10. Facility & Safety.

Page 4: Quality Control Changes

AABB Standards1. Organization2. Resources3. Equipments4. Supplier Issues.5. Process Control.6. Documentation.7. Deviations.8. Assessments.9. Process Improvement.10. Facility & Safety.

Page 5: Quality Control Changes

AABB Standard5.0 Process Control

• The blood bank or transfusion services shall have policies and validated processes and procedures that ensure the quality of the blood, blood components, tissue, derivatives, and services. The blood bank or transfusion services shall ensure that these policies, processes, and procedures are carried out under controlled conditions.

Page 6: Quality Control Changes

AABB Standard5.0 Process Control

• The blood bank or transfusion services shall have policies and validated processes and procedures that ensure the quality of the blood, blood components, tissue, derivatives, and services. The blood bank or transfusion services shall ensure that these policies, processes, and procedures are carried out under controlled conditions.

Page 7: Quality Control Changes

AABB Standard5.0 Process Control

• The blood bank or transfusion services shall have policies and validated processes and procedures that ensure the quality of the blood, blood components, tissue, derivatives, and services. The blood bank or transfusion services shall ensure that these policies, processes, and procedures are carried out under controlled conditions.

Page 8: Quality Control Changes

5.0 Process Control5.1 General Elements

5.1.1 Change Control.5.1.2 Proficiency Testing Program.5.1.3 Quality Control.5.1.4 Use of Materials.5.1.5 Sterility.5.1.6 Identification & Traceability.5.1.7 Inspection.5.1.8 Handling, Storage, and Transportation

Page 9: Quality Control Changes

5.0 Process Control5.1 General Elements

5.1.1 Change Control.5.1.2 Proficiency Testing Program.5.1.3 Quality Control.5.1.4 Use of Materials.5.1.5 Sterility.5.1.6 Identification & Traceability.5.1.7 Inspection.5.1.8 Handling, Storage, and Transportation

Page 10: Quality Control Changes

5.1.3 Quality Control

A program of quality control shall be established that is sufficiently comprehensive to ensure that reagents, equipments, and methods perform as expected. Chapter 9, Process Improvement Through Corrective and Preventive Action, applies.

Page 11: Quality Control Changes

5.1.3 Quality Control

A program of quality control shall be established that is sufficiently comprehensive to ensure that reagents, equipments, and methods perform as expected. Chapter 9, Process Improvement Through Corrective and Preventive Action, applies.

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Quality Control

Data Analysis

Action

Accepted

Process Lab/Sec

Rejection

Corrective Action• Root Cause

AABB Standard

Page 13: Quality Control Changes

• 2004 Re-accreditation• 2006 Re-accreditation• 2008 Re-accreditation• 2010 Re-accreditation• 2012 Re-accreditation

KCBB-Accreditation

Page 14: Quality Control Changes

• 2004 Re-accreditation• 2006 Re-accreditation• 2008 Re-accreditation• 2010 Re-accreditation• 2012 Re-accreditation

Non-Conformance STD-5.1.3 Quality Control

KCBB-Accreditation

Page 15: Quality Control Changes

Quality Control

Data Analysis

Action

Accepted

Process Lab/Sec

Rejection

Corrective Action• Root Cause

AABB Standard

Page 16: Quality Control Changes

Quality Control

Data Analysis

Action

Accepted

Process Lab/Sec

Rejection

Corrective Action• Root Cause

KCBB QC layout

Page 17: Quality Control Changes

Process Lab/Sec

Quality Control

Data Analysis

Reject

Accept

• No Process Improvement.• No Corrective Action taken.• No Quality insured.• STD 9 not followed

KCBB Layout

Page 18: Quality Control Changes

Preparation Lipemic Quality Control

Data Analysis

Reject

Accept

• No Process Improvement.• No Corrective Action taken.• No Quality insured.• STD 9 not followed

KCBB Layout

Page 19: Quality Control Changes

Cryo-Preparation QC FVIII Data Analysis

Reject

Accept

• No Process Improvement.• No Corrective Action taken.• No Quality insured.• STD 9 not followed

KCBB Layout

Page 20: Quality Control Changes

Quality Control Lab.

• QC.• Validation.• Evaluation.• Calibration.• CBC (Patients, Apheresis).

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Corrective Action (1)

2006• Validation SOP (Committee).– Inline filtration.– NAT.– Others.

Page 22: Quality Control Changes

Corrective Action (2)

2006• Validation SOP (Committee).• Evaluation SOP (Committee).

Page 23: Quality Control Changes

Quality ControlChanges

Page 24: Quality Control Changes

Quality Control

Data Analysis

Action

Accepted

Process Lab/Sec

Rejection

Corrective Action• Root Cause

AABB Standard

Page 25: Quality Control Changes

Quality Control

Data Analysis

Action

Accepted

Process Lab/Sec

Rejection

Corrective Action• Root Cause

AABB Standard

Lab/SecSOP

QMAudit

Page 26: Quality Control Changes

Quality ControlLaboratory

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General Laboratory

Quality ControlLaboratory

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QC Laboratory

Lab/Section QCAction• Reject• Accept

Page 29: Quality Control Changes

Laboratories/ Sections

General Lab.

QC Program

Page 30: Quality Control Changes

Quality Control Program

Lab/Sec

Sample Collection

Data Analysis

Corrective Action

Audit Report

General

Sample Processing

QM

Audit Report

Page 31: Quality Control Changes

• Sample Collection.• Send to GL.• Data Collection.• Data Processing.• Data Blotting.• Corrective plan for non-

complaints.

Laboratory or

Section

Page 32: Quality Control Changes

• Bio-chemistry• pH• Clotting Factors• CBC• WBC• Culture• Calibration

General Laborator

y

Page 33: Quality Control Changes

• Audit• Non-complains• Internal Assessment

Quality Managemen

t

Page 34: Quality Control Changes

Action Plan 2011

July 1

June 30

June 1Starting Point

Lab/Section

QC SOPs

Program in Action

General Lab

Re-Arrange SOPs

Program in Action

Quality Management

Non-Compliance

SOPs

Program in Action

Document Control of

SOPs

Program in Action

Page 35: Quality Control Changes

Starting Point

Page 36: Quality Control Changes
Page 37: Quality Control Changes
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• Sample Collection.• Send to GL.• Data Collection.• Data Processing.• Data Blotting.• Corrective plan for non-

complaints.

Laboratory or

Section

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Out of Range

• Discard.• Initiate non-compliance report for

investigations.

Page 43: Quality Control Changes

Delayed Action

Oct, 2012

Page 44: Quality Control Changes

• Bio-chemistry• pH• Clotting Factors• CBC• WBC• Culture• Calibration

General Laborator

y

Page 45: Quality Control Changes

QC LAB SOPs

• Total No. 62• 1 POL, 61 TECH.• Per test.– QC of Platelets, QC of RBC.– Maintenance PRISM, maintenance OLYMPUS.

• Complicated training.• Complicated internal assessment.

Page 46: Quality Control Changes

General Lab SOPs

• Total No. 18– 1 POL, 10 TECH, 7 QC SOP

• Per process– Sample Receiving SOP’s & Forms.– Requested Test Results SOP’s.

• Less complicated training.• Less complicated internal assessment.

Page 47: Quality Control Changes

• Audit• Non-complains• Internal Assessment

Quality Managemen

t

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Conclusion

Page 51: Quality Control Changes

What is Accomplished

July 1

June 30

June 1Starting Point

Lab/Section

QC SOPs

Program in Action

General Lab

Re-Arrange SOPs

Program in Action

Quality Management

Non-Compliance

SOPs

Program in Action

Document Control of

SOPs

Program in Action

Page 52: Quality Control Changes

Conclusion

• QC is done at all blood banks

But……

IS IT EFFECTIVE

Page 53: Quality Control Changes

QC Concept

• Linear• Action based on results

Process Lab/Sec

Quality Control

Data Analysis

Reject

Accept

Page 54: Quality Control Changes

QC Concept

• Interactive.• Process improvement.

Laboratories/ Sections

General Lab.

Page 55: Quality Control Changes

QC Concept

TEST

Page 56: Quality Control Changes

QC Concept

PROCESS

Page 57: Quality Control Changes

Thank You