NEED OF EXTERNAL QUALITY ASSESSMENT SCHEME – AN EXPERIENCE IN CENTRAL LABORATORY AT RNTMC, UDAIPUR

Author:

JAKHAR PRAGYAORCID,RAJAK VIJAY,DWIVEDI GUNJA,MEENA KIRANORCID

Abstract

Objectives: The objectives of the study are to periodically assess the quality of the external quality assessment scheme (EQAS) with the aim of enhancing laboratory performances. Methods: An observational study was done at our central laboratory at RNTMC, Udaipur, after approval from the institutional review board. Our laboratory receives quarterly blood samples and already prepared slides from AIIMS, Delhi, for complete blood count (CBC). In addition, lyophilized blood samples for fibrinogen, prothrombin time/international normalized ratio (PT/INR), and activated partial thromboplastin time (APTT) analysis are received quarterly from CMC, Vellore, through courier package. As for cytopathology, the third package includes already prepared 10 slides of 2 cycles for cytopathology analysis along with a brief clinical history. Results: CBC, peripheral blood film examination findings, and reticulocyte count results were consistently acceptable, except in August 2021, December 2022, and March 2023 when some parameters of CBC were deemed unacceptable. Results for PT/INR, APTT, and fibrinogen were within consensus at all-time except in March 2022, when they were out within consensus and deemed unacceptable. Similarly, results for cytopathology evaluation were in concordance with the results of the provider except for a few occasions were deviations were seen for some diagnoses due to interpretation error. Conclusion: Engaging in EQAS has facilitated the enhancement of test result accuracy, thereby improving the overall quality of laboratory practices and minimizing erroneous outcomes.

Publisher

Innovare Academic Sciences Pvt Ltd

Reference6 articles.

1. Tholen DW, Berte LM, Boone DJ, Cooper WG, Gun-Munro J, Noble MA. Clinical and Laboratory Standards Institute using Proficiency Testing to Improve the Clinical Laboratory; Approved Guideline. Vol. 3. Wayne, PA, USA: Clinical Laboratory and Standards Institute; 2022 Oct. p. 221-31.

2. Barbara S, David P, Dacie V. Dacie and Lewis Practical Haematology. Quality Aassurance. Netherlands: Elsevier Health Sciences; 2006. p. 540-1.

3. Miller WG. The role of proficiency testing in achieving standardization and harmonization between laboratories. Clin Biochem. 2009 Mar 1;42(4-5):232-5. doi: 10.1016/j.clinbiochem.2008.09.004, PMID 19863911

4. Desai KN, Vithalani PH, Agnihotri AS, Patel K. Experience of the external quality assessment scheme in haematology at CU shah medical college, Surendranagar. Ann Pathol Lab Med. 2015 Jul- Sep;2(3):98-100.

5. Sciacovelli L, Zardo L, Secchiero S, Plebani M. Quality specifications in EQA schemes: From theory to practice. Clin Chim Acta. 2004 Aug 2;346(1):87-97. doi: 10.1016/j.cccn.2004.02.037, PMID 15234640

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3