Date post: | 14-Apr-2018 |
Category: |
Documents |
Upload: | zeeshan-yousuf |
View: | 263 times |
Download: | 0 times |
of 20
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
1/20
1
QUALITY
ASSURANCE/QUALITY
CONTROL IN
HISTOPATHOLOGY
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
2/20
2
TOTAL QUALITY MANAGEMENT Quality control
Quality
assurance
Quality
improvement
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
3/20
3
OUR VALUES OUR QUALITY
SERVICES
vision
mission Core values
Safety policy Quality policy
AKUH
FOUNDADTION
Hospital
services
SATISFIEDCUSTOMER
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
4/20
4
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
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
5/20
5
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.
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
6/20
6
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/Integrity7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
7/207
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.
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
8/208
following are the continuous QA
parameters are recommended:
1-Intradepartmental consultation
review
2-frozen section review3-Histopathology case review
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
9/209
4-incident reporting
5-histopathology QC
6 -turn around time
7-vertical case review/audit-
8-autopsy QA
9-cytology QA
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
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
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
11/2011
RECIVINGBENCH
H$E BENCH
SEMEN DR CYTOGENETICS
SPECIALPATHOLOGY
GROSS BENCHCUTTING AND
EMBEDDING
CYTOLOGY
FLOW
CYTOMETERY
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
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
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
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 .
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
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.
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
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.
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
16/20
16
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.
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
17/20
17
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.
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
18/20
18
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
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
19/20
19
OUR ACHIEVEMENTSTOWARD QUALITY
ASSURANCE
ISO CERTIFIED
JCIA CERTIFIED
MOVING TOWARDCAP
7/30/2019 Qa and Qc in Histopathology 2 by Fehmi
20/20
20
Thank You!!!
Fahmida umer shaikh