Laboratory analyses sample To make sure there is a timely Have mechanisms in to: As per quality Submit annual data and report results as per and consistent approach to the assurance scheme on standard 4: Test have management of screening participate in UK national requirements turnaround time (HIV, national guidelines; systems in to comply with samples, including analysis external quality hepatitis B and the programme laboratory and reporting of results assessment service syphilis) handbook schemes for laboratories We have evidence from (all that apply) Weekly Annual audit of screening safety incidents of: monitor repeat tests for repeat requests for laboratories reporting inconclusive results and samples not for ‘fit screening results before samples not fit for purpose analysis’ confirmatory tests have (between screening team taken place and laboratory) no system in to follow a communication process up samples with incorrect in place between lab and or incomplete request screening team for direct forms notification and recording no system in place to of receipt of result follow up requests for repeat samples mismanagement of inconclusive results inappropriate reporting of results on an IT system and not directly to screening team manual decapping of samples resulting in cross contamination of samples Trust response: this row for you to enter results or summarise whether you have these checks in place or not and if not to identify gaps and develop an action plan
Laboratory analyses sample and report results as per national guidelines; have systems in to comply with the programme laboratory handbook To make sure there is a timely and consistent approach to the management of screening samples, including analysis and reporting of results We have evidence from screening safety incidents of: laboratories reporting screening results before confirmatory tests have taken place no system in to follow up samples with incorrect or incomplete request forms no system in place to follow up requests for repeat samples mismanagement of inconclusive results inappropriate reporting of results on an IT system and not directly to screening team manual decapping of samples resulting in cross contamination of samples Have mechanisms in to: participate in UK national external quality assessment service schemes for laboratories (all that apply) monitor repeat tests for inconclusive results and samples not fit for purpose (between screening team and laboratory) a communication process in place between lab and screening team for direct notification and recording of receipt of result As per quality assurance scheme requirements Weekly Submit annual data on standard 4: Test turnaround time (HIV, hepatitis B and syphilis) Annual audit of repeat requests for samples not ‘fit for analysis’ Trust response: this row for you to enter results or summarise whether you have these checks in place or not and if not to identify gaps and develop an action plan
Infectious_diseases_in_pregnancy_screening_checks_and_audits_template.docx