Quality Assessment and Management in the Urinalysis Laboratory

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Quality Assessment and Management in the Urinalysis Laboratory
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Select the one best response to each question!

Quality assessment refers to:

1. Quality assessment refers to:
A. Analysis of testing controls
B. Increased productivity
C. Precise control results
D. Quality of specimens and patient care
2. During laboratory accreditation inspections, procedure manuals are examined for the presence of:
A. Critical values
B. Procedure references
C. Procedures for specimen preservation
D. All of the above
3. Urinalysis procedure manuals are reviewed:
A. By the supervisor on each shift
B. Weekly by the pathologist
C. Only when a procedure is changed
D. Annually by a designated authority
4. As supervisor of the urinalysis laboratory, you have just adopted a new procedure. You should:
A. Put the package insert in the procedure manual
B. Put a complete, referenced procedure in the manual
C. Notify the microbiology department
D. Put a cost analysis study in the procedure manual
5. Indicate whether each of the following would be considered a 1) preanalytical, 2) analytical, or 3) postanalytical factor by placing the appropriate number in the space:
_____ Reagent expiration date
_____ Rejection of a contaminated specimen
_____ Construction of a Levy-Jennings chart
_____ Telephoning a positive Clinitest result on a newborn
_____ Calibrating the centrifuge
_____ Collecting a timed urine specimen
6. Deionized water used for the preparation of reagents should be checked for:
A. Calcium content
B. Bacterial content
C. Filter contamination
D. pH, purity, and bacteria
7. Would a control sample that has accidentally become diluted produce a trend or a shift in the Levy-Jennings
plot?
A. Trend
B. Shift
8. A color change that indicates when a patient’s specimen or reagent is added correctly would be an example of:
A. External QC
B. Equivalent QC
C. Internal QC
D. Proficiency testing
9. What steps are taken when the results of reagent strip QC are outside of the stated confidence limits?
A. Check the expiration date of the reagent strip
B. Run a new control
C. Open a new reagent strips container
D. All of the above
10. When a new bottle of qc material is opened, what information is placed on the label?
A. The supervisor’s initials
B. The lot number
C. The date and the laboratory worker’s initials
D. The time the bottle was opened
11. When a control is run, what information is documented?
A. The lot number
B. Expiration date of the control
C. The test results
D. All of the above
12. State which of the CLIA categories is assigned to each of the following laboratory tests by placing the appropriate number in front of the test.
1. Waived
2. PPM
3. Moderate complexity
4. High complexity
____A. Reagent strip urinalysis
____B. Urine culture
____C. Complete urinalysis using the Clinitek 500
____D. Urine microscopic
____E. Urine pregnancy test
13. How often does CLIA’ 88 require documentation of technical competency?
A. Every 6 months
B. Once a year
C. Twice the first year and then annually
D. Twice the first year and then every 5 years
14. Who are the laboratory’s “customers” in CQI?
A. Physicians
B. Patients’ family members
C. Patients
D. All of the above
15. What is the primary goal of TQM?
A. Increased laboratory productivity
B. Improved patient outcomes
C. Reliability of test results
D. Precise test results
16. Match the purpose for developing each of the following:
1. Flowcharts
2. Cause-and-effect diagrams
3. Pareto charts
4. Run charts
____A. Determine cyclic and seasonal differences
compared to an average
____B. Break down a process into steps
____C. Identify the major contributors to a
problem
____D. Determine the cause of a problem
17. True or False: Most medical errors are the fault of individuals, not the system.

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