Quality Assessment and Management in the Urinalysis Laboratory

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Quality assessment refers to:

Analysis of testing controls

Increased productivity

Precise control results

Quality of specimens and patient care

During laboratory accreditation inspections, procedure manuals are examined for the presence of:

Critical values

Procedure references

Procedures for specimen preservation

All of the above

Urinalysis procedure manuals are reviewed:

By the supervisor on each shift

Weekly by the pathologist

Only when a procedure is changed

Annually by a designated authority

As supervisor of the urinalysis laboratory, you have just adopted a new procedure. You should:

Put the package insert in the procedure manual

Put a complete, referenced procedure in the manual

Notify the microbiology department

Put a cost analysis study in the procedure manual

Deionized water used for the preparation of reagents should be checked for:

Calcium content

Bacterial content

Filter contamination

pH, purity, and bacteria

Would a control sample that has accidentally become diluted produce a trend or a shift in the Levy-Jennings plot?

Trend

Shift

A color change that indicates when a patient’s specimen or reagent is added correctly would be an example of:

External QC

Equivalent QC

Internal QC

Proficiency testing

What steps are taken when the results of reagent strip QC are outside of the stated confidence limits?

Check the expiration date of the reagent strip

Run a new control

Open a new reagent strips container

All of the above

When a new bottle of qc material is opened, what information is placed on the label?

The supervisor’s initials

The lot number

The date and the laboratory worker’s initials

The time the bottle was opened

When a control is run, what information is documented?

The lot number

Expiration date of the control

The test results

All of the above

How often does CLIA’ 88 require documentation of technical competency?

Every 6 months

Once a year

Twice the first year and then annually

Twice the first year and then every 5 years

Who are the laboratory’s “customers” in CQI?

Physicians

Patients’ family members

Patients

All of the above

What is the primary goal of TQM?

Increased laboratory productivity

Improved patient outcomes

Reliability of test results

Precise test results

Most medical errors are the fault of individuals, not the system.

True

False

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Quality Assessment and Management in the Urinalysis Laboratory

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Quality assessment refers to:

During laboratory accreditation inspections, procedure manuals are examined for the presence of:

Urinalysis procedure manuals are reviewed:

As supervisor of the urinalysis laboratory, you have just adopted a new procedure. You should:

Deionized water used for the preparation of reagents should be checked for:

Would a control sample that has accidentally become diluted produce a trend or a shift in the Levy-Jennings plot?

A color change that indicates when a patient’s specimen or reagent is added correctly would be an example of:

What steps are taken when the results of reagent strip QC are outside of the stated confidence limits?

When a new bottle of qc material is opened, what information is placed on the label?

When a control is run, what information is documented?

How often does CLIA’ 88 require documentation of technical competency?

Who are the laboratory’s “customers” in CQI?

What is the primary goal of TQM?

Most medical errors are the fault of individuals, not the system.

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