QUALITY ASSURANCE /QUALITY CONTROL IN HISTOPATHOLOGY

TOTAL QUALITY MANAGEMENT

Quality control

Quality assurance

Quality improvement

OUR VALUES OUR QUALITY SERVICES

vision

mission

Core values

Hospital services
AKUH FOUNDADTION

SATISFIED CUSTOMER

Safety policy

Quality policy

TOTAL QULAITY PLAN OF HISTOPATHOLOGY

Quality Assurance
In 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

Quality control,
Quality improvement
is the practice of Continuously assessing And adjusting performance Using scientifically Accepted procedure.

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
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QUALITY ASSURANCE QA is aims to prevent defects with a focus on the process used to make the product .it is a proactive quality process Goal---- The goal of QA is to improve development and test processes so that defects do not arise when the product is being developed.
QUALITY CONTROL QC 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..
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QUALITY CONTROL EMPHASISES ON THREE ASPECTS 1.Elements such as controls, job management, . well managed defined and processes,[performance and integrity criteria, and identification 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.

Hitopathology Q/C

ASPECTS OF QUALITY ASSURANCE

TWO

PRINCIPLE OF
QUALITY ASSURANCE

"Fit for purpose", the service should be suitable for the intended purpose; and "Right first time", mistakes should be eliminated.

following are the continuous QA parameters are recommended: 1-Intradepartmental consultation review 2-frozen section review 3-Histopathology case review

4-incident reporting 5-histopathology QC 6 -turn around time 7-vertical case review/audit8-autopsy QA 9-cytology QA

ALL RECOMMENDED PROGRAMME ARE ANALYZED FROM THREE ASPECTS IN HISTOPATHOLOGY: A- Pre analytical aspects (before analysis) pre-steps as equipment/reagent Q.C, control run, request confirmation of test/stain and correct identification. 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
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RECIVING BENCH

GROSS BENCH

CUTTING AND EMBEDDING

H$E BENCH

SPECIAL PATHOLOGY

CYTOLOGY

SEMEN DR

CYTOGENETICS

FLOW CYTOMETERY

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Receiving is the first step where we assure all confirmations regarding any sample received in histopathology We assure biopsy sample should received in formalin. If not, PS# C/P /M.R# with patient name is entered in quality 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 diagnosis and biopsy/cytology site ). Sample is hold and entered in hold log book in case of

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 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 .

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After receiving sample has to move toward respective benches .where we consider bench related quality aspects.

Gross Bench

ensure 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 without formalin. Entered B.T # in B.T quality control file. Always make sure negative pressure of exhaust system for Effective quality and safety as well. Ensure formalin Q.C for effective fixation where required use zinc formalin.
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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 causeeffect 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.
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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 excellent working 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 room temperature /refrigerator and marked them with temperature tag to avoid any quality error.

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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 and corrective and preventive action are taken. Qualified staff is trained for work after multiple test judgments he/she will be allowed to work independently. There is no compromise in quality assurance in histopathology due to the most sensitive nature of manual work. Incase of any major/minor nonconformities it has to be informed to supervisor and immediate investigation has to be done. Delayed report is informed to patient with specific reason and it is entered in comments section of Sample in order to have a record of it.

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QICC (QUALITY INDICATOR COORDINATION COMMITTEE)

QUALITY INDICATORS
1. internal q.c as equipment PPM reagents accuracy

APPROVAL OF NEW TEST AND PROCEDURE

2. Appraising. introduction of standards innovative test procedure

REVIEW AND REPORT ANALYSIS

3. Providing feedback .how quality is improving if any suggestion any issues in QICC meeting it is discussed
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ISO CERTIFIED

OUR ACHIEVEMENTS TOWARD QUALITY ASSURANCE

JCIA CERTIFIED

MOVING TOWARD CAP

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Thank You!!! Fahmida umer shaikh

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