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Published on: August 29, 2025
Perspectives on quality control, risk management, and analytical quality management
1Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison, WI 53705, USA. james@westgard.com
US laboratories are adopting individualized quality control (QC) plans, a new option for Clinical Laboratory Improvement Amendments compliance. Integrating risk management into QC ensures robust analytical quality management in healthcare.
Area of Science:
- Clinical Laboratory Science
- Healthcare Quality Management
- Risk Management in Healthcare
Background:
- Centers for Medicare and Medicaid Services now permit individualized quality control (QC) plans.
- The Joint Commission offers guidance on risk management within healthcare.
- Clinical Laboratory Standards Institute (CLSI) document EP23A details risk management for analytical QC.
Purpose of the Study:
- To inform medical laboratories about evolving QC practices.
- To highlight the integration of risk management into analytical QC.
- To provide a framework for developing comprehensive quality management plans.
Main Methods:
- Review of regulatory changes from the Centers for Medicare and Medicaid Services.
- Analysis of guidance from The Joint Commission.
- Application of Clinical Laboratory Standards Institute (CLSI) EP23A guidelines.
Main Results:
- Individualized QC plans are a viable option for regulatory compliance.
- Risk management principles are essential for developing effective analytical QC.
- A systematic approach to quality management is recommended.
Conclusions:
- Medical laboratories must adapt to new QC regulations.
- Risk management integration enhances analytical quality assurance.
- Comprehensive quality management plans are crucial for laboratory operations.
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