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Quality assurance programmes in the United Kingdom

S M Lewis1

  • 1Department of Haematology, Royal Postgraduate Medical School, London, UK.

Annali Dell'Istituto Superiore Di Sanita
|January 1, 1995
PubMed
Summary
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Quality assurance in laboratory medicine involves internal quality control (IQC), external quality assessment (EQA), and proficiency testing. These methods ensure reliable laboratory results and good laboratory practice across healthcare sectors.

Area of Science:

  • Laboratory Medicine
  • Clinical Pathology
  • Medical Diagnostics

Background:

  • Quality assurance is crucial for reliable laboratory medicine.
  • Key components include internal quality control (IQC), external quality assessment (EQA), and proficiency control.
  • These measures span the entire laboratory workflow, from sample collection to reporting.

Purpose of the Study:

  • To outline the essential components of quality assurance in laboratory medicine.
  • To describe the implementation and significance of IQC and EQA in the UK.
  • To highlight the role of the UK National External Quality Assessment Service (UK NEQAS).

Main Methods:

  • Internal Quality Control (IQC): Continuous monitoring of test reliability within laboratories.
  • External Quality Assessment (EQA): Periodic performance evaluation by an independent agency.

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  • Proficiency Control: Supervision of pre- and post-analytical phases, including specimen handling and reporting.

    • Main Results:

    • Most UK laboratories recognize and implement IQC procedures.
    • Specific considerations for haematology quality control are addressed.
    • The organizational structure and function of the national UK NEQAS scheme are detailed.

    Conclusions:

    • Comprehensive quality assurance programs are vital for laboratory medicine.
    • EQA schemes like UK NEQAS play a critical role in maintaining high standards.
    • Effective quality assurance ensures good laboratory practice in both public and private healthcare settings.