Concept of Value Based Healthcare
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External Quality Assurance for C&DST laboratories
External Quality Assurance (EQA) is a critical component of laboratory testing, as it ensures the accuracy and consistency of laboratory test processes throughout the examination of the specimen – from the point of collection to result reporting and database entry. The EQA of the C&DST laboratory under NTEP is through structured On-Site Evaluation (OSE), panel testing and retesting exercise.
Quality Improvement Activities in C&DST Laboratories
Post-examination QA Procedures in C&DST Laboratories
The examination procedure for Quality Assurance of TB and DST Laboratories includes:
1. Standard Operating Procedures (SOP)
Updated annually or more often as needed
Reviewed and initiated by staff annually
Obsolete procedures removed, labelled as “Obsolete”
2. Calibration/ Validation- Equipment
Biosafety cabinets
Safety centrifuges and autoclaves
Thermometers, pipettes and timers
The pre-Examination Procedure for Quality Assurance of TB and DST Laboratories includes the following aspects during post-analytical aspects:
1. Giving proper instructions to collect and transport good quality specimens:
Appropriate specimens
Collection, transportation procedures
2. Specimen monitoring requirements:
Documentation of specimen quality
Specimen rejection policy
Quality Control in Laboratory Arrangement and Administration
Laboratory Arrangement
Quality Assurance (QA) is important to ensure quality DST results from a Culture and DST laboratory.
Foremost, it is essential to develop a Quality Assurance Plan that is practical and meets the laboratory requirements. It is important to ensure that specific procedures are available for specific components of the plan.