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EQUIPMENT

Selection & Purchasing equipment


EQUIPMENT

FACILITY REQUIREMENTS

Performance xtics
Cost
Reagents
Ease of use
Language of instruction
Warranty
Safety
Space (Will it fit)

Equipment acquisition

Purchase, lease, rent, donation

Conditions of contract

Request:
- Wiring diagrams

- Software diagrams
- Parts list
- Operator manual

- Installation by manufacturer
- Trial period

Before Installation

Confirm vendors responsibilities

Establish checklist

Dont attempt to use prior to proper installation

After equipment installation

MAINTENANCE PROGRAM
Overview:
An equipment mgt program address:
- Equipment selection
- Preventive maintenance
- Procedures for trouble shooting & repair

Implementation

Assign responsibility for all equipment

Develop written policies & procedures

Maintain records

Monitor equipment mgt activities


- Ensure all procedures are followed
- Review all records routinely
- Update procedures as needed

Train all personnel on requirements & maintenance needs

Benefits

High performance level

Lowers cost of repair

Reliability of results

Elimination of premature replacement of equipment (lengthens


lifespans)

Increases safety to personnel

Reduces interruption of work

Documents & records

Inventory of all lab equipment

Information provided by the manufacturer on operation,


maintenance & repair activities

Records of all preventive maintenance & repair activities

Equipment Inventory log


Record: - Instrument type, model no. serial number

- Location in the lab


- Date purchased/ acquired
- Manufacturer & Vendor contact info
- warranty note, expiration date
- Spare parts list

ACCREDIATION

Why the assessment?


Recognition as delivering accurate & reproducible results

Recognition of compliance with the quality standards &

norms used for assessment

Certification (ISO/IEC 17000)

Procedure by which a third party gives written assurance that a product,


process or service conforms to specific requirements.

Accreditation (ISO 15189)

Procedure by which an authoritative body gives formal recognition that a


body or person is competent to care out specific tasks.

Licensure (Wikipedia 2007)

Granting of ability to practice provided most often by a local governmental


agency, usually based on demonstrated knowledge, training and skills.

Self-developed Standards

Develop their own accreditation requirements rather than using


internationally recognized standards.

Advantages:
- optimized for local use, recognized local strengths & weaknesses
- can be developed in progressive steps
- can lead to full international recognition

Weaknesses:

- may be narrow or biased


- may not be recognized by other organizations

CLSI

Global, nonprofit, standards-developing organization

Promotes the development and use of voluntary consensus standards and guidelines within
the health care community

Documents are developed by experts working on subcommittees or working groups

WHO

has developed several standards for disease-specific diagnostic laboratories,


such as polio, tuberculosis, influenza, measles

International bodies include:


ISO

World's largest developer and publisher of international standards

Standards are applicable to many kinds of organizations including clinical and public health
laboratories

CEN

European Committee for Standardization

National standards bodies in the European Economic Community and associated countries

General terms include openness and transparency, consensus, and integration

Good Clinical Laboratory Practice

The scheme involves the assessment of a clinical laboratory which


undertakes the analysis of samples from clinical trials, to assess
compliance with the Good Clinical Laboratory Practice (GCLP) standard,
as published by the British Association of Research Quality Assurance
(BARQA), 2003 ISBN 1-904610-00-5

This is a quality system for laboratories that analyse samples from


Clinical Trials in accordance with Good Clinical Practice (GCP)
regulations

Elements of an Accreditation Process


Accreditation Body
Standards
Assessors
User laboratory

Examples: commonly used standards


Certification standards

- ISO 9001:2000
- ISO 14000
Accreditation standards
- ISO 17025
- ISO 15189
- WHO polio standards
Regulations
- US CLIA Regulations
- French GBEA
- UN Transport of Dangerous Goods Regulations

Accreditation outcomes

Strength and integrity of the quality system are measured

Continual monitoring of the quality system

Recognition for efforts

Accredited laboratories tend to:

Perform better on proficiency testing

Are more likely to have a working quality management system

SUMMARY

Standards provide guidelines that form the basis for quality


practices. They are developed by organizations.

Accreditation and certification are processes that recognize


that a laboratory is meeting the designated standards.

An active quality management program can assure the


laboratory is in a constant state of accreditation-readiness.

Accreditation is an important step in the continual


improvement of the quality management system.

It is an accomplishment to be accredited; it is an achievement


to maintain accreditation.

GOOD
DOCUMENTATION
PRACTISE

Definition

Documentation has been defined as all records in any form


(written, electronic data) that describes or records the
methods, conduct and/or results of a trial, the factors affecting
a trial and the actions taken

Good Documentation Practice refers to concise, legible,


accurate and traceable records

Principles of Good Documentation Practice


Attributable
- It should be clear, who has documented the data

Legible
- Readable and signatures identifiable

Contemporaneous
- Info should be noted in the correct time frame along with the flow of events. Delay should be defined &
justified

Original
-Original, if not original should be exact copy; the first record made by the appropriate person. The
investigator should have the original source document.

Accurate
-Accurate, consistent and real representation of facts

Ensure proper documentation by knowing your study

- Protocol
- CRF guidelines
- Lab procedures
- Regulations
Data are complete, accurate, legible and timely
Items (data fields) are completed per CRF completion

guidelines
Errors are corrected following good documentation practices

Cont

Always use permanent ink

Write legibly

Write responses in ALL CAPS in the boxes or lines provided

Do not type data; handwrite it

Never use correction fluid

Pay attention to bolded instructions

Avoid making unnecessary marks

Keep responses in margins and space provided