《ISO15189认可和CAP认证的流程和体会.ppt

* What happens when a lab has a PT failure for :  a regulated analyte? Suspension of testing, Cessation of testing Revocation of a lab’s accreditation by CMS Non-regulated analytes? Each accrediting agency has different PT oversight standards. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Unsatisfictory unsuccessful Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. PT Failure Scenarios 1 2 3 4 5 A √ Χ Χ √ √ B √ √ √ Χ Χ C Χ √ Χ √ Χ Performance interpretation At risk successful unsuccessful Still at risk Unsuccessful , at risk requirement Needs to pass the next two events Lab is no longer at risk Has not yet passed two PT events in a row Nex two events and accre in jeopardy Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. * D-A0206-F-501 纠正预防措施报告记录表 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. ISO15189认可和CAP认证的流程和体会 浙江大学医学院附属第二医院 谭运年 2013.11.08 * Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 一、为什么要做？ 二、认证认可差别 三、体系建立和检查手段 四、申请流程和体会 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. * 一、为什么要做？ Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 为什么不想做？据说 听说 传说 文件工作多 学习任务重 硬件达不到要求 软件达不到要求 只按部分要求做，不评 * Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 推动的因素 外部： 国内：优质医院、等级医院、卫生部重点专科评审。 国外：JCI (Joint Commission on Accreditation of Healthcare Organizations ,JCAHO) ，CAP（ College of American Pathologist） 内部： 自身发展的需要、自重、自尊。 * Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspos