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3.0 Professional Practice > Accreditation > Flashcards

Accreditation Flashcards

1
Q

Define accreditation

A

a self‐assessment and external peer
review process used by health care organisations to
accurately assess their level of performance in relation to
established standards and to implement ways to
continuously improve the health care system

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2
Q

What is INAB

A

National body responsible for accreditation in Ireland

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3
Q

What is the standard for labs

A
  • Lab accreditation to ISO 15189 since 2003
  • Quality Management in the Medical Laboratory
  • New version: ISO15189:2022
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4
Q

Since when has BT been accredited

A

Blood bank had to be accredited by Nov 2008

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5
Q

What are the steps to Accreditation

A

Enquiry -> self assessment
Application for accreditation
Regstration/anual re-registration
Assessment
Report

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6
Q

How often are labs re-assessed

A

Every 4 years

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7
Q

What are the three possible results for a report

A

Compliance = accreditation

Non compliance (non-critical) = conditional approval
-> must be corrected for accreditation

Non compliance (critical) = referral (rejected)

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8
Q

What is TQM

A

Total Quality Management

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9
Q

What are the three steps to quality assurance cycle

A

Pre-analytic: patients/sample collection, sample transport

Analytic: quality control

Post -analytic: record keeping, reporting

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10
Q

Why is TQM important

A

Medical laboratories must provide a high quality service by
producing accurate, precise, relevant and comprehensive data
that can be applied to the medical management of patients

A bad system, a wrong sampling or a kit with poor performance
can never produce a reliable result, even in a laboratory with the
best quality management system

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11
Q

What is quality assurance

A
  • The QA process often consists of a combination of:
  • Internal Quality Control (IQC) of the everyday analytical process
    And
  • External Quality Assessment (EQA) programmes:
  • Overall accuracy and comparability of results between centres may be
    determined
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12
Q

What is an audit

A
  • Examination of all stages of process to ensure minimum quality
    standards being met
  • Means to improve quality standards
  • All stages of the QM process
  • Pre‐analytical
  • Analytical
  • Post‐analytical
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13
Q

What is a quality management system

A

A system of standards and practices established within an
organisation to ensure consistent quality of products or services

Overall system of procedures and policies intended to ensure that
defined standards are met, with clear plans to address failures to
meet these standards

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14
Q

What 2 main legislation relates to health and safety

A
  • Safety, Health and Welfare at Work Act 2005
  • Chemical Agents Regulations 2015
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15
Q

What are four other pieces of legislation which relate to health and safety

A
  • Others to be aware of in relation to:
    –Chemical Act 2008 and 2010
    –Carriage of dangerous goods by road
    –Biological hazards -Occupational exposure
    –Radiation related
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16
Q

Under the Safety, Health and Welfare at Work Act 2005, it is the duty of the employer to:

A
  • Provide safe place of work, equipment, protection.
  • Information, training.
  • General protective principles
17
Q

Under the Safety, Health and Welfare at Work Act 2005, it is the duty of the employee to:

A

Not put self or others at harm, not be under influence, not engage in improper
behaviour that could harm self or others, report issues, attend training

18
Q

What is the hierarchy of control in health and safety

A

Elimination or substitution e.g. automated stainer instead of manual

Control e.g. enginnering (ventilation in cut up etc)

Safe systems of work e.g. relevant SOPS

PPE -> a last resort -> how to keep safe when you have to handle something etc

19
Q

Give some examples of employment law

A
  • Terms of Employment (Information) Act 1994‐2014
  • Protection of Employees (Fixed Term) Act 2003
  • Protection of Employees (Part Time Work) Act 2001
  • Maternity protection (Amendment) Act 2004
  • Parental Leave (Amendment) Act 2006
  • Adoptive Leave Act 2005
  • Equality Act 2004
  • Unfair dismissal Act 1993
  • Organisation of Working Time Act 1997
20
Q

Give some examples of Data protection acts

A
  • Data Protection Act 1988
  • Data Protection (Amendment) Act 2003
  • Data Protection Act 2018 - GDPR
  • Freedom of Information Act 2014
21
Q

What is a Data protection commissioner

A

? (link in powerpoint)

22
Q

What is an information commissioner?

A

? link in PP

23
Q

What is the Freedom of Information Act

A
  • An Act to enable members of the public to obtain access to the
    information in the possession of public bodies and to enable
    persons to have personal information relating to them in the
    possession of such bodies corrected
  • To provide for the establishment of the Office of Information
    Commissioner (OIC)
24
Q

What is the main professional act we have to follow

A

Health and Social Care Professionals Act 2005

Codes of Professional Conduct and Ethics

25
Q

Give some points on the Health and Social Care Professionals Act 2005

A
  • Health and Social Care Professionals Council
  • Registration boards
  • 15 professions
  • 13 boards
  • Register to practice
  • Fitness to practice
26
Q

Give some examples of EU Directives

A
  • EU In Vitro Diagnostics Directive
  • EU Blood Directive 2002/98/EC
  • EU Directive on Tissue and Cells 2004/23/EC
27
Q

What are guidelines

A
  • In the absence of legislation
  • Developed by professionals / organisations / governing bodies
  • Laboratory Management
  • Quality Control
  • Tissue retention
  • Bioethics and research
28
Q

What is the Data Protection Commission

A

the national independent authority responsible for upholding the fundamental right of individuals in the EU to have their personal data protected. The DPC is the Irish supervisory authority for the General Data Protection Regulation (GDPR), and also has functions and powers related to other important regulatory frameworks including the Irish ePrivacy Regulations (2011) and the EU Directive known as the Law Enforcement Directive.

29
Q
A

3.0 Professional Practice (3 decks)

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