U1 LAB: QUALITY CONTROL

Question 1

Objectives of Quality Control

Answer 1

• ensure quality services that guarantees patient’s satisfaction
• produce high quality sections within and between laboratories
• generate accurate, timely, and complete reports
• reduce turn around time
• promote ethics and professionalism
• enhance improved performance
• enhance continuous training and professional development

Question 2

Histopath Reports include:

Answer 2

• Surgical
• Cytopathology
• Autopsy

Question 3

Autopsy report can only be done with those na may?

Answer 3

residency training

Question 4

How many copies of histopath reports should be prepared?

Answer 4

Three copies

Question 5

Three copies for?

Answer 5

1. Patient
2. Laboratory
3. Medical record

Question 6

Signatories must be present in?

Answer 6

Request and Result forms

Question 7

Whose signatory must be present in a surgical pathology report?

Answer 7

Pathologist

Question 8

Specimen Handling

Answer 8

1. Fix (with Formalin)
2. Label

Question 9

Routine turn-over

Frozen

Answer 9

5 to 15 minutes

Question 10

Routine turn-over

Autopsy

Answer 10

1 month (if not an emergency)

Question 11

Storage of Specimen

Specimen

Answer 11

3 to 6 months, 3 yrs if medicolegal

Question 12

Storage of Specimen

Tissue Blocks, Slides

Answer 12

at least 10 years

Question 13

Pre-Analytical Requirements

Answer 13

• Laboratory design
• Personnel
• Equipment
• Sampling
• Request Form
• Fixation
• Transportation
• Registration
• Laboratory Number
• Reagents
• ICT

Question 14

Analytical Requirements

Answer 14

• Grossing
• Tissue processing
• Standard Operating Procedures
• Controls
• Equipment
• Screening of slides
• Documentation

Question 15

Errors in grossing can stem from the?

Answer 15

pathologist

Question 16

Errors in tissue processing can stem from?

Answer 16

Medical technologist

Question 17

Post-Analytical Requirements

Answer 17

• Reporting
• Interpretation
• Typing of Reports
• Communication
• Auditing
• Dispatch of reports
• Block archive
• Tissue bank
• CPD
• Inventory
• Critical value reporting
• LIS

Question 18

Result details must include:

Answer 18

• Patient identification data
• Name and address of laboratory
• Name of requesting physician
• Laboratory ID number
• Date of specimen procurement (specimen date)
• Date of arrival of specimen in the laboratory
• Sample type
• Anatomical site of origin
• Relevant clinical details

Question 19

In microscopic diagnosis, you must record the following:

Answer 19

• all grades of squamous and/or glandular intra-epithelial neoplasia
• invasive lesion

Question 20

Distribution of a lesion will note if what specimen has been submitted?

Answer 20

orientated specimen

Question 21

These are classified and graded according to national protocols and guidelines.

Answer 21

invasive lesions

Question 22

Internal Quality Control

Answer 22

• Performance evaluations
• Periodic audit
• Monitoring of non-conformities
• MDT review of slides
• Monitoring histopathology detection and reporting rates
• Correlation of cytology with clinical/histological outcome

Question 23

This is the time between date of reporting results of specimen from date of specimen arrival within laboratory.

Answer 23

Turnaround Time (TAT)

Question 24

T/F: There is no EQAS in histopathology.

Answer 24

True

Internal and External Audit