Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-25T06:29:24.917Z Has data issue: false hasContentIssue false

Quality assurance in medical microbiology

Published online by Cambridge University Press:  05 December 2011

J. J. S. Snell
Affiliation:
Quality Assurance Laboratory, Central Public Health Laboratory, Colindale
Rosalinde Hurley
Affiliation:
Department of Microbiology, Royal Postgraduate Medical School's Institute of Obstetrics and Gynaecology, Queen Charlotte's and Chelsea Hospital
Get access

Synopsis

National External Quality Assessment Schemes (NEQAS) in Microbiology have been established and operative in the United Kingdom for over 20 years. The essential components of such schemes with an account of the supporting expert advisory structures are described. Participation is voluntary and the primary aim is educational and designed to elevate standards of diagnostic practice generally through comparisons of performance within peer groups. The effect of such schemes on microbiological diagnostic performance is discussed.

The need for harmonisation within the European Community is addressed, together with an account of preliminary work relating to formulation of Directives in the field of medical devices.

The process of accreditation of diagnostic pathology laboratories through CPA (UK) Ltd. is briefly described.

Type
Research Article
Copyright
Copyright © Royal Society of Edinburgh 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anonymous. 1991. Accreditation Handbook – Clinical Pathology Accreditation (UK) Ltd. Sheffield: The Children's Hospital.Google Scholar
Blaser, M. J., Hickman, F. W., Farmer, J. J., Brenner, D. J., Ballows, A., Feldman, R. A. 1980. Salmonella typhi: the laboratory as a reservoir of infection.Journal of Infectious Disease 142, 934–8.CrossRefGoogle ScholarPubMed
Commission of the European Communities. 1991. Working Document: Elements for the forthcoming legislative harmonisation of in-vitro diagnostic medical devices. (Med. Dev. 91.5), Brussels.Google Scholar
Commission of the European Communities. August 1992. Working Document: Draft proposal for a Council Directive on in-vitro diagnostic medical devices. (III/D/4041/92-EN).Google Scholar
Control of Substances Hazardous to Health Regulations 1988 SI 1988 No. 1657. London: HMSO.Google Scholar
European Committee on Clinical Laboratory Standards. 1983. External Quality Assessment in Microbiology. ECCLS Document 3, No. 6.Google Scholar
Hansard. 1991. Hansard PQ 2146/1990–91 529, column 523–534.Google Scholar
Health and Medicines Act. 1992. Health and Medicines Act Section 23(1) and (3), CSI 1992, No. 4607. Health and Safety at Work etc. Act 1974. London: HMSO.Google Scholar
Health Memorandum. 1970. The Laboratory Automation Trials Group: Progress Report April 1970. Health Memorandum (1970) 50, Appendix 1.Google Scholar
Horn, A. N. & Lauder, I. 1990. United Kingdom External Quality Assessment Schemes. Annual Report for 1990. Department of Health, 1991.Google Scholar
International Air Transport Association Dangerous Goods Regulations (32nd Edition) Montreal, 1991.Google Scholar
Lewis, S. M. & Jennings, R. D. 1989. United Kingdom External Quality Assessment Schemes. Background and Terms of Reference. Department of Health, London.Google Scholar
Snell, J. J. S. 1991. The UK National External Quality Assessment Scheme for Microbiology. PHLS Microbiology Digest 8(2), 46–8.Google Scholar
Snell, J. J. S., Farrell, I. D. & Roberts, C. 1991. Quality Control: Principles and Practice in the Microbiology Laboratory. PHLS 1992.Google Scholar
Snell, J. J. S., de Mello, J. V. & Phua, T. J. 1986. Errors in bacteriological techniques: results from the United Kingdom national external quality assessment scheme for microbiology. Medical Laboratory Sciences 43, 344–55.Google ScholarPubMed
Snell, J. J. S. & Hawkins, J. M. 1992. Quality Assurance – achievements and intended directions. Review of Medical Microbiology 3, 2836.Google Scholar
World Health Organisation, Report, 1981. External Quality Assessment of Health Laboratories; Euro Reports and Studies 36, Copenhagen: WHO Regional Office for Europe.Google Scholar