Proficiency Test Corrective Action Checklist
Proficiency Test Corrective Action Checklist
Department _____________________________
Evaluation Date ___________________
Proficiency Survey_________________________
Test & Specimen number_________________
Reported Results____________ Expected Results____________
Acceptable Range___________
Investigation of Unacceptable Results |
Yes |
No |
N/A |
Was the assay repeated? |
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Was the repeated result within the acceptable range? |
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Was QC acceptable on day of test? |
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Was QC free of drifts or trends? |
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Have errors occurred with this analyte in the last 2 surveys? |
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Were the survey specimens acceptable when received? |
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Were the specimens handled properly before & during testing? |
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Did a time delay occur between reconstitution & analysis? |
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Were the specimens mixed-up? |
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Was a pipetting or dilution error made? |
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Did any instrument or reagent problems occur on the day of testing? |
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Had assay calibration been performed as required? |
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Had instrument maintenance been performed as required? |
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Were instrument parameters entered correctly? |
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Were the results within the linear range? |
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Was the correct instrument code entered in the survey? |
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Was a transcription error made? |
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Was a transposition error made? |
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Was a calculation error made? |
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Were results misinterpreted or misidentified? |
Investigation of bias, trends or miscellaneous findings |
Conclusion:
Corrective Action Taken:
Investigated by:_________________________________________ Date____________
Manager:______________________________________________ Date____________
Pathologist ____________________________________________ Date____________