Internal audits in private medical laboratory practice – a Finnish experience in 1996–2000

Internal audits inherently effect quality improvement, and concrete results can be expected by careful planning. As audits should improve the quality system in situ, the development of audits should not be neglected. ISO/IEC 17025 describes the objectives of internal audits and management reviews in more detail compared to the former standards EN 45001 and ISO/IEC Guide 25, although the main features are unchanged. This addresses continuous surveillance of the current practice. A brief questionnaire on vertical audits was distributed to 74 of 120 employees at a Finnish private medical laboratory, Medix Laboratories Ltd. A positive feed-back was received from the current management of audits. However, the study revealed that continuous supervision of audits is needed. Many employees were not willing to perform audits if they had no previous experience. Additionally, audits performed at the workbench were not considered as the best possible for fruitful discussions. Received: 20 February 2001 Accepted: 30 November 2001     

Accreditation of reference material producers: the example of IRMM's Reference Materials Unit

The potential approaches for third-party assessment of reference material producers are revisited and the activities of the Reference Materials (RM) Unit of the Institute for Reference Materials and Measurements (IRMM) to obtain accreditation to ISO Guide 34 and ISO 17025 are described. Accreditation was related to the Unit as all matrix RM activities of the institute are concentrated there. A management system was established that allows sufficient flexibility to be applicable to a wide range of RMs while being precise enough to ensure compliance with ISO Guides 30, 31 and especially 34 and 35. Accreditation was achieved in 2004 with independent scopes for testing and RM production and was confirmed and extended in 2005. The key aspects of the RM Unit's management system for RM production are presented. Presented at BERM-10, April 2006, Charleston, SC, USA     

Quality assurance in research laboratories

During the last decade, it has become increasingly important that researchers demonstrate that research is conducted to the highest standards. The implementation of quality assurance for research laboratories will enable all fields of research and development to be judged impartially. There are no specific standards for research laboratories but where possible, existing standards can be adapted. This review is structured around two approaches. The first considers research to be a logical extension of testing, and it is assumed that testing standards can be applied methodically to each step in a research project. The second advocates a flexible approach, with research-specific criteria for assessing quality. The important papers published on this topic have been reviewed. The conclusions are that the general quality management approach, encompassed by the ISO 9000 series of standards with the emphasis on customer satisfaction and ‘fitness for purpose’, is suitable for implementing quality assurance in research laboratories.     

Estimation of uncertainty in routine pH measurement

A procedure for estimation of measurement uncertainty of routine pH measurement (pH meter with two-point calibration, with or without automatic temperature compensation, combination glass electrode) based on the ISO method is presented. It is based on a mathematical model of pH measurement that involves nine input parameters. Altogether 14 components of uncertainty are identified and quantified. No single uncertainty estimate can be ascribed to a pH measurement procedure: the uncertainty of pH strongly depends on changes in experimental details and on the pH value itself. The uncertainty is the lowest near the isopotential point and in the center of the calibration line and can increase by a factor of 2 (depending on the details of the measurement procedure) when moving from around pH 7 to around pH 2 or 11. Therefore it is necessary to estimate the uncertainty separately for each measurement. For routine pH measurement the uncertainty cannot be significantly reduced by using more accurate standard solutions than ±0.02 pH units – the uncertainty improvement is small. A major problem in estimating the uncertainty of pH is the residual junction potential, which is almost impossible to take rigorously into account in the framework of a routine pH measurement.¹ Received: 11 August 2001 Accepted: 22 February 2002     

Evaluation of the limit of performance of an analytical method based on a statistical calculation of its critical concentrations according to ISO standard 11843: Application to routine control of banned veterinary drug residues in food according to European Decision 657/2002/EC

Traceability of the measurement of analytical parameters capable of evaluating the performance of methods is an important concept for the assessment of quality for the routine control, especially for residue monitoring of non-authorized medicinal substances in food from animal origin. The European Decision no. 657/2002/EC recommends to calculate two statistical limits, CCα and CCβ, which allow to evaluate the critical concentrations above which the method reliably distinguish and quantify a substance taking into account the variability of the method and the statistical risk to take a wrong decision. The calculation, which can be derived from the ISO standard no. 11843 is applied on a routine basis. An example displays a very simple way for evaluating the performance of an LC-MSMS method which has been validated a few years ago and is qualified onto a Micromass Quattro LCZ tandem mass spectrometer to monitor and confirm the nitrofuran metabolite residues in food from animal origin. Community Reference Laboratory for Antimicrobial Veterinary Drug Residue Control in Food from Animal Origin     

Factors affecting the combustion toxicity of polymeric materials

Fire gas toxicity is an essential component of any fire hazard analysis. However, fire toxicity, like flammability, is both scenario and material dependent. A number of different methods exist to assess the fire toxicity, but many of them fail to relate this to a particular fire scenario. Sample thickness alone, in a closed box test such as the NBS Smoke Chamber, is shown to change the fire scenario from well-ventilated to under-ventilated. Data from two flow-through tests, the static tube furnace (NF X 70-100) and the steady state tube furnace (the Purser furnace, BS 7990 and ISO TS 19700) show that there are different patterns of behaviour for different polymers (LDPE, polystyrene, rigid PVC and Nylon 6.6). The predicted toxicities show variation of up to two orders of magnitude with change in fire scenario. They also show change of at least one order of magnitude for different materials in the same fire scenario. Finally, they show that in many cases CO, which is often assumed to be the most, or even the only toxicologically significant fire gas, is of less importance than either HCl, or HCN, when present, and in some cases less important than organo-irritants. Nylon 6.6 shows the highest predicted toxicity, the greatest scenario dependence, and the least sensitivity to different apparatuses, while polystyrene shows the highest sensitivity to the different apparatuses, but the lowest to different fire scenarios. PVC shows high toxicity, mostly due to HCl in the fire effluent, under all fire conditions, and LDPE shows a more progressive increase in toxicity from well-ventilated flaming to both smouldering and under-ventilated flaming.     

Towards accreditation of clinical biochemistry in the public sector on the island of Mauritius

Medical laboratories of the public sector as well as of the private sector on the island of Mauritius are preparing for accreditation. The clinical laboratory of the Central Health laboratory of the Ministry of Health and Quality of Life has undergone a pre-assessment by experts of the International Atomic Energy Agency (IAEA) through the aegis of a project targeted to members of the Africa Region. Several shortcomings were identified and respective corrective actions were recommended for implementation within a given time frame. In addition to ensuring the competence of the laboratory, accreditation has various positive aspects such as an increased awareness of the staff to quality and better training opportunities. The pre-assessment exercise has provided a gap analysis, which is an important aspect in the preparation towards accreditation.     

Can the new ISO Guide 25/EN 45001 create better confidence in laboratory operations?

 Confidence in laboratory operations is discussed based on the ongoing revision of the ISO/IEC Guide 25. Confidence is a subjective attribute, which also depends on whose interest is considered. New and better-defined quality systems and technical elements will be included, and these are beneficial to the transparency of laboratory operations, as well as to the accreditation process. The ultimate aim is, of course, to satisfy customers. The testing laboratories' industrial customers are, however, generally unfamiliar with the ISO/IEC Guide 25 and accreditation. The main reason for improved confidence in testing and calibration laboratories is foreseen to come from closer interaction between laboratories and their customers.     

Certification of reference materials and accreditation of reference material producers: Questionable terminology leads to confusion

In the view of the Deutscher Kalibrierdienst (DKD) , a certifying body for reference materials can be considered to be a calibration laboratory. Therefore, accreditation of calibration laboratories in accordance with ISO/IEC 17025 is the most appropriate way to establish confidence in certificates for reference materials. If necessary, the criteria of ISO/IEC 17025 can be tailored to specific cases. There is no need to provide any new kind of reference-material specific accreditation. However, in view of the variety of reference materials and the practice existing in other countries, accreditation of testing laboratories and product certification bodies may optionally be acceptable as long as the same stringent principles with respect to traceability and measurement uncertainty are applied. Such accreditations but not accreditations of reference material producers (ISO Guide 34) are also covered by existing international mutual recognition arrangements (MRA).     

Novel evaluation method of biodegradabilities for oil-based polycaprolactone by naturally occurring radiocarbon-14 concentration using accelerator mass spectrometry based on ISO 14855-2 in controlled compost

The biodegradabilities of poly(?-caprolactone) (PCL) powders (av. size = 180.7 μm) in controlled compost at 58 °C have been studied using the microbial oxidative degradation analyzer (MODA) based on ISO 14855-2 entitled “Determination of the ultimate aerobic biodegradability of plastic materials under controlled composting conditions - Method by analysis of evolved carbon dioxide - Part 2: Gravimetric measurement of carbon dioxide evolved in a laboratory-scale test”. The biodegradability of the PCL powders was 101.4% in a 56-day test period by the ISO method. The biodegradabilities of PCL powders have been studied using percent modern carbon (pMC) measured by accelerated mass spectrometry (AMS). Trapped CO₂ was analyzed by AMS to determine the pMC (sample) using ¹⁴C radiocarbon concentration. By using the theory that the pMC (sample) was the sum of pMC (compost) (104.88%) and pMC (PCL) (0%) as the respective ratios in the determined period, CO₂ (respiration) was calculated only from one reaction vessel. The biodegradability of PCL powders was 79.9% in a 56-day test period by the AMS method. It was found that respiration activities in the sample vessel including PCL, compost and sea sand were the same as that in the blank vessel including compost and sea sand without PCL during the active biodegradation period (0-33 day) at 58 °C. It was confirmed that respiration activities in the sample vessel were slightly higher than that in the blank vessel after active biodegradation due to the propagation of microorganisms using energy and metabolites by PCL biodegradation during those periods.