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1.
U. Örnemark Nick Boley Khalid Saeed Petronella M. van Berkel Rainer Schmidt Michael Noble Irma Mäkinen Mauri Keinänen Adam Uldall Heidi Steensland Adriaan Van der Veen Daniel W. Tholen Manfred Golze Jytte Molin Christensen Paul De Bièvre E. W. B. De Leer 《Accreditation and quality assurance》2001,6(4-5):140-146
Working group (WG) discussions on proficiency testing (PT) held at the joint Eurachem/ EQALM workshop, Borås, Sweden, 24–26 September 2000 are summarized. The discussions focused on aspects of PT and accreditation (WG 1), general aspects of PT in analytical chemistry (WG 2), microbiology (WG 3), and laboratory medicine (WG 4), incorporation of measurement uncertainty into PT schemes (WG 5), international harmonization of PT schemes (WG 6), and the role of PT in the international structure of chemical measurement (WG 7). Current status, problems and future directions are identified. Each WG contained a majority of participants experienced in the subject being covered by that WG, and a few participants with different expertise. This was done to promote cross-fertilization of ideas between sectors, a key objective of the workshop. The WG issues reflected the content of the keynote lectures and some issues were covered from different perspectives by more than one group. 相似文献
2.
Keith W. Davies 《Accreditation and quality assurance》1999,4(1-2):18-26
Since the mid-1960s quality assurance in clinical chemistry has progressed from a need to define and improve precision and
accuracy in analytical test procedures to an all-embracing process of assuring that the whole process of pre-analytical, analytical
and post-analytical phases of handling patient samples is managed effectively and efficiently. Automated and computer-controlled
equipment has reduced many of the analytical errors, in particular in imprecision, that were present in manual analysis. New
management techniques have been developed to control the quality and appropriateness of results. Developments in internal
quality control and external quality assessment procedures have enabled laboratories to continually improve the quality of
assays. Laboratory accreditation and external quality assessment scheme accreditation have ensured that peer review and peer
pressure have been applied to both laboratory and external quality assessment scheme performance. As the NHS reviews its priorities
and places more emphasis on primary care provider demands, hospital laboratories will of necessity assist with near patient
testing outside the laboratory. This will provide new challenges to the quality of the service provided.
Received: 2 July 1998 · Accepted: 1 August 1998 相似文献
3.
4.
Although it seems self-evident that proficiency testing (PT) and accreditation can be expected to improve quality, their relative benefits remain uncertain as does their efficacy. The study reported here examines the following issues: (a) Why do laboratories take part in PT schemes? (b) How does participation in PT fit in with a laboratory's overall quality assurance (QA) system? (c) Is there a link between a laboratory's performance in specific PT and it's QA system? (d) How does PT performance change with time and how do laboratories respond to poor performance? The overall conclusion is that there is no evidence from the present study that laboratories with third-party assessment (accreditation and certification) perform any better in PT than laboratories without. The validity of this conclusion and its significance for the future design and operation of such schemes requires further investigation. In particular, study is required of the degree to which good performance in open PT correlates with blind PT performance, where laboratories are not aware that the samples being analysed are part of a quality assessment exercise. 相似文献
5.
W. Jäger 《Accreditation and quality assurance》1997,2(4):199-202
The necessity for analytical quality assurance is primarily a feature of the analytical process itself. With the full establishment
of the EU domestic market, it is also becoming a legal necessity for an increasing number of analytical laboratories. The
requirements which laboratories will need to fulfil are stipulated in DIN EN 45 001. Accredited testing laboratories must
in fact provide evidence that they work solely in accordance with this standard. National and EU commissions, which are legislative
authorities, tend therefore to specify analytical methods, e.g. in the form of regulations or appendices thereto, intended
to ensure that results from different laboratories will be comparable and hence will stand up in a court of law. The analytical
quality assurance system (AQS), introduced by the Baden-Württemberg Ministry for the Environment in 1984, obliges laboratories
to regularly participate in collaborative studies and thereby demonstrate their ability to provide suitably accurate analyses.
This alone, however, does not sufficiently demonstrate the competence of a laboratory. Only personal appraisal of the laboratory
by an auditor, together with the successful analysis of a sample provided by the same and performed under his observation,
can provide proof of the competence of the laboratory. From an analytical point of view, the competence of a laboratory must
be regarded as the decisive factor. Competence can only be attained through analytical quality assurance, which thus must
be demanded of all laboratories.
Received: 4 October 1996 Accepted: 15 January 1997 相似文献
6.
Brian Brookman Ioannis Papadakis Alan Squirrell Steve Evans Steve Ellison Ulf Örnemark Nick Boley Anita Schmidt Ellen van Berkel Barry Tylee Mike Noble Michael Koch Dan Tholen 《Accreditation and quality assurance》2004,9(10):635-641
A summary of the working group (WG) discussions on proficiency testing (PT) and external quality assessment (EQA) held at the joint EURACHEM/CITAC/EQALM workshop, Bracknell, UK, 16–18 February 2003 is provided. The nine WGs covered a range of issues concerned with current practice and future directions; PT/EQA as a tool for regulators (WG1); PT/EQA as a tool for accreditation (WG2); evaluation of performance and uncertainty (WG3); frequency of PT/EQA participation (WG4); selection of appropriate PT/EQA schemes (WG5); added value of PT/EQA and cost benefit evaluation (WG6); global harmonisation and rationalisation (WG7); new technical areas and challenges in PT/EQA (WG8); and accreditation of PT/EQA providers (WG9). Participants with different backgrounds were on each WG in order to capture a range of views and experience from different sectors. The discussions reflected on the keynote lectures and built, in many cases, on discussions at previous workshops in 2000 and 2002. 相似文献
7.
The history, origin, and development of a system for monitoring and assessing water and other environmental laboratories in
the Czech Republic is described. The system started in 1991 and has matured to its present complexity with similarities to
the accreditation systems found in other countries. Differences from internationally recognized procedures are being corrected
step by step. During the first year of its existence ASLAB, as part of its brief, organised proficiency testing (PT) programs
for fifty laboratories. Today the total number of regularly participating laboratories exceeds 700 from the Czech Republic,
the Slovak Republic, and Germany. This paper describes the ASLAB PT system, discusses some experiences with its use, and describes
the use of PT results in assessment of the competence of laboratories.
Received: 12 October 2000 Accepted: 7 January 2001 相似文献
8.
Manfred Golze 《Accreditation and quality assurance》2001,6(4-5):199-202
Since October 1998 the European Commission has financed a concerted action on Information System and Qualifying Criteria for
Proficiency Testing Schemes within the 4th framework program. As a major result of this project EPTIS, the European Information
System on Proficiency Testing Schemes which is available on the Internet since March 2000, is presented in this paper. Today
EPTIS contains comprehensive information on approximately 640 proficiency testing schemes from 16 European countries providing
information on the state of the art in proficiency testing in Europe. Finally some possible approaches for interlinkages and
recognition of proficiency testing schemes are discussed. 相似文献
9.
J. L. Parr 《Accreditation and quality assurance》1998,3(9):376-378
There is currently no national program for recognition of United States environmental laboratories. This situation should
change sometime in 1998 as environmental testing laboratories should be able to apply for accreditation in the United States
via a system developed by the National Environmental Laboratory Accreditation Conference (NELAC). NELAC is an organization
whose purpose is to establish performance standards for accrediting environmental laboratories. Laboratories to be accredited
will be required to demonstrate qualifications of testing personnel, pass on-site inspections, perform satisfactorily on proficiency
test samples, and meet specified quality assurance standards. 相似文献
10.
N. P. Boley 《Accreditation and quality assurance》1999,4(8):347-349
Proficiency testing (PT) is being increasingly used as an important quality assurance tool for laboratories. The subject
of quality of the providers of PT schemes has been discussed increasingly in recent years. Some countries have implemented
systems for the accreditation of PT schemes. This paper looks at the background to the accreditation of PT schemes, the likely
mechanisms which could be employed for accreditation, and some of the practical aspects. 相似文献
11.
Solveig Linko 《Accreditation and quality assurance》2002,7(2):55-59
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 相似文献
12.
Jean Claude Libeer Harold Richardson David Bullock Claus Heuck D. Tholen Robert Martin Jane Carter E. J. Boone M. Noble 《Accreditation and quality assurance》2002,7(8-9):320-334
Over 200 participants from 54 countries took part in working group (WG) discussions on proficiency testing (PT) held in conjunction
with the Global Odyssey 2002 conference on 24–26 February, 2002 in Atlanta, Georgia, USA. Each WG addressed a series of questions
focusing on the role of PT in laboratory quality management (WG1), alternatives to traditional PT (WG2), international aspects
of PT programs (WG3), quality management of PT programs (WG4), how to assess laboratory performance (WG5), and developing
and funding PT for resource-limited countries and regions (WG6). Each large WG was further subdivided into smaller groups
to allow maximum participation, which was one objective of the WGs. Some subgroups addressed the same questions, but in most
cases they drew very similar conclusions. Individual participants were surprised to discover the truly global nature of some
problems with PT, while at the same time how specific differences among countries or regions can either enhance or hinder
opportunities to implement PT programs.
Received: 13 April 2002 Accepted: 25 April 2002 相似文献
13.
Anthony J. Russell Ulf Örnemark Lena Hård Gunnar Nordin 《Accreditation and quality assurance》2006,11(8-9):388-390
This topic is being presented from two perspectives, namely the views of an accreditation body and those of an accredited provider of external quality assessment schemes. The first perspective, from an accreditation body, is based on the experience of Australia's national laboratory accreditation body (NATA), which has accredited fourteen proficiency testing (PT) providers and is currently processing an application from another. The second perspective is based on the experience of EQUALIS, the national quality assurance organisation for laboratory medicine in Sweden, which was granted accreditation in 2002.Presented at 5th Eurachem Workshop on Proficiency testing in analytical chemistry, microbiology and laboratory medicine, Portorož (Slovenia) 25–27 Sept 2005 相似文献
14.
M. Plebani 《Accreditation and quality assurance》1999,4(3):84-86
The transition from quality assurance of the analytical phase to the quality management of total testing in clinical laboratories
is still at an early stage. But it has begun. Accreditation through voluntary, educational and professional schemes, like
the Clinical Pathology Accreditation scheme, is a useful tool for following defined standards of practice and having these
independently confirmed on the basis of a peer review. Approved clinical laboratories can obtain a hallmark of performance
and offer reassurance to users of their services. However, accreditation does not guarantee an error-free service; it is not
the final step, but an important stage in the improvement process. Quality is a journey and continuous quality improvement
is the paradigm for better addressing our efforts to satisfy customers' expectations for the desired health outcomes related
to a high-quality laboratory service. 相似文献
15.
H. H. Siegrist V. Pünter-Streit A. von Graevenitz 《Accreditation and quality assurance》1998,3(5):203-207
The Swiss External Quality Assessment Scheme in Bacteriology and Mycology was created in 1980 and has been organised since
1983 by the Department of Medical Microbiology in Zurich. The number of Swiss participants has steadily risen from 66 in 1989
to 92 in 1996. Twelve bacterial and fungal strains are sent to the participants in four despatches, each containing three
specimens, per year. Scores are allocated per specimen and range between 0 and 1. Participants with mean scores of ≤0.75 are
considered poor performers. The mean scores increased from 0.85 in 1992 to 0.91 in 1996. This improvement can be attributed
to the educational effect of the external quality control scheme, since all participants receive a detailed discussion for
each specimen together with their individual results. On average, both large University and Cantonal (state) laboratories
as well as private laboratories show satisfactory performance. In particular, laboratories officially recognised by the Swiss
Federal Office of Public Health (SFOPH) rate better than non-recognised participants. Many small regional hospital laboratories,
most of them not SFOPH-recognised, are often among the poor performers. They are often managed by technical staff and lack
a trained microbiologist. The recently introduced legislation in Switzerland renders participation in external quality assessment
schemes compulsory, and all clinical microbiology laboratories are required to employ qualified microbiologists. This will
certainly help to improve the quality standards of all laboratories performing microbiological tests.
Received: 13 November 1997 · Accepted: 28 December 1997 相似文献
16.
Nick Boley Adriaan van der Veen Andreas Müller Angelika Recknagel Bernd Steffen M. Golze 《Accreditation and quality assurance》2001,6(4-5):205-207
Because proficiency testing (PT) is increasingly used for the accreditation of testing laboratories and as a tool for backing
up existing multilateral recognition arrangements between accreditation bodies, the question of performance and comparability
of the proficiency-test providers arises. In this paper different approaches to assess the equivalence of European PT schemes
and the competence of their providers are presented. As a first step a workshop is proposed to agree on a pilot study. The
final aim is to create confidence in the existing PT schemes in Europe and to use them as common European tools. 相似文献
17.
Ian Robert Juniper 《Accreditation and quality assurance》1999,4(8):336-341
Proficiency testing is a means of assessing the ability of laboratories to competently perform specific tests and/or measurements.
It supplements a laboratory's own internal quality control procedure by providing an additional external audit of their testing
capability and provides laboratories with a sound basis for continuous improvement. It is also a means towards achieving comparability
of measurement between laboratories. Participation is one of the few ways in which a laboratory can compare its performance
with that of other laboratories. Good performance in proficiency testing schemes provides independent evidence and hence reassurance
to the laboratory and its clients that its procedures, test methods and other laboratory operations are under control. For
test results to have any credibility, they must be traceable to a standard of measurement, preferably in terms of SI units,
and must be accompanied by a statement of uncertainty. Analytical chemists are coming to realise that this is just as true
in their field as it is for physical measurements, and applies equally to proficiency testing results and laboratory test
reports. Recent approaches toward ensuring the quality and comparability of proficiency testing schemes and the means of evaluating
proficiency test results are described. These have led to the drafting of guidelines and subsequently to the development of
international requirements for the competence of scheme providers.
Received: 2 January 1999 · Accepted: 7 April 1999 相似文献
18.
19.
An increasing number of proficiency testing schemes (PT schemes) related to occupational and environmental health have been
organised. Most schemes emphasise the importance of the validation of analytical results. With regards to harmonisation of
the schemes, there are many differences between the schemes at many levels. These include factors concerning their relationship
with legislation, national status, type and quality of proficiency testing material, analytical range and priorities for future
development. Since differences between PT schemes have been recognised at the European level by organisers of PT schemes and
external quality assessment schemes (EQASs) it seems appropriate to reinforce collaboration between scheme organisers in order
to improve the quality of analytical performance in occupational and environmental health. 相似文献
20.
Dermot Hayes 《Accreditation and quality assurance》1996,1(1):18-23
The pertinent issues necessary for the establishment of quality assurance in the microbiology laboratory are discussed. Quality
assurance is a planned system of control measures that enables management to ensure that the analytical data produced in the
laboratory are valid. To introduce quality assurance, all activities in the laboratory that affect the production of analytical
data must be documented and controlled. These include sampling, method selection, laboratory environment, equipment, reagents
and media, staff, reference materials and internal and external quality control. Laboratory accrediation in accordance with
EN45001 and ISO Guide 25 enables laboratories demonstrate to an external agency their ability to perform analytical work and
produce valid analytical data. This gives creditability to the laboratory and allows management to have confidence in the
data produced.
Received: 6 June 1995 Accepted: 3 July 1995 相似文献