B114 Proficiency Testing As a Quality Assessment Methodology in Acid Fast Bacilli Microscopy

Author(s):  
Mukiibi Michael ◽  
Olajide Isiramen ◽  
Mpamugo Augustine ◽  
Onyenike Geoffrey ◽  
Akusuk Musa ◽  
...  
2020 ◽  
Vol 5 (3-4) ◽  
pp. 215-234
Author(s):  
Geraldine Seguela ◽  
J. R. Littlewood ◽  
G. Karani

Abstract This paper documents a non-potable water (NPW) quality assessment methodology for a decentralized non-potable water system in Abu Dhabi (AD), capital city of the United Arab Emirates (UAE), which is dominated by sandy and salty soil, high temperature, and humidity. The context is a medical facility case study (MFCS) in AD, which includes a landscape 50% as large as its building footprint. The project identified the need to investigate the impact of air handling unit (AHU) air conditioning (A/C) condensate water (CW) quality on soil health and building hydraulic systems. The aim of the research was to measure the impact of using recycled on-site NPW sources in a MFCS in AD, to alleviate the use of desalinated potable water and reduce associated energy consumption, operation cost, and greenhouse gas emissions for landscape irrigation (LI) and water feature (WF) use. CW has been tested in 2016 and in 2017 and analysed against local authority’s parameter limits to establish suitability for LI and WF use. The findings are that in AD CW classification and characterization is a gap in knowledge whereby salinity and toxicity concentration limits should be addressed by the local authority because CW has an impact on soil infiltration rate due its low dissolved salt content as evidenced by the water test results. The recommendations for this paper are to develop a sustainable water conservation and reuse (SWC) strategy forming the basis for a water protocol by the competent authority for regional medical facility including a methodology for assessing on-site NPW quality for outdoor reuse to reduce soil infiltration problems and consequently conserve water and associated energy. The next steps are to confirm if the MFCS soil infiltration rate is affected by the CW or other factors, and to test additional NPW types.


Author(s):  
James O. Westgard ◽  
Sten A. Westgard

AbstractThere is a need to assess the quality being achieved for laboratory examinations that are being utilized to support evidence-based clinical guidelines. Application of Six Sigma concepts and metrics can provide an objective assessment of the current analytical quality of different examination procedures.A “Sigma Proficiency Assessment Chart” can be constructed for data obtained from proficiency testing and external quality assessment surveys to evaluate the observed imprecision and bias of method subgroups and determine quality on the Sigma scale.Data for hemoglobin AAssessment of quality on the Sigma scale provides evidence of the analytical performance that is being achieved relative to requirements for intended use and should be useful for identifying and prioritizing improvements that are needed in the analytical quality of laboratory examinations. In spite of global and national standardization programs, bias is still a critical limitation of current HbA


2011 ◽  
Vol 57 (12) ◽  
pp. 1670-1680 ◽  
Author(s):  
W Greg Miller ◽  
Graham RD Jones ◽  
Gary L Horowitz ◽  
Cas Weykamp

BACKGROUND Proficiency testing (PT), or external quality assessment (EQA), is intended to verify on a recurring basis that laboratory results conform to expectations for the quality required for patient care. CONTENT Key factors for interpreting PT/EQA results are knowledge of the commutability of the samples used and the process used for target value assignment. A commutable PT/EQA sample demonstrates the same numeric relationship between different measurement procedures as that expected for patients' samples. Noncommutable PT/EQA samples frequently have a matrix-related bias of unknown magnitude that limits interpretation of results. PT/EQA results for commutable samples can be used to assess accuracy against a reference measurement procedure or a designated comparison method. In addition, the agreement of the results between different measurement procedures for commutable samples reflects that which would be seen for patients' samples. PT/EQA results for noncommutable samples must be compared to a peer group mean/median of results from participants who use measurement procedures that are expected to have the same or very similar matrix-related bias. Peer group evaluation is used to asses whether a laboratory is using a measurement procedure in conformance to the manufacturer's specifications and/or in conformance to other laboratories using the same technology. A noncommutable PT/EQA sample does not give meaningful information about the relationship of results for patients' samples between different measurement procedures. SUMMARY PT/EQA provides substantial value to the practice of laboratory medicine by assessing the performance of individual laboratories and, when commutable samples are used, the status of standardization or harmonization among different measurement procedures.


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