Analysis of pap tests in Tepecik Education and Research Hospital as a quality control measure: An observational study

Author(s):  
Özge Kaya
1973 ◽  
Vol 66 (11) ◽  
pp. 1336-1337
Author(s):  
A B Ashare ◽  
R T Cahill ◽  
E L Saenger

Author(s):  
Philippe Saliou ◽  
Lila Calmettes ◽  
Hervé Le Bars ◽  
Christopher Payan ◽  
Valérie Narbonne ◽  
...  

Abstract Background: Microbiological surveillance of bronchoscopes and automatic endoscope reprocessors (AERs)/washer disinfectors as a quality control measure is controversial. Experts also are divided on the infection risks associated with bronchoscopic procedures. Objective: We evaluated the impact of routine microbiological surveillance and audits of cleaning/disinfection practices on contamination rates of reprocessed bronchoscopes. Design: Audits were conducted of reprocessing procedures and microbiological surveillance on all flexible bronchoscopes used from January 2007 to June 2020 at a teaching hospital in France. Contamination rates per year were calculated and analyzed using a Poisson regression model. The risk factors for microbiological contamination were analyzed using a multivariable logistical regression model. Results: In total, 478 microbiological tests were conducted on 91 different bronchoscopes and 57 on AERs. The rate of bronchoscope contamination significantly decreased between 2007 and 2020, varying from 30.2 to 0% (P < .0001). Multivariate analysis confirmed that retesting after a previous contaminated test was significantly associated with higher risk of bronchoscope contamination (OR, 2.58; P = .015). This finding was explained by the persistence of microorganisms in bronchoscopes despite repeated disinfections. However, the risk of persistent contamination was not associated with the age of the bronchoscope. Conclusions: Our results confirm that bronchoscopes can remain contaminated despite repeated reprocessing. Routine microbial testing of bronchoscopes for quality assurance and audit of decontamination and disinfection procedures can improve the reprocessing of bronchoscopes and minimize the rate of persistent contamination.


2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Asim Qureshi ◽  
Nadira Mamoon ◽  
Imran Nazir Ahmad ◽  
Zafar Ali ◽  
Humaira Nasir ◽  
...  

Objective: The objective of this study was to evaluate the effectiveness of intradepartmental consultation conference (IDC) as a good quality control measure and problem-solving activity in a busy histopathology department.Methods: This study was done at the histopathology department of a tertiary care hospital over a period of 6 years from 2011 to 2016. IDC is routinely held at 2 pm daily on multi-header microscope. All the difficult and problematic cases are discussed. Discussed cases with the recommendations of IDC are recorded. The cases were extracted from the record of IDC being maintained since 2011. All the record sheets were analysed and the cases were divided organ and system wise.Results: A total of 5766 (6.5%) cases were discussed in this 6-year period of a total of 89,253 cases reported at our centre. Of these, 2198 (38%) were solved on first viewing, 1783 (31%) in the second viewing and 1691 (29%) in thethird viewing. In total, 98% of the cases were resolved until the third viewing, leaving only 94 (2%) cases in which further studies were recommended. A variable number of pathologists were present in the meeting, and an average of4 was present in majority of the occasions.Conclusion: IDC is a good quality control measure to ensure quality in a busy histopathology department and an effective problem-solving activity.Key words: Intradepartmental consultation, histopathology, cancer


1969 ◽  
Vol 47 (1) ◽  
pp. 14-23
Author(s):  
F. Sánchez-Nieva ◽  
M. A. González ◽  
J. R. Benero ◽  
I. Hernández

The possibility of using brine-grading to improve the quality of canned pigeonpeas by separating the overmature yellow from the more tender green pigeonpeas was investigated. The results obtained show that brine-grading separated pigeonpeas into two groups, floaters and sinkers, the floaters being less developed than the sinkers, which were the more mature, but failed completely to separate the overmature yellow peas from the green. Failure to separate the overmature yellow peas from the green occurred because green and overripe yellow pigeonpeas, although having a different starch content, apparently have similar specific gravity, and may float or sink together in a brine of any given specific gravity, making a clear-cut separation between the two groups impossible. The results from this work suggest that brine-grading is of doubtful value as a quality-control measure in the canning of pigeonpeas because a high percentage of sinkers is generally obtained, which, when canned, result either in a low-C grade or a substandard product.


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