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CAP inspection: Two frequently problematic questions

Every 2 years we have the opportunity to be inspected by our peers in order to receive the stamp of approval from the College of American Pathologists (CAP) to continue performing testing as accredited clinical laboratories. Usually this is an occasion to both give and receive information that leads to continued laboratory improvement. Even the receipt of a deficiency citation can be a good thing. A review of the CAP Laboratory Accreditation Program inspection performance shows that, in general, laboratories have done well on the Flow Cytometry Checklist questions. The majority of participating laboratories have had no documented deficiencies. However, there are two checklist questions that have the highest Phase II Deficiency rate: FLO.30610, “Is the percentage of viable cells in each test specimen determined either before or during analysis?” and FLO.30550, “Does the written report include an established or verified reference range for blood subsets appropriate for the age of the patient?” References and suggestions are provided here to remedy these deficiencies, or to help new laboratories prepare for a first CAP inspection. Question FLO.30610 has been the most frequently cited deficiency. It is asked in the context of the Procedures and Test Systems used for the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cytometry Wiley
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