{{:nchsls:c:biochemistry:document:how_to_use_riqas_website_instruction_.pdf}} Details of EQC program=== - Open "www.riqas.net" website from computer on which internet available. - Following window open.{{riqas_1.png|step 1}} - Click on login.Enter user name and password.User name = biochemisty password=??? - Following window opens. {{:nchsls:c:biochemistry:document:riqas.png|}} - Go to "Data entry"---->"Enter results".Following window opens.{{:nchsls:c:biochemistry:document:riqas.png|}} - Click on "123049/A" and following window opens.{{riqas_4.png|step 4}} - In above window , we can know the last date of posting external Qc results. - Note down or print this page to prevent last day rush in posting EQC results. ===Preparation of EQC Samples=== - Take bottle of EQC from refrigerator.Make sure to check sample number according to month.for example , If you want to prepare EQC sample for **june month then sample number=6** bottle should be taken. - Do not get confused between cycle Number and sample number. - It has been found that the laboratory made mistake in reconstituting correct sample number.To prevent this error in future ,take following steps. - Cross check correctness of sample with one more person. - Preserve empty bottle of sample till report arrives. - Take 5 ml Qc water(DI water of 0.00 microsiemens/cm) in volumetric flask. - Gently transfer water in EQC bottle.Pour last drop of water by simply rotate flask over edge of bottle.Do not beat the flask over bottle. - Mix it by gentle inversion and eversion. - Put it at room temperature for 30 minute and watch for all powder particle has been dissolved. - Fill ependroff cup as per your need and seal with it parafilm. ^Numbers of ependroff cup^Ependroff cup quantity^Test to perform^ |3|200 micriliter|For HDL cholesterol| |3|200 micriliter|For TIBC| |2|200 micriliter|For TSH| |2|100 micriliter|For Free T4| |1|600 micriliter|For Semiauto all parameters and prolyte| |5|500 micriliter|For Erba XL-640 all parameters| |1|leftover sample|For future use| ===Doing EQC=== - Run sample of EQC in morning with first batch in Erba XL-640 for 4 days. - DO TSH and free T4 2 times with each ELISA batch of TSH and Free T4. - Do HDL cholesterol manually 3 times when you do patient sample of TIBC and HDL cholesterol. - Do Semiauto EQC single time after calibrating semiauto for Glucose,ALT,Creatinine and bilirubin. - Sort data in excel sheet and calculate average ,SD and CV. - 5th cup of 500 microliter is preserved for any problem in any parameter and we want to repeat it. ===Post results=== - Open "www.riqas.net" website from computer on which internet available. - Following window open.{{riqas_1.png|step 1}} - Click on login.Enter user name and password.User name = biochemisty password=150003 - Following window opens.{{riqas_2.png|step 2}} - Go to "Data entry"---->"Enter results".Following window opens.{{:nchsls:c:biochemistry:document:riqas.png|}} - Click on "129049/A" and following window opens.{{:nchsls:c:biochemistry:document:riqas2.png|}} - Click on "sample number" to post results.{{:nchsls:c:biochemistry:document:riqas44.png|}} - result upload on website after verification. - After upload of result on website, Re-verified by third person that not present during result upload. - click on "ok" button.{{:nchsls:c:biochemistry:document:riqas_ok.png|}} - - Do not communicate with other participants in the interlaboratory comparison programme about sample data until after the date for submission of the data. - Do not refer interlaboratory comparison samples for confirmatory examinations before submission of the data, although this would routinely be done with patient samples. ===Monitoring results=== -[[Analyse EQA and IQC results]] every month. -Whenever possible compare results with mean of method because very small number of laboratory uses Erba XL-640. -Root cause analysis(RCA) of EQA done for that parameter which has SDI > 2 or < 40 target score.{{:nchsls:c:biochemistry:document:rca_protocol.ods|RCA Protocol sheet}} -Record of RCA is available in IQC analysis file of its respective month and it is also available in LIS--> Non conformance.