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procedure_to_establish_and_periodically_review_agreements [2025/09/22 12:15] admin created |
procedure_to_establish_and_periodically_review_agreements [2025/09/22 12:30] (current) admin [Amendment Log] |
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| - | By this procedure, the laboratory | + | **Purpose: |
| - | Responsibility: | + | **Responsibility: |
| - | Procedure: | + | **Procedure:** |
| - | Draft the requisition form as per ISO 15189:2022 requirements. | + | * Draft the requisition form as per ISO 15189:2022 requirements. |
| + | * Format for Request form should include following information: | ||
| + | - Unequivocal traceability of the patient to the request and sample | ||
| + | - Name, Age, Gender, | ||
| + | - Identity and contact information of requester | ||
| + | - Name or Signature of requester | ||
| + | - Ward / OPD | ||
| + | - Identification of the examination(s) requested | ||
| + | - Informed clinical and technical advice, and clinical interpretation can be provided. | ||
| + | - Name & identification of Laboratory & Section of laboratory | ||
| + | - Type of sample, Site of collection if required for specific examination | ||
| + | - Sample collection date & time | ||
| + | - Write all the examinations performed by the laboratory. | ||
| + | - If necessary | ||
| + | - If a laboratory is performing any examination by different method or instruments, | ||
| - | Format for Request | + | * Ensure the request |
| + | * Review the draft with staff & management personnel. | ||
| + | * Approve and implement the request form. | ||
| - | Unequivocal traceability | + | * Schedule regular reviews |
| - | Name, Age, Gender, MRD Number, | + | * Review the request form for: |
| - | Identity and contact information of requester | + | - Addition |
| - | Name or Signature of requester | + | - To make any change in examination |
| - | Ward / OPD | + | - Clarity |
| - | Identification | + | - Completeness and relevance |
| - | Informed clinical | + | - Compliance with regulations and standards |
| - | Name & identification | + | |
| - | Type of sample, Site of collection if required for specific examination | + | |
| - | Sample collection date & time | + | * Revise |
| - | Write all the examinations performed by the laboratory. If necessary | + | * Verify and validate |
| - | If a laboratory | + | * Approve and implement the revised request form. |
| + | * Document and record the changes made to the form. | ||
| + | * Train laboratory | ||
| + | * Maintain a record of the approved request form and its effective date. | ||
| - | Ensure the request form is compliant with relevant regulations and standards (e.g., ISO 15189:2022) | + | * Record: |
| - | + | - Format for Test Requisition Form | |
| - | Review the draft with staff & management personnel. | + | |
| - | + | ||
| - | Approve and implement the request form. | + | |
| - | + | ||
| - | Schedule regular reviews of the request form every month or whenever change in laboratory procedures, policies, or regulations. | + | |
| - | + | ||
| - | Review the request form for: | + | |
| - | Addition of any examination in the laboratory scope | + | |
| - | To make any change in examination method | + | |
| - | Clarity and ease of use | + | |
| - | Completeness and relevance of information | + | |
| - | Compliance with regulations and standards | + | |
| - | + | ||
| - | PATIENT INFORMATION | + | |
| - | TIME | + | |
| - | CLINICAL HISTORY | + | |
| - | PROVISIONAL DIAGNOSIS | + | |
| - | SAMPLE TYPE | + | |
| - | CAUSE OF URGENCY | + | |
| - | NAME AND SIGN OF DOCTOR | + | |
| - | FOR LAB USE | + | |
| - | STATUS AND TYPE OF SAMPLE | + | |
| - | SAMPLE RECEIVING DATE AND TIME | + | |
| - | RECEIVED BY | + | |
| - | TEST IS WRITTEN SEPARATELY THOUGH IN TRF | + | |
| - | UNIT/WARD IS WRITTEN IN OPD | + | |
| - | SELECTION OF ROUTINE/ | + | |
| - | TEST REQUESTED WHICH IS NOT DONE IN LAB(PROLACTIN ) | + | |
| - | TEST-Method REQUESTED WHICH IS NOT DONE IN LAB | + | |
| - | + | ||
| - | + | ||
| - | + | ||
| - | Revise the request form as necessary. | + | |
| - | + | ||
| - | Verify and validate the revised form. | + | |
| - | + | ||
| - | Approve and implement the revised request form. | + | |
| - | + | ||
| - | Document and record the changes made to the form. | + | |
| - | + | ||
| - | Train laboratory staff on the proper use and completion of the request form. | + | |
| - | + | ||
| - | Maintain a record of the approved request form and its effective date. | + | |
| - | + | ||
| - | Record: | + | |
| - | Format for Test Requisition Form | + | |
| - | Record of Review of service agreement | + | |