Inter Laboratory Quality Assessment, Bangalore
Welcome to Inter Laboratory Quality Assessment, Bangalore      
  

INTRODUCTION: 
          Laboratory Medicine is a rapidly growing professional field having many implications on health care. It is a disorganized sector with no rules or regulations. Governmental institutions have done little to improve the overall contribution of this sector to health care. Laboratories come up by the crop, without understanding the impact it will have on health care. There is nothing wrong in laboratories coming on every street as long as there is a commitment to maintain the quality of the results to a minimum standard. Now, defining this minimum standard has become very subjective and each lab person defines quality practice in his or her own way which may be correct or wrong depending on the science behind it. One of the practical scientific ways of assessing the quality of results from a laboratory is to compare one laboratory’s result with that of the other or even better many other laboratories. This is known as interlaboratory comparison and goes a long way in providing a significant and meaningful level of confidence among the committed laboratory professionals. There have been programmes that are successfully working towards that end on a national scale. However there is a need for a local regional/city based programme in addition, to eliminate the errors arising from changes due to transport, storage, temperature changes that can happen between the preparations of the quality control material and receiving the same. Many laboratories have enrolled with these External Quality Assessment programmes, however the same is used only for decorating the letterhead with a statement that the laboratory is part of the external quality programme. No corrective measures are taken to rectify parameters which are not within acceptable limits. One of the, and commonly, cited reason for not taking corrective measures is that the error could be due to transport and not a true error within the laboratory. One of the reasons in developing an Inter Laboratory Quality Assessment is to eliminate this problem and concentrate on taking corrective measures on unacceptable results.

OBJECTIVES OF THE PROGRAMME :
          The desire to have a local External Quality Assessment programme has been there in the minds of like minded laboratory professionals. However for various reasons these thoughts were not put to action. With the process of accreditation of clinical laboratories becoming a reality and to a certain extent fashionable the need for External Quality Assessment will be a need more than anything else. For example without the participation in an External Quality Assessment programme accreditation will be hard (impossible) to come by. Even if there has been an EQA in place, many, if not all laboratories are not aware of proper handling of the data of the programme and act on the same to improve the quality status. The objectives of ILQA Banaglore are : 
1. Provide an alternative to existing External Quality.
2. Provide a platform to improve the confidence level of the laboratory.
3. Provide technical assistance if required.
4. Provide cost effective EQA programme.

OUR MOTTO :
          "To provide quality results to patients by providing a good, reasonable and functioning External Quality Assessment programme to member laboratories".

POLICIES OF ILQA BANAGLORE :
           The policies of ILQA Banaglore would be defined and governed by consensus of the core group of laboratory professionals. The draft of policies which are listed below would be circulated within the core group and after deliberations will be recorded and endorsed by authorized persons.
  • Inter Laboratory Quality Assessment Banaglore is an autonomous body which may have affiliations to other national or international professional bodies.
  • The programme will provide cost effective external Quality Assessment to member laboratories.
  • Laboratories can become members after registering, followed by approval by the authorized board of the ILQA Bangalore.
  • Criteria for approval of laboratories would be based on the following,
    a. Authorized signatory of the laboratory should be a person with a Post-graduate degree in Biochemistry or Pathology or Microbiology. Qualifications would include MD, MSc or equivalent.
    b. The laboratory should have a well defined internal quality control programme. This is a necessity as day to day variations are best identified by internal quality control. The laboratory should provide a proof of running daily quality control in the form of LJ charts or cumulative SD and CV. If the laboratory does not have record of internal quality control, measures should be taken to record the same in the form of LJ charts. This will help the laboratory to develop a system of records which in turn will help in preparing for the process of accreditation. Computers could simplify the recording and generation of LJ charts in laboratories which have equipment that do not have built in QC programme.
  • The programme will use pooled sera as quality control material to begin with and change over to lyophilized material at a later date.
  • All material (sera) being dispatched to member laboratories should be considered as potentially  infectious and handheld according.
  • Quality control material which is processed and ready for dispatch will be aliquot into 2 ml micro centrifuge tubes and sealed adequately.
  • To begin with quality control material will be generated at one source and aliquot. Later, this process could rotate between member laboratories with their permission and willingness.
  • Protocol for sample preparation would be documented and made available.
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