Abstract Al Wakra Laboratory has been accredited by the College of American Pathologist Accreditation (CAP) in 2014, blood culture contamination rate was chosen as one of microbiology section indicator, and it was followed up monthly by (CAP) and Laboratory Quality Management Department (LQM). At that time Al Wakra Hospital had high contamination rate >2 which is the benchmarking set by (CAP), the data was collected at the beginning of each month for the previous month , analyzed and presented to Al Wakra staff ,(CAP) and Laboratory Quality Management Department (LQM). The high rate of blood culture contamination has led us to analyze it in more details and we were presenting it to each ward especially Emergency Department (ED), Medical Intensive Care Unit (MICU), and Surgical Intensive Care Unit (SICU). For each case of blood culture contamination, the ward was contacted to evaluate the case clinically as true contaminant. As a result decreases of the contamination rate of less than 2 reached with the maintenance during the entire year 2015, 2016, 2017 and 2018. "We have come together to our goals and together we fight infection”. The first and the only 100% free live cam girl , enjoy adult cam shows and free cam chat with the hottest cam models online. Connect with girls instantly for free! Read the full paper
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 AbstractBackgroundQuality assurance and quality management are driving forces for controlling blood culture best practices but should not be disconnected from the end-point target, i.e. patient value. AimsThis article is intended to help microbiologists implement blood culture accreditation that is actually beneficial to patient management. SourcesExperience from a nationwide taskforce for promoting quality assurance and competence in clinical microbiology laboratories, guidelines on blood culture. ContentExperience in blood culture accreditation according to International standard ISO 15189 standards is provided in this review, with a particular focus on critical points that are specific to blood culture (e.g. excluding strain identification or antimicrobial susceptibility testing). Blood culture test method verification is based on risk analysis, and evaluation of the test method's performance is based on the literature review and suppliers' data. In addition, blood culture performance relies largely on the quality of its pre-analytical phase, and the test method should be monitored based on key performance indicators such as the volume of blood cultured, the contamination rate and time to transportation. Other critical key indicators include the rate of false-positive signals, the rate of positive blood cultures, the ecology associated with positive results, and the timely communication of the results to the ward during the post-analytical phase. Finally, a critical analysis of quality controls and of the tools needed to improve blood culture monitoring in the future is provided. ImplicationAppropriate quality assurance should focus on patient value rather than technical details to provide an appropriate clinical service. KeywordsAccreditation Best practices Blood culture ISO 15189 standards Key performance indicator Method verification Test method monitoring Cited by (0)© 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. Introduction. Blood culture (BC) remains the gold standard for the diagnosis of bloodstream infection. Clinical microbiology laboratories must ensure the quality of their BC process from receipt to definitive results. Aim. In this study, we followed the evolution of different quality indicators for BCs over the
first year of implementation of the BacT/Alert Virtuo system in a French hospital. Methodology. In our laboratory, we instituted regular monitoring of several quality indicators to track (i) delays in sample registration, (ii) delays in loading BC bottles in our incubating system (BacT/Alert Virtuo) after registration, (iii) the volume of blood in bottles and (iv) the contamination rates. Results. For 53 892 BC bottles loaded in the BacT/Alert Virtuo from
23 January to 31 December 2019, the delays in sample registration, loading and unloading were respectively 3.5 h±0.016, 44 min±0.209 and 5.8 h±0.0727. Intriguingly, the automated process performed by the BacT/Alert Virtuo system to check the blood volume in bottles was only performed for 60 % of the loaded bottles. Among these, 30 % contained the recommended volume of blood (between 7 and 13 ml). Finally, the contamination rate was found to be 27.2 % for samples at our institution.
Conclusions. The delays in sample registration, loading and unloading were found to be acceptable, even though they could be improved by ensuring a continuous service during the night duty period. Furthermore, the percentage of volumes measured is insufficient and must be improved and the majority of bottles do not contain the recommended blood volume. © 2021 The Authors Article metrics loading... /content/journal/jmm/10.1099/jmm.0.001300 2020-12-17 2022-10-26 Full text loading... /deliver/fulltext/jmm/70/3/jmm001300.html?itemId=/content/journal/jmm/10.1099/jmm.0.001300&mimeType=html&fmt=ahah |
What is being used by the microbiology department as a blood culture quality indicator
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