Review of manually entered Lab tests

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I have 5 smaller clinics, all in different towns, and almost all results are manually entered into our LIS.


I go to all the clinics and go thru all the results and check against what is in the patients' chart.Of course, this is time consuming and doesn't always provide for timely corrections and QA report follow up, if there has been an error. Does anyone have a good procedure for manually entered result review that they would share?


Thank you!

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I have POCT in 57 locations in an 11 county service area.  None of it is interfaced.  The NYSDOH and CLIA do require the manual result review.  I do my best but it can take up to four days each month to complete the quality control and result review/audit.  Some offices are really good and I check four patients per log.  Others I have to watch closely.  I am working on a plan to interface urinalysis and glycohemoglobin first.  It will take probably a year or more with all the approvals and committees the proposed interface plan will have to go through.  I am also working on a policy and procedure for manual result review and the periodicity of that review as there isn't currently one in place.

Thanks Karen! I also thought about adding it to the daily checklist and staff at each lab will need to check result entries daily, and initial the log books and the daily checklist. I can't imagine how you keep track of all your sites!

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Best justification ever for getting any/all devices interfaced that you can!

I've developed a lot of spreadsheets and checklists to track.  Missing orders and results, QC failures and nonperformance is filed as an incident report in RL Solutions.  This gets me on the radar. 

Can anyone post the regulation regarding this requirement? I used to do a quarterly audit but I only did it because the person before me did and I couldn't find any current requirement for waived testing so I discontinued it.


Thanks,

Is this what you're referring to?  I don't think there's any differentiation between waived/non-waived with this requirement.


 


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