CAP Proficiency Testing - not submitted

Hi Mary,
If you still have the CAP material or it was performed and just not submitted -Perform the test and manually assess the results based on the CAP limitations.  CAP will list it as a failure so during the inspection process you'll have to produce documentation of corrective action.

Write a disposition explaining what happened and have the Lab Director sign off on it. (See the attached form we use for a survey failure, <10 labs reporting, etc.

If the results failed then you can purchase another assayed material to perform - Medical Laboratory Evaluation, Main Standards, CAP material if still available.

Good Luck
I think everyone has had this happen at least once!

2 CAP remediation of survey.docx

Hi Mary. Sorry to hear you find yourself in this spot. Since this is CAP proficiency testing and it appears that you are CAP accredited, you can find great guidance document to follow on cap.org. You can find it after you log in Home/Laboratory Information/Proficiency Testing/Proficiency Testing Resources.  Scroll down and look for:  Performing a Self-Evaluation When PT is Not Graded.

Good Luck!

Hi Mary. Here is what I have done in the past. We would wait until CAP has posted results and compare the results we didn't submit to be sure we would have passed. We also developed a process improvement plan to be sure this wouldn't happen again. We added due dates to 2 techs calendars 3 days before the actual due date to ensure it doesn't get missed. Then I had the lab director sign off on our failed proficiency form. I use API and they do not require any submission after the fact. Good luck!

Yes, definitely have a written plan to show inspectors and documentation that your lab is following it.