CAP WBGQ

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Good afternoon,
Did anyone experience any issues with the CAP survey WBGQ when trying to dose the test strips using the vials, which required squeezing hard to get the sample out? This is the second time we've experienced this, which has affected some results.
Happy Lab Week!

Dimitrinka Yancheff, MHA, BS, MT
Supervisor
Point of Care Testing &
Outreach Laboratories
Montefiore Medical Center
718 -920 - 6589  Office
347-346 -1953 mobile
929 -687-5587 on-call mobile


7 Replies

Yes I had the same experience. I tried to mitigate by putting drops on parafilm and touching strip to drop. This is the first time I have had more than 1 or 2 meters outside of the acceptable ranges since I moved to doing the cross-check. I am thinking of discontinuing the use of the CAP WBGQ for correlations next year.
Last years samples in the glass containers were so unwieldy I knocked over 2 of them and almost did not have enough for the 30 meters I was testing.
I am not used to having so much variability with CAP samples.

Did anyone call CAP? I had issues with one of the samples 'drying out' and needing to run hot water in the top. Some results were affected. I've called CAP on previous surveys that were not testable.

Yes, had the same experience this time, as well as previously.  It seems the dropper tip easily clogs, which staggers the flow of the sample into the test strip.  I have not received my results yet, but just looking at the span of values, I know I am likely to have issues.  Seems they are really having a hard time finding a satisfactory product.

Hi
Same here.  It almost looks like there are black granules in the fluid that stop up the dropper...same problem last year.  None of our results were out of range but they were all over the place.  Had multiple flow errors and spurious results especially WBGQ-01 (226 & 217), WBGQ-03 was the most stable. After running a dozen meters, you get to see the approximate range, so these results stood out.  
I can only assume they changed manufacturers.  Previous small dropper bottles with what appeared to be real hemoglobin bovine or human?  They should return to that formulation.

We had a wide range of results as well and some fell outside the acceptable range. I have to do a whole bunch of corrective action trying to figure out what the root cause is. Very annoying and time consuming. Thank you for raising this issue to the group. 

Planning to do away with the cross check and just run linearity on a subset of meters (10% of inventory), compare them and call it a day. It' s what I ended up doing last year, when CAP sent vials instead of dropper bottles, and the results were off.   It's a waived test for us, anyway. 

We are seeing the same issue at my POCT locations, with results outside acceptable limits. The control bottle was leaking and difficult to use, which may have contributed. I now need to investigate the deficiency and identify the root cause, which is cumbersome. Thanks for posting this concern.

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