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| Frage | Antworten |
| Quality in sample taking. Sample takers must be: | trained, competent, identified by code, form/label correct, visualise cervix, 5 rotations, attend update courses |
| technical EQA | quality of PAP, regionally run, nationally accredited, score out of 5 |
| false negs | sampling vs analysis |
| false positive | sampling v interpretation: LUS, follicular cvx, inexperience, hyperchromatic crowded groups |
| sensitivity | is defined as the proportion of people with disease who have a positive test result Cyto 55 70% HPV 94% |
| specificity | is defined as the proportion of people without disease who have a negative test result Cyto 98% |
| internal QA | 1. rapid 2. imaging 3. quarterly profiles |
| EQA | 2003, to identify potential poor performers, all labs submit slides |
| audit examples | vertical (sample), horizontal (sop) |
| Cervical Cancer Audit NHSCSP publication 28 | all women having cervical cancer must have screening history audited and the result of this audit made available to the woman, if she wishes |
| how does the cancer audit process work? | 1. review call/recall sent 2. review uptake of invitations 3. review of cytology and mgmt suggested 4. review of colp invitations/attendance, findings, tx anf follow ups. 5. review histo |
| cancer audits are coordinated/overseen by | coordinated by the Hospital Based Programme Coordinator (HBPC) and overseen by regional QARC. National office oversees all with Cancer Research to collate data |
| Quality is about : | Shared responsibility, Accountability |
| Quality assurance (QA) | —method/s for preventing defects from occurring |
| Quality control (QC) | method/s of detecting defects if they occur. |
| Quality management (QM) | a method for ensuring activities necessary to design, develop, and implement a product or service are effective and efficient with respect to the system and its performance |
| Internal quality processes | Perform tasks against standards Monitor performance Audit quality Produce annual report |
| External Quality Groups | 1. Clinical Pathology Accreditation CPA, 2. Quality Assurance Reference Centres QARC, 3.Human Tissue Authority HTA, 4. ISO, 5. Care Quality Commission CQC, 6. Peer Review |
| CPA: | 1.Visit laboratories every 3 years. 2. Intermittent surveillance visits. 3. Department or laboratory evaluated against standards A-H. 4.Accreditation Unconditional Conditional ( removed) Removed |
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