• Users Online: 215
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2021  |  Volume : 7  |  Issue : 1  |  Page : 24-28

Evaluation of quality assurance in the cytopathology laboratory of a tertiary care hospital in Eastern India


1 Department of Pathology, ESI PGIMSR & ESIC Medical College, Joka, Kolkata, West Bengal, India
2 Department of Pathology, ESI PGIMSR, Manicktala, Kolkata, West Bengal, India

Correspondence Address:
Sudipta Chakrabarti
Department of Pathology, ESI PGIMSR and ESI Hospital, Manicktala, 54 Bagmari Road, Kolkata - 700 0054, West Bengal
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrsm.jcrsm_59_20

Rights and Permissions

Background: In this era of evidence-based medicine, clinical laboratories play a critical role in patient diagnosis and management. Aims: The present study aims to study the quality assurance in the cytopathology laboratory of a tertiary care hospital in the Eastern region of India. Materials and Methods: An observational, retrospective, and analytic study for 1 year was conducted. The sample size was 600. Simple random samples were selected including pleural fluids, ascitic fluids, cerebrospinal fluids, cervical cytology Pap smears, fine needle aspiration (FNA) cytology, and guided FNA samples. Results: Maintenance of authentication of reports and ISO accreditation showed no deficiency, whereas report generation, dispatch, and documentation of duplicate reports showed the highest deficiency (593, 98.8%) in maintaining quality assurance. Incomplete requisition was the most common cause of registration failure (3, 42.8%), whereas samples sent in wrong vials was the most common cause of sample collection failure (3, 37.5%). The presence of artifacts was the major factor affecting smearing technique (3, 50%). Lack of compliance to standardized protocol in manual staining and mechanical factors of automated strainers affected the staining quality (3, 37.5% each). Power cut and lack of adequate UPS backup affected the productivity of equipment mostly (3, 50%). Technical issues were the major factor affecting turnaround time (3, 50%). Lack of manpower at the report dispatch counter and logistics affected report generation and dispatch (2, 33.3% each). Randomly selected reports were crosschecked with histology and prediction accuracy measures were calculated. Conclusion: The preanalytical, analytical, and postanalytical factors have to be maintained adequately for ensuring quality assurance.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed739    
    Printed20    
    Emailed0    
    PDF Downloaded106    
    Comments [Add]    

Recommend this journal