Summary:
Summary Statement of Deficiencies D5203 SPECIMEN IDENTIFICATION AND INTEGRITY CFR(s): 493.1232 The laboratory must establish and follow written policies and procedures that ensure positive identification and optimum integrity of a patient's specimen from the time of collection or receipt of the specimen through completion of testing and reporting of results. This STANDARD is not met as evidenced by: Based on observation, record review, and interview, the laboratory failed to have the same identification numbers for the dermatopathology consultation report and the patient's specimen slide. The findings included: 2/26/18 at 10:45 AM, four Histopathology slides and final report for the patient review showed that; the slides were labeled with patient's name and the identification numbers as 18-213A and 18- 213B (2 slides for each identification number) as was in requisition slip, while the final dermatopathology consultation report had same patient name but the slide identification numbers as 18-215A and 18-215B(2 slides for each identification number). During an interview on 2/26/18 at 11:00 AM, the laboratory director confirmed that; the slides were labeled with patient's name and the identification numbers as 18-213A and 18-213B (2 slides for each identification number) as was in requisition slip, while the final dermatopathology consultation report had same patient name but the slide identification numbers as 18-215A and 18-215B(2 slides for each identification number). D5293 GENERAL LABORATORY SYSTEMS QUALITY ASSESSMENT CFR(s): 493.1239(b)(c) (b) The general laboratory systems quality assessment must include a review of the effectiveness of