Gwu Mfa At Sibley Urology

CLIA Laboratory Citation Details

2
Total Citations
18
Total Deficiencyies
17
Unique D-Tags
CMS Certification Number 09D2044516
Address 5215 Loughboro Road, Nw Suite 210, Washington, DC, 20016
City Washington
State DC
Zip Code20016
Phone(202) 903-0660

Citation History (2 surveys)

Survey - June 1, 2021

Survey Type: Standard

Survey Event ID: 0YCD11

Deficiency Tags: D2015 D5439 D6000 D6016 D6022 D6032 D5403 D5805 D6013 D6018 D6024 D6054

Summary:

Summary Statement of Deficiencies D2015 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(5)(6) (5) The laboratory must document the handling, preparation, processing, examination, and each step in the testing and reporting of results for all proficiency testing samples. The laboratory must maintain a copy of all records, including a copy of the proficiency testing program report forms used by the laboratory to record proficiency testing results including the attestation statement provided by the PT program, signed by the analyst and the laboratory director, documenting that proficiency testing samples were tested in the same manner as patient specimens, for a minimum of two years from the date of the proficiency testing event. (6) PT is required for only the test system, assay, or examination used as the primary method for patient testing during the PT event. This STANDARD is not met as evidenced by: Based on review of chemistry proficiency testing (PT) records for performing PSA and interview with the testing person, the laboratory director failed to attest that PT was performed in the same manner as patient testing. Findings: 1. The LD failed to review, sign, and date the required attestations provided by the PT agency. 2. The LD failed to sign and date fourteen chemistry testing event attestations. 3. The TP stated that the LD has not been in the laboratory since spring of the year 2020 and that she tries to get documents signed at another office where the LD is located. 4. The TP confirmed that the LD failed to review, sign, and date the required attestation provided by the PT agency. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 7 -- procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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Survey - September 23, 2019

Survey Type: Standard

Survey Event ID: YSVB11

Deficiency Tags: D5403 D6021 D6049 D2009 D6020 D6046

Summary:

Summary Statement of Deficiencies D2009 TESTING OF PROFICIENCY TESTING SAMPLES CFR(s): 493.801(b)(1) The individual testing or examining the samples and the laboratory director must attest to the routine integration of the samples into the patient workload using the laboratory's routine methods. This STANDARD is not met as evidenced by: Based on record review and interview, the laboratory director and the analyst did not sign and date the attestation statement for the first proficiency test event of 2019 to attest that the proficiency test samples, for prostate specific antigen analysis, were tested in the same manner as patient specimens. Findings: 1. The labs proficiency test provider submits five samples (samples with unknown concentrations of PSA) to the lab for PSA testing, twice a year. The lab performs the testing and submits the results to the proficiency test provider for evaluation. The provider scores the labs performance for accuracy and sends its evaluation to the lab; 2. The lab proficiency test records for the first event of 2019 did not include an attestation statement signed by the lab director and analyst; and 3. This was confirmed during interview with staff on the day of survey. D5403 PROCEDURE MANUAL CFR(s): 493.1251(b) The procedure manual must include the following when applicable to the test procedure: (1) Requirements for patient preparation; specimen collection, labeling, storage, preservation, transportation, processing, and referral; and criteria for specimen acceptability and rejection as described in 493.1242. (2) Microscopic examination, including the detection of inadequately prepared slides. (3) Step-by-step performance of the procedure, including test calculations and interpretation of results. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 4 -- (4) Preparation of slides, solutions, calibrators, controls, reagents, stains, and other materials used in testing. (5) Calibration and calibration verification procedures. (6) The reportable range for test results for the test system as established or verified in 493.1253. (7) Control procedures. (8)

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