Summary:
Summary Statement of Deficiencies D2121 HEMATOLOGY CFR(s): 493.851(a) Failure to attain a score of at least 80 percent of acceptable responses for each analyte in each testing event is unsatisfactory analyte performance for the testing event. This STANDARD is not met as evidenced by: Based on review of the first quarter (Q1-2018) College of the American Pathologists (CAP) proficiency testing records, laboratory's proficiency testing evaluation results and interview with the technical consultant, it was determined that the laboratory failed to attain a score of at least 80 percent of acceptable responses for each analyte in each testing event. The findings included: a. Q1-2018, CAP reported an unsatisfactory proficiency testing score of 60% for Hemoglobin (Hgb). b. For six (6) out of six (6) random patient test results reviewed covering period from 5/29/2016 to 7 /9/2018, the laboratory analyzed and reported arterial blood gases during the period the laboratory received an unsatisfactory proficiency testing result. c. The technical consultant affirmed (8/3/2018, 1200) that the laboratory received the above unsatisfactory proficiency testing result for Hemoglobin. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --