Marquette University

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
3
Unique D-Tags
CMS Certification Number 52D2152949
Address Schroeder Health Complex Room 267a, Milwaukee, WI, 53204
City Milwaukee
State WI
Zip Code53204
Phone(414) 288-7375

Citation History (2 surveys)

Survey - May 11, 2021

Survey Type: Standard

Survey Event ID: 128W11

Deficiency Tags: D5413

Summary:

Summary Statement of Deficiencies D5413 TEST SYSTEMS, EQUIPMENT, INSTRUMENTS, REAGENT CFR(s): 493.1252(b) The laboratory must define criteria for those conditions that are essential for proper storage of reagents and specimens, accurate and reliable test system operation, and test result reporting. The criteria must be consistent with the manufacturer's instructions, if provided. These conditions must be monitored and documented and, if applicable, include the following: (1) Water quality. (2) Temperature. (3) Humidity. (4) Protection of equipment and instruments from fluctuations and interruptions in electrical current that adversely affect patient test results and test reports. This STANDARD is not met as evidenced by: Based on survey review of laboratory procedures and temperatures logs and interview with the laboratory director, the laboratory did not monitor and document the humidity in the laboratory to ensure proper performance conditions for the Hologic Panther system. Findings include: 1. Review of procedure PA-01 "Operator's Guide and Maintenance for the Panther System" showed the humidity needs to be 20-85% for proper performance conditions. 2. Review of the temperature logs showed no monitoring or documentation of humidity in the laboratory. 3. Interview with the laboratory director on May 11, 2021 at 10:33 AM confirmed the laboratory did not monitor or document humidity in the laboratory to ensure proper performance conditions for the Hologic Panther system. 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 --

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Survey - June 5, 2019

Survey Type: Standard

Survey Event ID: JMKM11

Deficiency Tags: D5305 D2000

Summary:

Summary Statement of Deficiencies D2000 ENROLLMENT AND TESTING OF SAMPLES CFR(s): 493.801 Each laboratory must enroll in a proficiency testing (PT) program that meets the criteria in subpart I of this part and is approved by HHS. The laboratory must enroll in an approved program or programs for each of the specialties and subspecialties for which it seeks certification. The laboratory must test the samples in the same manner as patients' specimens. For laboratories subject to 42 CFR part 493 published on March 14, 1990 (55 FR 9538) prior to September 1, 1992, the rules of this subpart are effective on September 1, 1992. For all other laboratories, the rules of this subpart are effective January 1, 1994. This CONDITION is not met as evidenced by: Based on surveyor review of laboratory records and proficiency testing (PT) registration, and interview with the laboratory director, the laboratory had not enrolled in a PT program from August 2018 through May 2019 for Chlamydia and Neisseria gonorrhoeae testing performed on the Hologic Panther platform. Findings include: 1. Review of laboratory worksheets and test lists showed the laboratory performed Chlamydia and Neisseria gonorrhoeae testing. 2. Review of PT registration records for the laboratory showed the laboratory did not enroll in a PT program for Chlamydia and Neisseria gonorrhoeae testing until May 2019. 3. Interview with the laboratory director on June 5, 2019 at 10:30 AM confirmed the laboratory started patient testing in August 2018 and had not enrolled in a PT program until May 2019 for Chlamydia and Neisseria gonorrhoeae testing as required in subpart I. D5305 TEST REQUEST CFR(s): 493.1241(c) The laboratory must ensure the test requisition solicits the following information: (1) Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 2 -- The name and address or other suitable identifiers of the authorized person requesting the test and, if appropriate, the individual responsible for using the test results, or the name and address of the laboratory submitting the specimen, including, as applicable, a contact person to enable the reporting of imminently life threatening laboratory results or panic or alert values. (2) The patient's name or unique patient identifier. (3) The sex and age or date of birth of the patient. (4) The test(s) to be performed. (5) The source of the specimen, when appropriate. (6) The date and, if appropriate, time of specimen collection. (7) For Pap smears, the patient's last menstrual period, and indication of whether the patient had a previous abnormal report, treatment, or biopsy. (8) Any additional information relevant and necessary for a specific test to ensure accurate and timely testing and reporting of results, including interpretation, if applicable. This STANDARD is not met as evidenced by: Based on surveyor review of test requisitions and interview with the laboratory director, the test requisition did not include the name and address of the authorized person requesting the test or the name and address of the laboratory submitting the specimen. Findings include: 1. Review of test requisitions showed no indication of either the name and address of the authorized person requesting the test or the name and address of the laboratory submitting the specimen. 2. Interview with the laboratory director on June 5, 2019 at 11:00 AM confirmed the laboratory receives specimens from two referring laboratories and that the requisition did not include the name and address of the authorized person requesting the test or the name and address of the laboratory submitting the specimen. -- 2 of 2 --

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