Pediatric Associates Of The University Of Iowa

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 16D0913647
Address 2593 Holiday Road, Coralville, IA, 52241
City Coralville
State IA
Zip Code52241
Phone(319) 339-1231

Citation History (1 survey)

Survey - April 4, 2019

Survey Type: Standard

Survey Event ID: IP8611

Deficiency Tags: D5421

Summary:

Summary Statement of Deficiencies D5421 ESTABLISHMENT AND VERIFICATION OF PERFORMANCE CFR(s): 493.1253(b)(1) Each laboratory that introduces an unmodified, FDA-cleared or approved test system must do the following before reporting patient test results: (1)(i) Demonstrate that it can obtain performance specifications comparable to those established by the manufacturer for the following performance characteristics: (1)(i)(A) Accuracy. (1)(i) (B) Precision. (1)(i)(C) Reportable range of test results for the test system. (1)(ii) Verify that the manufacturer's reference intervals (normal values) are appropriate for the laboratory's patient population. This STANDARD is not met as evidenced by: Based on review of Sysmex XP-300 performance specification records and confirmed by laboratory personnel identifier #9 (refer to the Laboratory Personnel Report) at approximately 12:00 pm on 04/04/2019, the laboratory failed to perform the performance specifications of accuracy and precision for one out of one new test system (Sysmex XP-300) implemented in 2018. The findings include: 1. The laboratory began performing patient testing on the Sysmex XP-300 in April 2018. 2. The laboratory performed and documented the performance specifications of reportable range and verification of reference intervals for the Sysmex XP-300. 3. At the time of the survey, personnel identifier #9 confirmed that the laboratory did not perform and document the performance specifications of accuracy and precision for the Sysmex XP-300 hematology instrument. 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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