Summary:
Summary Statement of Deficiencies D2087 ROUTINE CHEMISTRY CFR(s): 493.841(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 a review of the laboratory College of American Pathologists (CAP) proficiency testing (PT) records and an interview with General Supervisor 1 (GS1), the laboratory failed to achieve satisfactory analyte performance for the analyte hemoglobin in the 3rd testing event of 2018. Findings: 1. A review of 2018 and 2019 CAP PT records identified the result for 2018 CAP SO-C 3rd testing event hemoglobin as 60%. Specimens SO-12 and SO-14 had unacceptable results by the laboratory. 2. An interview with GS1, on 01/07/2020 at approximately 1:15 PM, confirmed the findings. 3. A review of laboratory PT records revealed an appropriate investigation of the 2018 CAP SO-C unsatisfactory analyte performance of 60% for hemoglobin documented. 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 --