12.00 p.m. 12.30 p.m. qa review timescales audit - pb
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This document summarizes the findings from a quality assurance (QA) image audit of the National Abdominal Aortic Aneurysm Screening Programme (NAAASP) in London from April to June 2016. It shows that fewer than 30 days had elapsed before QA review of abnormal scans for most screening locations, though a few sites had longer review times. The number of men requiring appointments after QA review and those requiring action ranged widely between the different screening locations. Next steps discussed further exploring the results in a group exercise.
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AAA screeners LGBT awareness training September 2019
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IDPS programme update Sharon Webb
This document provides an update on the Infectious Diseases in Pregnancy Screening (IDPS) Programme in the UK. It discusses the aims of the programme, which include enabling early detection and treatment of infections in pregnancy to reduce mother-to-child transmission. It summarizes screening activity data which shows high uptake rates of over 99% for HIV, hepatitis B, and syphilis screening. It also discusses efforts to improve laboratory quality, establish screening standards and outcomes data, and provide education resources to professionals and the public. Specific updates are provided on actions relating to HIV, syphilis, hepatitis B, and developing seamless maternal and neonatal pathways between screening and immunization programs.
10. Siobhan O'callaghan findings from QA activities
The QA advisor summarizes findings from 30 QA visits reports between September 2017 and July 2018. A total of 786 QA recommendations were made across various themes. The top theme was infectious diseases in pregnancy, receiving 218 recommendations. Of these, 61 recommendations were specific to the laboratory, focusing on issues like properly identifying and tracking antenatal samples, notifying screening results, and ensuring UKAS accreditation. Generic recommendations that appeared across themes included formalizing governance, managing incidents, and meeting standards for staff training and turnaround times.
9. Judith Timms HIV screening incidents
This document discusses false positive HIV results that can occur during HIV screening. The main causes of false positives are wrong blood in the tube or laboratory error. Laboratory error is found to be the most common cause, responsible for false positives in 8 of 9 cases reviewed from 2014 to 2017. Specific cases of laboratory errors are presented, including possible contamination during automated testing processes and issues with old laboratory equipment. The implications of false positive results, such as distress to patients, are also covered.
8. Nadia Permalloo learning from incidents
This document summarizes themes from quarterly incident reports of a screening program covering October 2015 to December 2017. Key issues identified include screening without informed consent, insufficient samples not being repeated in a timely manner, tracking and communication failures leading to unreported positive screening results, delays when using reference laboratories, and unconfirmed screening results being communicated to patients. The document concludes with a checklist of questions around improving processes to address these issues.
7. Tom Lewis Getting it right for pathology presentation
This document summarizes a presentation on the Getting It Right First Time (GIRFT) program and its workstream focused on pathology. GIRFT aims to reduce unwarranted variation in clinical care through data collection, identifying best practices, and promoting changes. The pathology workstream is led by four clinical leads and aims to measure current variability in pathology services, create a vision for the future, and test changes. Key activities will include collecting data through questionnaires and site visits to understand variations and identify opportunities for improvement.
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12.00 p.m. 12.30 p.m. qa review timescales audit - pb
- 1. CST and Screening Technician Workshop – 10 November 2016 - Findings from QA image audit related to strengthening the process Paola Beresh, QAAdvisor, SQAS (London) Public Health England leads the NHS Screening Programmes
- 2. NAAASP Internal Quality Assurance Framework and Resources Guidance (May 2016) • all abnormal scans are reviewed by the QA lead/CST within 30 days following the man’s initial screening event. • to maintain best clinical practice programmes should attempt to review abnormal images within 7 days • a minimum of 8 random scans reviewed by the QA lead/CST once a month 2 QA Image Audit Next Summary of findings from London AAA submitted weekly screen alerts from 1 April 2016 to 17 June 2016 and data provided by the national team directly from SMaRT
- 3. 0% 20% 40% 60% 80% 100% AASP1 AASP2 AASP3 AASP4 AASP5 >30 20-30 10-19 0-9 4 7 13 6 22 60 5 8 8 3 31 3 Presentation title - edit in Header and Footer 0% 20% 40% 60% 80% 100% AASP1 AASP2 AASP3 AASP4 AASP5 >30 20-30 10-19 0-96 10 7 3 3 4 2 20 8 6 4 7 25 6 7 4 5 2015-16 2016-17 Initial AAA Scan 20 16 26 6 16 9 36 3 QA reviews of abnormals QA Image Audit
- 4. 0% 20% 40% 60% 80% 100% AASP1 AASP2 AASP3 AASP4 AASP5 >30 20-30 10-19 0-9 8 5 5 1 3 1 1 4 Presentation title - edit in Header and Footer 0% 20% 40% 60% 80% 100% AASP1 AASP2 AASP3 AASP4 AASP5 >30 20-30 10-19 0-9 1 2 2015-16 2016-17 Surveillance scans 1 6 4 QA reviews of abnormals QA Image Audit
- 5. Men requiring appointment after QA 0 2 4 6 8 10 12 14 AAASP1 AAASP2 AAASP3 AAASP4 AAASP5 5 Presentation title - edit in Header and Footer Noofcasesrequiringan appointmentafterQA 5 QA Image Audit
- 6. 0 50 100 150 200 AAASP1 AAASP2 AAASP3 AAASP4 AAASP5 NoofCasesrequiringaction afterQAReview 6 Men requiring action after QA Review QA Image Audit
- 7. Next steps • Group Exercise to explore further 7 Presentation title - edit in Header and Footer7 QA Image Audit
Editor's Notes
- Variations in the time it takes CSTs to QA review abnormals across screening programmes. Of particular note: 100% of AASP4 QA reviews were undertaken within 9 days in 2016-17 (review on a weekly basis) 60% of AASP2 QA reviews were undertaken in more than 30 days and fell further to 69% in 2016-17 Significant improvement in undertaking CST QA reviews by AASP5 when in-house CST appointed in 2016
- 100% AASP4 CST QA reviews being undertaken within 1 week AASP3 has had no CST reviews of surveillance in 2015/16 or 2016-17, why?
- AAASP1 has sent significant numbers of cases requiring an appointment after QA Review Question here - Is it up to the particular individual as to which cases require an appointment (i.e. subjective) Do we need a standardised framework here?
- Again significant variation 3 out of 5 AAASP had action required after QA review With AASP 3 particularly high
- Programmes with an in-house CST with dedicated time are able to undertake CST QA reviews on a more timely basis Higher number of cases requiring an appointment after CST QA review may suggest technician training is required to ensure consistency Different policies/selection of surveillance cases for CST QA review on SMaRT system