Our experience of the QA visit
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The document provides tips and guidance for preparing for and undergoing a quality assurance (QA) visit. It recommends: 1) Assigning a coordinator to organize the visit and collate required information. Engage senior teams and specialties involved in screening. 2) Prepare by booking rooms, developing a clear action plan, and identifying any gaps or issues. Ask QA questions to clarify expectations. 3) During the visit day, be open and honest. Have many staff present for feedback to hear good practices and areas of concern directly. 4) Review the draft report and recommendations with interviewed staff. Develop an action plan to address recommendations and escalate any issues. QA is there to support improvement, not find
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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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Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
一比一原版(USF毕业证)旧金山大学毕业证如何办理
USF毕业证offer【微信95270640】《旧金山大学毕业证购买》《如何办理USF毕业证旧金山大学文凭学历》Q微信95270640实体公司，专业可靠，办理毕业证办美国成绩单,做加拿大文凭学历认证,办新西兰学位证，学位证书是什么?《制作旧金山大学毕业证多少钱》《USF学历证书丢了怎么办理》办澳洲文凭认证，办留信网认证（网上可查，实体公司，专业可靠）
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如果你回国在学历认证方面有以下难题请联系我们我们将竭诚为你解决认证瓶颈
1所有材料真实但资料不全无法提供完全齐整的原件。【如：成绩单丶毕业证丶回国证明等材料中有遗失的。】
2获得真实的国外最终学历学位但国外本科学历就读经历存在问题或缺陷。【如：国外本科是教育部不承认的或者是联合办学项目教育部没有备案的或者外本科没有正常毕业的。】
3学分转移联合办学等情况复杂不知道怎么整理材料的。时间紧迫自己不清楚递交流程的。
如果你是以上情况之一请联系我们我们将在第一时间内给你免费咨询相关信息。我们将帮助你整理认证所需的各种材料.帮你解决国外学历认证难题。
国外旧金山大学旧金山大学硕士学位证成绩单办理方法：
1客户提供办理信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询旧金山大学旧金山大学硕士学位证成绩单）；
2开始安排制作旧金山大学毕业证成绩单电子图；
3旧金山大学毕业证成绩单电子版做好以后发送给您确认；
4旧金山大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5旧金山大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。头贼脑的倒也逗人喜爱日上三竿时山娃总爱窜进自家瓜棚里跟小伙伴们坐着聊天聊着聊着便忍不住往瓜田里逡巡一番抱起一只硕大的西瓜用石刀劈开抑或用拳头砸开每人抱起一大块就啃啃得满嘴满脸猴屁股般的红艳大家一个劲地指着对方吃吃地笑瓜裂得古怪奇形怪状却丝毫不影响瓜味甜丝丝的满嘴生津遍地都是瓜横七竖八的活像掷满了一地的大石块摘走二三只爷爷是断然发现不了的即便发现爷爷也不恼反而教山娃辨认孰熟孰嫩孰甜孰淡名义上是护瓜吃
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1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
原版定制【微信:bwp0011】《(uofm毕业证书)美国密歇根大学毕业证学位证书》【微信:bwp0011】成绩单 、雅思、外壳、留信学历认证永久存档查询，采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信bwp0011】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信bwp0011】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
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It is a progressive disease of lungs.
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This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
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一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
EUR毕业证offer【微信95270640】《鹿特丹伊拉斯姆斯大学毕业证书原版制作EUR成绩单》【Q微信95270640】《仿制EUR毕业证成绩单鹿特丹伊拉斯姆斯大学学位证书pdf电子图》，A.为什么留学生需要操作留信认证?
留信认证全称全国留学生信息服务网认证,隶属于北京中科院。①留信认证门槛条件更低,费用更美丽,并且包过,完单周期短,效率高②留信认证虽然不能去国企,但是一般的公司都没有问题,因为国内很多公司连基本的留学生学历认证都不了解。这对于留学生来说,这就比自己光拿一个证书更有说服力,因为留学学历可以在留信网站上进行查询!
B.为什么我们提供的毕业证成绩单具有使用价值？
查询留服认证是国内鉴别留学生海外学历的唯一途径，但认证只是个体行为，不是所有留学生都操作，所以没有办理认证的留学生的学历在国内也是查询不到的，他们也仅仅只有一张文凭。所以这时候我们提供的和学校颁发的一模一样的毕业证成绩单，就有了使用价值。
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国外毕业证学位证成绩单办理流程：
1客户提供办理鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作鹿特丹伊拉斯姆斯大学毕业证成绩单电子图；
3鹿特丹伊拉斯姆斯大学毕业证成绩单电子版做好以后发送给您确认；
4鹿特丹伊拉斯姆斯大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5鹿特丹伊拉斯姆斯大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭）。地跟着父亲昼夜兼程第二天凌晨就辗转到了父亲的城哇父亲的城真的好大好美哟走出广州火车东站的那一刻山娃感受到了一种从未有过的激动和震撼太美了可爱的广州父亲的城山娃惊喜得几乎叫出声来山娃觉得父亲太伟大了居然能单匹马地跑到这么远这么大这么美的地方赚大钱高楼大厦鳞次栉比大街小巷人潮涌动山娃一路张望一路惊叹他发现城里的桥居然层层叠叠扭来扭去桥下没水却有着水一般的车水马龙山娃惊诧于城里的公交车那么大那么美不的
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Our experience of the QA visit
- 1. Our experience of the QA visit Gemma Puckett ANNB Screening Lead & Fetal medicine matron Imperial College Healthcare Trust
- 2. What was it actually like?
- 3. The Prep • Allocate someone to coordinate – this doesn’t necessarily need to be the screening coordinator and sometimes having someone more senior can be helpful. Capacity to collate the information needs to be considered. • Engage your senior team and the numerous teams / specialities involved in the screening pathway so everyone is very clear what is required. • Get your rooms booked, try to get them in the same area if you can so its easier to move from interview to interview • Have a clear action plan of what is needed, from whom, when by and who is responsible for getting it • Don’t be frightened if you identify gaps or have been trying to deal with them - transparency and honesty are essential to get maximum benefit from the visit process. There is not an expectation to be perfect, this would be suspicious as none of us are, the purpose is for service development and improvement • Ask QA if you have any queries / need to clarify anything, they are working with you and not against you! • QA will decide how they structure their questions based on the evidence submitted. Don’t be scared of this, the more accurate information you send the more it supports both QA and yourselves for the interviews
- 4. The visit day(s) • ITS NOT AS SCARY AS YOU THINK IT WILL BE! • Be open, be honest • Have as many people as present for the feedback, its so useful to hear straight away the good practice identified and the areas of concern
- 5. The Report & recommendations • You get a draft report and recommendations to look at. It is ESSENTIAL you share this with everyone who was interviewed and get structured feedback. We did this with a template that had to be completed and returned. Its your chance to check for factual accuracy • Look at your recommendations, put them into a draft action plan and start thinking about what actions are needed • Don’t be despondent or worried about the report, it can support escalation in your organisation • Once the final report is received don’t forget your internal governance arrangements to get sign off of the action plan before you submit to NHS E who will monitor progress monthly • QA ARE THERE TO SUPPORT YOU
- 6. Top Tips • 1) Don’t wait to be given a visit date to start “getting your house in order” • 2) When you get the visit date get buy in from your senior team • 3) Prep prep prep • 4) Use the abundance of support available to you from your QA lead • 5) Engage with your screening commissioning manager DON’T BE SCARED OF THE PROCESS: USE THIS AS A POSITIVE OPPORTUNITY TO SHOW CASE ALL THE GREAT WORK YOU DO AND DEMONSTRATE THAT YOU KNOW YOUR GAPS AND HAVE A PLAN IN PLACE.
- 7. Questions?