Note: The information in this section is extracted and paraphrased from Part III Department of Health and Human Services, Centers for Medicare & Medicaid Services, Centers for Disease Control and Prevention, 42 CFR Part 493 Medicare, Medicaid, and CLIA Programs; Laboratory Requirements Relating to Quality Systems and Certain Personnel Qualifications, Final Rule, Friday, January 24, 2003.
CLIA RequirementsParaphrased |
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Requirement: Have a record of test system performance. |
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Requirement: Monitor the accuracy of the analytical process. |
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Requirement: Monitor the precision of the analytical process. |
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Requirement: Detect immediate errors. |
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Requirement: Establish or verify the criteria for acceptability of all control materials. |
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Requirement: Establish statistical parameters for each batch and lot number of control materials. |
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Requirement: Document all control procedures performed. |
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Requirement: Document that at least once each day patient specimens are assayed or examined, test two control materials of different concentrations. |
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Requirement: For blood gas analyses, document that one sample of control material is tested each eight hours of testing using a combination of control materials that include both low and high values on each day of testing. |
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Requirement: Evaluate and define the relationship between test results for the same analyte using different methodologies, instruments, or testing sites. |
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Requirement: Document all corrective actions taken as a result of QC. |
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Requirement: Document all analytic systems assessment activities. |
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Requirement: Document that, over time, control material testing is rotated among all operators who perform the test. |
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Requirement: Document that control material testing is performed after a complete change of reagent, major preventive maintenance, or when any critical part is replaced. |
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