Qubec

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• Québec

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Québec Roundup 2007

• Québec Laboratory Services
• External Quality Control Program
• Pierre Turcotte
• May 13-15, 2007
• Hamilton, Ontario

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Québec Roundup 2007

• Medical Laboratory Services - EQC Program

MSSS
INSPQ
LSPQ
External Quality Control Program
Scientific activities
External Committee
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Québec Roundup 2007

• Quality Control in Medical Biology
• LSPQ was given the mandate to provide quality
  control programs for public and private medical
  laboratories.
• Microbiology (AMMIQ)
• Biochemistry (SQBC)
• Hematology (SQH)
• Pathology (APQ)

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Québec Roundup 2007
Québec Medical Laboratories 2007

• Services Public Private
• Biochemistry 136 20
• Hematology 126 13
• Microbiology 104 6
• Pathology 53 2

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Québec Roundup 2007

• Scientific Committees
• Membership
• Laboratory physicians
• Laboratory scientists
• Representative of professional scientific
  associations
• Representative of professional technologist
  association (OPTMQ)

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Québec Roundup 2007

• Roles
• To design a program with specific objectives
• pertinent to current scientific issues
• relevant to laboratory practices
• To provide laboratories with high quality testing
  material.
• To assess the results and provide opportunities
  for improvement and education.
• To encourage laboratory practices in accordance
  with accepted standards.

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Québec Roundup 2007

• Québec Accreditation Program
• Ministerial Committee for risk management and
  patient safety
• Modification of the Québec Law 113
• requirement for all Québec medical laboratories
  to subscribe to an accreditation program since
  December 2005

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Québec Roundup 2007

• Québec Accreditation Program
• 2005 All Québec medical laboratories must
  undergo an accreditation process offered by the
  Canadian Council of Health Services Accreditation
  (CCHSA) or the Conseil québécois dagrément (CGA)
• 2005- 2008 Time-period allowed for
  institutions to comply with the accreditation
  requirement (one on-site visit by December 2008)

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Québec Roundup 2007

• Québec Accreditation Program
• Mandatory Program
• Accreditation cycle on a 3 year basis if full
  accreditation previously obtained
• Based on 2006 Accreditation Recognition
  Guidelines (CCHSA)

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Québec Roundup 2007

• Choice of accreditation standards
• ISO 151892003 Medical Laboratories -
  Particular requirements for quality and
  competence
• CSA-Z15189-03 Canadian adaptation of ISO 15189
  for medical laboratories
• CSA-Z-902 For blood and blood components

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Québec Roundup 2007
Microbiology Program 2006

• Disciplines Hospitals Private Labs Others
  Total Shipment/year 2006
• Bacteriology 106 7 2 115
  2
• C. difficile toxins 71 1 72 1
• Mycobacteriology
• Smear (Culture) 32 (27) 1 33 (28)
  1
• Molecular Biology
• Hepatitis C 7 1 8
  1
• Mycobacteriology 10 10 1
• Intestinal Parasitology 69 4 1
  74 1
• Blood Parasitology 72 (51) 2 13
  87 1
• Mycology 50 3 53 2
• 51 Hematology Laboratories

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Québec Roundup 2007
Microbiology Objectives 2007

• To maintain shipments in Bacteriology (2),
  Mycology (2), Intestinal Parasitology (1), Blood
  Parasitology (1), Mycobacteriology (1), NAAT
  Hepatitis C (1) and Chlamydia (1)
• To develop new controls
• HIV June 2007
• Syphilis September 2007
• Influenza November 2007
• Toxoplasmosis February 2008

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Québec Roundup 2007

• Biochemistry Program 2007
• Basic Chemistry 143
• Lipids 135
• Glycated Hemoglobin 93
• Endocrinology 108
• Cardiac Markers - Serum and plasma 105
• Urinary Sediment 147
• Drugs 114
• Special Chemistry 109
• Tumor Markers 40
• Troponine/Myoglobine - Serum and plasma 113
• Urine Chemistry (Quantitative) 115

New
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Québec Roundup 2007
Biochemistry Program
CCQLM Project Proteins Electrophoresis Q-Probe
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Québec Roundup 2007
www.inspq.qc.ca/publications/
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Québec Roundup 2007
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Québec Roundup 2007