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Enhancing EQAS Sustainability and Effectiveness in Global Laboratory Practices

This document explores the global landscape of External Quality Assessment Schemes (EQAS) operating in around 80 countries, encompassing over 30,000 laboratories. It analyzes the diverse supervision models adopted by industrialized and resource-limited nations and discusses the sustainability of EQAS programs through political, financial, and technical lenses. Key themes include performance indicators, quality control disclosures, the harmonization of goals, and the role of EQA providers in standardization and policy-making. Recommendations are made to enhance EQA/PT programs, especially in resource-limited countries.

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Enhancing EQAS Sustainability and Effectiveness in Global Laboratory Practices

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  1. Global overview • national EQASs: about 80countries • Size: 7 to more than 30 000 laboratories • Supervision: Countries with limited resources health authorities • Majority of industrialized cs.: NGOs & private institutions • Organization: countries with limited resources mainly centralized • Industialized cs. decentralized, regionalized, decentralized

  2. Sustainability & organization of EQASs (Janet Nicholson) 1. Sustainability of EQAS programmes considering • political, financial technical issues (government support - self-sustained – external support) 2. Successful structures of programmes • what are suitable indicators of success? • EQAS management independent or by clinical laboratory?

  3. Operational characteristics of surveys (Bill Donohue) Responsibility of provider for • disclosing information on quality of q.c. materials to participants? • for interpretation of results of laboratory's performance?

  4. External review & programme quality indicators (Lloyd Penberthy) 1. PT/EQA programmes self-regulated or externally reviewed, considering - infrastructures of countries - availability of authorized bodies for external audit 2. Relevant quality indicators of PT/EQA programmes, - technical? - medical?

  5. Objectives & harmonization of EQASs (Chris Hamilton) • Educational vs. regulatory aims as EQAS objectives considering • national health care legislation and regulations • professional structure of laboratory services 2. Harmonization /standardization considering • efficiency of NGOs in standard setting • criteria for standard setting: technical and/or medical?

  6. Standardization & laboratory audits (Harold Richardson) 1. EQA/PT's role in standardization of tests and measurement procedures? - interaction of PT/providers with industry - role of EQA providers in transfer of technology 2. Should PT/EQA providers inspect laboratories participating in their surveys? - role of EQA providers in laboratory policy making - role of EQA providers in management of national laboratory networks

  7. Conducting EQA/PT (Nicholas Serafy Jr.) • EQA/PT surveys by • pre-assessed q.c. materials • re-examination of patient specimens • to detect poor laboratory performance? • Comparison of traditional PT and tutorial PT, considering • logistic concerns • cost-effectiveness

  8. Make practical recommendations (!!) to promote and improve EQA/PT programmes of all countries, but particularly of countries with limited resources

  9. Chris Hamilton Janet Nicholson Bill Donohue Lloyd Penberthy Harry Richardson Nick Serafy, Jr. Mark White David Kelly Sharon Granade Deborah Regidor Colleen Davis-Doanes Carol Bigelow Subgroup Leaders and Recorders WORKGROUP 4

  10. Subgroup Discussions • Limit 4 bullets for each question

  11. Heuck 2:15-5:30 • Subgroup 1: Ballroom EFG • Subgroup 2: Ballroom EFG • Subgroup 3: Ballroom EFG • Subgroup 4: Ballroom EFG • Subgroup 5: Suite 212 • Subgroup 6: Suite 312

  12. Working BreakfastDr. Heuck & Subgroup Leaders7:00-8:00 amTuesday, Feb. 26th **Working Breakfast: Dr. Heuck and Subgroup Leaders will have a working Breakfast in Suite 212.

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