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Article: Toward implementation of a regional quality assurance program in cytopathology: The Hong Kong experience

TitleToward implementation of a regional quality assurance program in cytopathology: The Hong Kong experience
Authors
KeywordsReferences (27) View In Table Layout
Issue Date2006
PublisherScience Printers and Publishers, Inc. The Journal's web site is located at http://www.acta-cytol.com
Citation
Acta Cytologica, 2006, v. 50 n. 2, p. 164-177 How to Cite?
AbstractObjective: To develop a local quality assurance program in cytopathology based on circulation of patient specimens on glass slides, with limited resources. Study Design: A working group was set up for design and running of the program. Participation is on a laboratory basis. The scope and frequency of testing are defined. Well-documented cases (including gynecologic, nongynecologic and fine needle aspiration cytology) with commonly encountered diagnoses are collected. Consensus concerning the diagnosis, interpretive menu and scoring system is sought before the actual slide circulations using express mail. After returning their answers to the program organizer, the participating laboratories receive immediate feedback on their scores, with reference answers, explanatory notes, whole-mount images of glass slides and cumulative responses of peer laboratories for on-site checking. At the end of each year, an electronic file containing representative photomicrographs of all cases examined is provided to individual laboratories for their permanent records and training purposes. Results: The program was launched in mid-2003. There were 24 and 27 participating laboratories from Hong Kong (and Macau) in 2003 and 2004, respectively. To date, > 150 well-documented cytology cases are available in the slide pool and ready for circulation. As the revenue is mainly to cover the expenses of express mail, the program can be carried out at a relatively low cost. Conclusion: In order to have any cytology quality assurance program accepted by local laboratories, it has to be fair and practical. Strict confidentiality needs to be observed throughout the process. This program emphasizes both performance assessment and educational value. Adequate representation from experienced local cytology workers, detailed documentation support from authorities and assistance from dedicated staff are essential to the success of any external proficiency testing scheme. Regular review and evaluation are also necessary for continuous improvement. The Hong Kong experience can serve as an example of running a glass slide-based cytology quality assurance program in a small region with limited resources. © The International Academy of Cytology.
Persistent Identifierhttp://hdl.handle.net/10722/91252
ISSN
2013 Impact Factor: 1.562
2015 SCImago Journal Rankings: 0.486
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, WKen_HK
dc.contributor.authorChiu, CSCen_HK
dc.contributor.authorCheng, Yen_HK
dc.contributor.authorChan, ETYen_HK
dc.contributor.authorChiu, FLLen_HK
dc.contributor.authorCollins, RJen_HK
dc.date.accessioned2010-09-17T10:15:40Z-
dc.date.available2010-09-17T10:15:40Z-
dc.date.issued2006en_HK
dc.identifier.citationActa Cytologica, 2006, v. 50 n. 2, p. 164-177en_HK
dc.identifier.issn0001-5547en_HK
dc.identifier.urihttp://hdl.handle.net/10722/91252-
dc.description.abstractObjective: To develop a local quality assurance program in cytopathology based on circulation of patient specimens on glass slides, with limited resources. Study Design: A working group was set up for design and running of the program. Participation is on a laboratory basis. The scope and frequency of testing are defined. Well-documented cases (including gynecologic, nongynecologic and fine needle aspiration cytology) with commonly encountered diagnoses are collected. Consensus concerning the diagnosis, interpretive menu and scoring system is sought before the actual slide circulations using express mail. After returning their answers to the program organizer, the participating laboratories receive immediate feedback on their scores, with reference answers, explanatory notes, whole-mount images of glass slides and cumulative responses of peer laboratories for on-site checking. At the end of each year, an electronic file containing representative photomicrographs of all cases examined is provided to individual laboratories for their permanent records and training purposes. Results: The program was launched in mid-2003. There were 24 and 27 participating laboratories from Hong Kong (and Macau) in 2003 and 2004, respectively. To date, > 150 well-documented cytology cases are available in the slide pool and ready for circulation. As the revenue is mainly to cover the expenses of express mail, the program can be carried out at a relatively low cost. Conclusion: In order to have any cytology quality assurance program accepted by local laboratories, it has to be fair and practical. Strict confidentiality needs to be observed throughout the process. This program emphasizes both performance assessment and educational value. Adequate representation from experienced local cytology workers, detailed documentation support from authorities and assistance from dedicated staff are essential to the success of any external proficiency testing scheme. Regular review and evaluation are also necessary for continuous improvement. The Hong Kong experience can serve as an example of running a glass slide-based cytology quality assurance program in a small region with limited resources. © The International Academy of Cytology.en_HK
dc.languageengen_HK
dc.publisherScience Printers and Publishers, Inc. The Journal's web site is located at http://www.acta-cytol.comen_HK
dc.relation.ispartofActa Cytologicaen_HK
dc.subjectReferences (27) View In Table Layouten_HK
dc.subject.meshClinical Laboratory Techniques - standardsen_HK
dc.subject.meshCytodiagnosis - methods - standardsen_HK
dc.subject.meshEmployee Performance Appraisalen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLaboratories - standardsen_HK
dc.subject.meshMedical Laboratory Science - education - standardsen_HK
dc.subject.meshQuality Assurance, Health Care - organization & administrationen_HK
dc.subject.meshQuality Controlen_HK
dc.subject.meshRegional Medical Programs - organization & administrationen_HK
dc.subject.meshReproducibility of Resultsen_HK
dc.subject.meshSensitivity and Specificityen_HK
dc.subject.meshSpecimen Handling - standardsen_HK
dc.titleToward implementation of a regional quality assurance program in cytopathology: The Hong Kong experienceen_HK
dc.typeArticleen_HK
dc.identifier.emailCollins, RJ:rcollins@hkucc.hku.hken_HK
dc.identifier.authorityCollins, RJ=rp00251en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid16610684-
dc.identifier.scopuseid_2-s2.0-33645470964en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33645470964&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume50en_HK
dc.identifier.issue2en_HK
dc.identifier.spage164en_HK
dc.identifier.epage177en_HK
dc.identifier.isiWOS:000236253300009-
dc.publisher.placeUnited Statesen_HK

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