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RESULTS INTRODUCTION MATERIAL & METHODS CONCLUSIONS CGPP implemented an internal quality management system, complying with the requirements of ISO 15189 and the OCDE guidelines, and only performs tests with proven analytical and clinical validity and utility, in accordance with the recommendations of international organizations (OCDE, Council of Europe). Susana Sousa 1 , Isabel Alonso 1,2 , Jorge Sequeiros 1,2,3 1 CGPP e 2 UnIGENe, IBMC, Porto; 3 ICBAS, Universidade do Porto Quality requirements are particularly high in genetic testing, as tests are normally performed once in a patient’s lifetime, increasing the potential harm of errors, their results having major implications for patients and their relatives. The OECD Guidelines for Quality Assurance in Molecular Genetic Testing aim to improve quality, recommending that “laboratories reporting molecular genetic testing results for clinical care purposes should be accredited or hold an equivalent recognition”. Accreditation is a procedure by which an authoritative body (IPAC) gives formal recognition that an entity or person is competent to carry out specific tasks. The ISO 15189 is the preferred and the most demanding standard for genetic testing laboratories (EuroGentest and ESHG), as it emphasizes the quality of contributions to patient care, in addition to laboratory and management procedures. CGPP-IBMC: First Portuguese laboratory accredited for neurogenetic diseases o Accreditation is instrumental to improve a laboratory’s quality, including the reduction of the turn-around-time (TAT); o Accreditation allows also to convey a greater confidence in the reported results, as well as in their analytical and clinical interpretation; o Accreditation (formally and officially) recognizes technical and scientific competence, facilitates exchange of services, provides a valuable management tool and enhances the confidence that the needs and requirements of clinicians, patients and families are met. CGPP – Centro de Genética Preditiva e Preventiva http://www.cgpp.eu [email protected] Gestão da Qualidade: [email protected] 1. QUALITY AND TECHNICAL REQUIREMENTS EVALUATED 2. TESTS AND METHODOLOGIES INCLUDED IN THE ACCREDITATION SCOPE 0 20 40 60 80 100 120 140 14-01-2013 14-02-2013 14-03-2013 14-04-2013 14-05-2013 14-06-2013 14-07-2013 14-08-2013 14-09-2013 14-10-2013 14-11-2013 14-12-2013 TAT Date of report Machado-Joseph Disease 3. EXAMPLES OF QUALITY INDICATORS EVALUATED 4. EXAMPLE OF GENETIC TEST REPORT genetic tests methodology SCAs Fragment analysis Huntington Fragment analysis FRDA Fragment analysis PAF RFLP Wilson PCR and sequencing CMT1A MLPA HFE Hybridization

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  • RESULTS

    INTRODUCTION

    MATERIAL & METHODS

    CONCLUSIONS

    CGPP implemented an internal quality

    management system, complying with the

    requirements of ISO 15189 and the OCDE

    guidelines, and only performs tests with proven

    analytical and clinical validity and utility, in

    accordance with the recommendations of

    international organizations (OCDE, Council of

    Europe).

    Susana Sousa1, Isabel Alonso1,2,

    Jorge Sequeiros1,2,3

    1CGPP e 2UnIGENe, IBMC, Porto; 3ICBAS, Universidade do Porto

    Quality requirements are particularly high in

    genetic testing, as tests are normally performed

    once in a patient’s lifetime, increasing the potential

    harm of errors, their results having major

    implications for patients and their relatives.

    The OECD Guidelines for Quality Assurance in

    Molecular Genetic Testing aim to improve quality,

    recommending that “laboratories reporting

    molecular genetic testing results for clinical care

    purposes should be accredited or hold an

    equivalent recognition”.

    Accreditation is a procedure by which an

    authoritative body (IPAC) gives formal recognition

    that an entity or person is competent to carry out

    specific tasks.

    The ISO 15189 is the preferred and the most

    demanding standard for genetic testing laboratories

    (EuroGentest and ESHG), as it emphasizes the

    quality of contributions to patient care, in addition

    to laboratory and management procedures.

    CGPP-IBMC: First Portuguese laboratory accredited for neurogenetic diseases

    o Accreditation is instrumental to improve a laboratory’s quality, including the reduction of the turn-around-time (TAT);

    o Accreditation allows also to convey a greater confidence in the reported results, as well as in their analytical and clinical

    interpretation;

    o Accreditation (formally and officially) recognizes technical and scientific competence, facilitates exchange of services,

    provides a valuable management tool and enhances the confidence that the needs and requirements of clinicians, patients and

    families are met.

    CGPP – Centro de Genética Preditiva e Preventiva

    http://www.cgpp.eu

    [email protected]

    Gestão da Qualidade: [email protected]

    1. QUALITY AND TECHNICAL REQUIREMENTS EVALUATED 2. TESTS AND METHODOLOGIES INCLUDED IN THE ACCREDITATION SCOPE

    0

    20

    40

    60

    80

    100

    120

    140

    14-01-2013 14-02-2013 14-03-2013 14-04-2013 14-05-2013 14-06-2013 14-07-2013 14-08-2013 14-09-2013 14-10-2013 14-11-2013 14-12-2013

    TAT

    Date of report

    Machado-Joseph Disease

    3. EXAMPLES OF QUALITY INDICATORS EVALUATED 4. EXAMPLE OF GENETIC TEST REPORT

    genetic tests methodology

    SCAs Fragment analysis

    Huntington Fragment analysis

    FRDA Fragment analysis

    PAF RFLP

    Wilson PCR and sequencing

    CMT1A MLPA

    HFE Hybridization

    http://www.cgpp.eumailto:[email protected]:[email protected]:[email protected]:[email protected]