SOPs for the Yorkshire General Histopathology EQA Scheme

STANDARD OPERATING PROCEDURES
CONTENTS
Standard Operating Procedure 1: Identification of Participants ..................... 4
Standard Operating Procedure 2: Movers and Locums ................................. 5
Standard Operating Procedure 3: Enrolment of Participants ......................... 6
Standard Operating Procedure 4: Allocation of Code Numbers ..................... 7
Standard Operating Procedure 5: Identification of Laboratories for Slide
Submission .................................................................................................... 8
Standard Operating Procedure 6: Slide Request ........................................... 9
Standard Operating Procedure 7: Dealing with Submitted Broken Slides ... 10
Standard Operating Procedure 8: Organisation of the Slide Review Meeting
..................................................................................................................... 11
Standard Operating Procedure 9: Compilation and Labelling of the Slide
Sets ............................................................................................................. 12
Standard Operating Procedure 10: Producing the Documentation .............. 13
Standard Operating Procedure 11: Setting the Dates of the Circulation ...... 14
Standard Operating Procedure 12: Informing the Participants..................... 15
Standard Operating Procedure 13: Starting the Circulation ......................... 16
Standard Operating Procedure 14: Monitoring the Slide Set Locations ....... 17
Standard Operating Procedure 15: Slides Broken During the Round .......... 18
Standard Operating Procedure 16: Return of Responses ........................... 19
Standard Operating Procedure 17: Late Participation ................................. 20
Standard Operating Procedure 18: Non-Participation .................................. 21
Standard Operating Procedure 19: Entering the Participants Responses ... 22
Standard Operating Procedure 20: Initial Case Analysis Results ................ 23
Standard Operating Procedure 21: Participants Meeting ............................. 24
Standard Operating Procedure 22: Final Feedback to Participants ............. 26
Standard Operating Procedure 23: Bottom 2.5th Percentile Calculation ..... 27
Standard Operating Procedure 24: Persistent Substandard Performance .. 28
Standard Operating Procedure 25: Regional Report ................................... 29
Standard Operating Procedure 26: Storage & Return of Slides ................... 30
Standard Operating Procedure 27: Record Keeping ................................... 31
Standard Operating Procedure 28: Back Up of Computerised Files ............ 32
Standard Operating Procedure 29: Validation ............................................. 33
Standard Operating Procedure 30: Disposal of Records ............................. 34
Standard Operating Procedure 31: Cover for Facilitator Leave ................... 35
Standard Operating Procedure 32: Complaints and Revision...................... 36
Standard Operating Procedure 33: Preparation of Standard Operating
Procedures .................................................................................................. 37
Standard Operating Procedure 34: Data Entry ............................................ 38
Standard Operating Procedure 35: Data Retrieval ...................................... 39
Filename: yorkshire histo
eqa sops v8
Version No: 8.0
Date Created:
01/08/2013
Last Revised On:
01/08/2013
Review Date: 08/14 Page 2 of 47 Author: Leeds
Office MW
Authorised By: