Category Archives: Laboratory medicine

Laboratory medicine

UKAS now “a partner to Government”

In a BMTA interview with retired chief executive of UKAS, Paul Stennett MBE, we learn, What is most satisfying is that UKAS is now seen as being a partner to Government, helping to deliver their regulatory agenda and in many cases … Continue reading

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Statistical pitfalls of accreditation

While doctors who experience UKAS assessments are becoming increasingly cynical about them, few have yet called out accreditation and stopped it. Stephen Senn’s comment in Nature, Statistical pitfalls of personalized medicine.  Misleading terminology and arbitrary divisions stymie drug trials and can … Continue reading

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CQC inspections have “little measurable impact” on services, analysis finds

The BMJ has reported a lack of evidence that the inspection regime of the Care Quality Commission improves services. Can we now expect similar scrutiny of UKAS’s inspections of pathology services? We might predict that those employed in the lab … Continue reading

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The most common nonconformities encountered during the assessments of medical laboratories in Hong Kong using ISO 15189 as accreditation criteria

This paper by Ho and Ho preceded that of Wilson et al. which examined ISO 17025 and was missed by these authors.  It used a similar approach to investigating the nature and number of ISO 15189 non-conformances over time. There were … Continue reading

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Margaret McCartney: A summary of four and a half years of columns in one column

Nothing to do with accreditation, just the poor thinking that lies behind it.  Dr McCartney is critical of inappropriate screening.  ISO accreditation is certainly that.  Some of her points most relevant to accreditation are below.  Click through to the BMJ to … Continue reading

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Three rules of groupthink: as global warming, so ISO accreditationism

Christopher Booker discovered Irving Janis’s Victims of Groupthink.  He used it as a framework for his report Global Warming: A Case Study in Groupthink.  We reported James Delingpole’s summary earlier. Here are Irving’s three rule of groupthink, useful because they … Continue reading

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Advances Afoot in Microbiology

Patel et al. have written about the use of new, rapid Point Of Care (POC) tests in Advances Afoot in Microbiology, Participants in the Academy’s colloquium recommended that clinical microbiologists “retain oversight of the quality assurance of infectious disease diagnostic tests.” … Continue reading

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ISO 9001’s ongoing decline

Chris Paris has evaluated the 2016 ISO report on ISO 9001’s uptake.  Read his analysis here. The ISO hasn’t bothered to correct misleading figures designed the inflate the standard’s popularity but it continues its secular trend of decline. China and … Continue reading

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The muddled mind of a UKAS assessor

UKAS’s latest technical bulletin gives further insight into the muddled thinking that lies behind the ISO scheme. Medical Royal College examinations, Continuing Professional Development, GMC registration, revalidation etc. etc. are all unable to render doctors competent any more. And UKAS … Continue reading

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Essential Services Laboratories

If you’ve read John Seddon you will know that the front office – back office arrangement will be a disaster.  It may have been sold promising economies of scale and a new computer system, neither of which will work out … Continue reading

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