| Measure | Organization | # Samples and frequency | In case of failure |
---|---|---|---|---|
Parasitology | Grading of microscopists | NICD | 20 samples, 3 times per year | Microscopist excluded from reading study slides for 4 months until re-trained and re-assessed |
Biochemistry | Pass/Fail1 | RCPA, I-EQA | 1 sample every 2 weeks | 1 failure |
 |  |  |  |    • Prepare deviation and action plan |
 |  |  |  |    • Check internal QC |
 |  |  |  |    • Run maintenance check and change reagents and controls |
Haematology | Satisfactory/ Unsatisfactory2 | I-EQA | 2 samples per month | 2 failures |
 |  |  |  |    • Prepare deviation and action plan |
 |  |  |  |    • Check internal QC |
 |  |  |  |    • Run maintenance check and recalibrate equipment |
 |  |  |  |    • QA manager to double check QC for failed period |
 |  |  |  | All cases |
 |  |  |  |    • Interrupt testing on failure equipment (use back-up) |
 |  |  |  |    • If no equipment is operational, discuss possibility of interrupting vaccination |
Bedside testing of glycaemia, base excess, lactacidaemia | Pass/Fail | Thistle (South Africa) | 12 samples 2 times per year | Corrective action implemented |
Microbiology | Graded 0-4, scores 0 and 1 reflecting low performance | NICD | 6 samples 3 times per year | Prepare deviation and action planDiscuss with CLS Retrain staff (by site supervisors and CLS) |