1.
State what is meant by clinical governance.
[1 mark]
- the system that keeps care safe and effective
JD SCIENCE
Quality, IQC/EQA and governance
Indicative marking points. Award marks for equivalent scientific or mathematical wording. Do not issue this sheet with the student worksheet.
2.
State what is meant by IQC.
[1 mark]
- internal quality control
3.
State what is meant by EQA.
[1 mark]
- external quality assessment
4.
State what is meant by uncertainty of measurement.
[1 mark]
- doubt in a result
5.
State what is meant by ISO 15189.
[1 mark]
- quality for medical labs
6.
State what is meant by a clinical incident.
[1 mark]
- something that caused or could cause harm
7.
State what is meant by document control in HCS.
[1 mark]
- current IFU and SOP only
8.
State what is meant by information governance.
[1 mark]
- safe use of patient data
9.
State what is meant by service improvement.
[1 mark]
- PDSA cycles
10.
State what is meant by the HCPC / AHCS standards (idea).
[1 mark]
- professional standards for scientists
11.
Chris is asked about clinical governance in a City & Guilds Healthcare Science paper.
(a) [2 marks]
- audit, risk, training, evidence
(b) [3 marks]
- everyone's job
12.
Chris is asked about IQC in a City & Guilds Healthcare Science paper.
(a) [2 marks]
- run with patient samples
(b) [3 marks]
- accept or reject the batch
13.
Chris is asked about EQA in a City & Guilds Healthcare Science paper.
(a) [2 marks]
- blind samples from a scheme
(b) [3 marks]
- compares you with other labs
14.
Chris is asked about uncertainty of measurement in a City & Guilds Healthcare Science paper.
(a) [2 marks]
- must be estimated for accredited tests
(b) [3 marks]
- do not over-interpret a small change
15.
Chris is asked about ISO 15189 in a City & Guilds Healthcare Science paper.
(a) [2 marks]
- competence and patients
(b) [3 marks]
- UKAS accreditation
16.
Chris is asked about a clinical incident in a City & Guilds Healthcare Science paper.
(a) [2 marks]
- Datix / local system
(b) [3 marks]
- duty of candour if harm
17.
EQA 3 times a year. In 4 years?
[3 marks]
- Final answer: 12
18.
IQC fail 2 of 25 days. Percentage?
[3 marks]
- Final answer: 8%
19.
Turnaround target 60 min, actual 75 min. Percentage over?
[3 marks]
- Final answer: 25%
20.
An uncertainty is ±0.2 on 5.0. Relative %?
[3 marks]
- Final answer: 4%
21.
Incidents 6, 2 caused harm. Percentage harm?
[3 marks]
- Final answer: 33%
22.
A PDSA cycle weekly for 8 weeks. Cycles?
[3 marks]
- Final answer: 8
23.
Chris carries out a T-Level occupational task on quality and governance in healthcare science. This is a typical City & Guilds required-practical style question.
(a) [2 marks]
- Independent: the factor being investigated
- Dependent: the measured result or quality check
(b) [2 marks]
- follow the SOP and keep other variables constant
- so the test is fair / only one variable is changed
(c) [2 marks]
- not recording the batch/lot number or operator ID
24.
Chris carries out writing or following an SOP for quality and governance in healthcare science. This is a typical City & Guilds required-practical style question.
(a) [2 marks]
- Independent: a step in the method
- Dependent: whether the acceptance criteria are met
(b) [2 marks]
- same calibrated instrument
- so the test is fair / only one variable is changed
(c) [2 marks]
- skipping a verification check
25.
Chris carries out a COSHH / risk-assessment review for quality and governance in healthcare science. This is a typical City & Guilds required-practical style question.
(a) [2 marks]
- Independent: hazard
- Dependent: control measure effectiveness
(b) [2 marks]
- same PPE and waste route
- so the test is fair / only one variable is changed
(c) [2 marks]
- using expired reagents or the wrong waste stream
26.
Chris carries out data review in a LIMS or quality log for quality and governance in healthcare science. This is a typical City & Guilds required-practical style question.
(a) [2 marks]
- Independent: sample ID
- Dependent: result vs specification
(b) [2 marks]
- same calculation method
- so the test is fair / only one variable is changed
(c) [2 marks]
- transcription error between the instrument and the LIMS
27.
Compare clinical governance with uncertainty of measurement.
[4 marks]
- the system that keeps care safe and effective
- doubt in a result
- state one workplace implication
28.
Compare IQC with ISO 15189.
[4 marks]
- internal quality control
- quality for medical labs
- state one workplace implication
29.
Compare EQA with a clinical incident.
[4 marks]
- external quality assessment
- something that caused or could cause harm
- state one workplace implication
30.
Compare uncertainty of measurement with document control in HCS.
[4 marks]
- doubt in a result
- current IFU and SOP only
- state one workplace implication
31.
Apply your knowledge of document control in HCS to this situation: version on the analyser
[3 marks]
- version on the analyser
32.
Apply your knowledge of information governance to this situation: smartcards, lock screens
[3 marks]
- smartcards, lock screens