This will be interesting, as every non-A.L.L. Thiopurine
Methyltransferase and Purine and Pyrimidine metabolic assay
presently comes from our non-accredited laboratory.
It remains to be seen how the CPA will explain to coroners
and patient families, for example, why avoidable
azathioprine deaths occurred because Chem Path labs could
not fulfil clinicians' requests for TPMT?
(we know of 3 azathioprine deaths and several patients
who ended in ITU in the past year, because their TPMT was
not assayed).
Is this a case of the CPA running in front of the UK, when
it comes to specialist assay services, or is there lack of
consultation?
----------------------
Dr John A Duley
Purine Research Laboratory
Guy's Hospital
London SE1 9RT (GB)
----------------------------------------------------
On Tue, 5 Mar 2002 16:05:21 +0000
[log in to unmask] wrote:
> CPA does now demand that the reference laboratory's name
is indicated on the report form together with any
interpretative comment that the ref. lab. might make; this
latter should be distinguished from any further comment
that the home lab. might make.
>
> And when the new regulations come in (shortly) one will
be expected to send samples only to accredited laboratories
- contrary to the view of inspectors who came around our
lab a couple of years ago this is not currently a CPA
requirement.
>
> David Williams
>
> -----Original Message-----
> From: p=NHS NATIONAL
INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK;
> Sent: Tuesday, March 05, 2002 2:33 PM
> To: p=NHS NATIONAL
INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK;
> Subject: SAS reports
>
> There is a long running discussion here
regarding reports on work we have referred elsewhere. At
present we manually enter the results in our system along
with any comments, and store the original report. (Complex
assays such as lymphocyte subsets we send a copy of the
report to the requesting clinician).
> One clinician in particular is anxious
that as well as doing this, we should send out copies of
all reports of referred work, to all clinicians.
>
> I would be interested to hear what other
centres are currently doing.
> Thanks in advance
>
> Louise Tilbrook
>
> Louise Tilbrook
> Principal Clinical Scientist
> Pathology Department
> Princess Alexandra Hospital
> Hamstel Rd
> Harlow
> Essex
> CM20 1QX
> Tel: 01279 827034
> Fax: 01279 416846
> [log in to unmask]
>
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