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MAKMAL KESIHATAN AWAM KOTA BHARU

Document Number : MKAKB/BP/QP-03
QUALITY PROCEDURE
Issue Number : 01
EXAMINATION BY REFERRAL Issue Date : 03.04.2016
LABORATORIES Page Number : 2 of 6

6.0 PROCEDURE

NO. ACTIVITY RESPONSIBILITY
6.1.0 SELECTION AND EVALUATION OF REFERRAL
LABORATORIES
6.1.1 Identify the tests or services for referral examination. LD/ HOS/ HOU

6.1.2 Identify the laboratory offering the services and obtain LD/ HOS/ HOU
relevant information.

Selection of the laboratory based on :

a) Within the Ministry of Health’s Laboratories or ;
b) Accredited private laboratories or;
c) Laboratories within Ministry of Higher Education or;
d) Laboratories with special expertise.

6.1.3 Select and evaluate the laboratory offering the required tests LD/ HOS/ HOU
using Referral Laboratory Evaluation Checklist,
MKAKB/BP/BR-05 (Refer Appendix 1).

During selection of referral laboratories one or more of the
following criteria will be taken into consideration :

a) Accreditation and certification status.
b) List of tests offered and turnaround time.
c) Participation in EQA.

6.1.4 Compile the evaluation checklist for monitoring the
competency and performance of the referral laboratories. OIC
Keep all report performance of referral laboratories.

6.1.5 Register referral laboratories in List of Referral Laboratories, OIC
MKAKB/BP/BR-06 (Refer Appendix 2).

6.1.6 Review performance of referral laboratories every 3 years. LD/ HOS/ HOU/
OIC
Send out the Review of Referral Laboratory Checklist,
MKAKB/BP/BR-07 (Refer Appendix 3) to all the referral
laboratories whenever there are changes in their services.

6.1.7 Review lists of tests to be referred every 3 years or when LD/ HOS/ HOU/
necessary. The review shall include : SO/ OIC

a) Name of tests.
b) Type and amount/volume of specimen required.
c) Type of container to be used.
d) Mode & media of transportation (if related).

Disease Sector Quality Procedure
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