Quality regulations and accreditation standards for clinical chemistry in Turkey.
OBJECTIVE
The purpose of this paper is to review the current status of laboratory quality regulations and accreditation standards in Turkey.


METHODS
This paper is written based on the current regulations, information collected by available websites and congress proceedings, and personal communications.


RESULTS
A total of 14 private and one public laboratory have been accredited according to ISO 15189 voluntarily. The total number of the JCI accredited hospitals is 24. One hospital has been accredited by HQS. A few medical laboratories have been accredited according to ISO 17025, whereas a lot of them have ISO 9001 certification from Turkish Accreditation Agency, TURKAK. There are no comprehensive laboratory standards and/or regulations to maintain a mandatory minimum quality of laboratories. External QC is not mandatory and there is no national proficiency testing program. It is a requirement to get a license to open a laboratory. There are residency programs for clinical chemistry and clinical microbiology. The Association of Clinical Biochemists, KBUD, is the youngest society in the field of clinical chemistry and is a leader in quality and accreditation activities. KBUDEK is an external QC program of KBUD. KBUD has organized four national and an international symposiums on quality and accreditation in addition to annual congresses and courses.


CONCLUSIONS
The new standard and regulation should be designed and applied to all laboratories to increase the quality of laboratory service in Turkey. It will be useful if the ISO 15189 standard can be incorporated into the national standards and regulations.
Biochemistry Department, Marmara University Faculty of Pharmacy, Tibbiye Cad. No 49, Haydarpasa, Istanbul, Turkey. furas@marmara.edu.tr
Fikriye
F
Uras
D000068:Accreditation / Q000331:legislation & jurisprudence* / Q000592:standards*; D002624:Chemistry, Clinical / Q000193:education / Q000331:legislation & jurisprudence* / Q000592:standards*; D033161:Government Regulation; D011786:Quality Control; D014421:Turkey