title: The most common nonconformities encountered during the assessments of medical laboratories in Hong Kong using ISO 15189 as accreditation criteria.
abstract: BACKGROUND
  ISO 15189 was a new standard published in 2003 for accrediting medical laboratories. We believe that some requirements of the ISO 15189 standard are especially difficult to meet for majority of laboratories. The aim of this article was to present the frequency of nonconformities to requirements of the ISO 15189 accreditation standard, encountered during the assessments of medical laboratories in Hong Kong, during 2004 to 2009.
  
  
  METHODS
  Nonconformities reported in assessments based on ISO 15189 were analyzed in two periods - from 2004 to 2006 and in 2009. They are categorized according to the ISO 15189 clause numbers. The performance of 27 laboratories initially assessed between 2004 and 2006 was compared to their performance in the second reassessment in 2009.
  
  
  RESULTS
  For management requirements, nonconformities were most frequently reported against quality management system, quality and technical records and document control; whereas for technical requirements, they were reported against examination procedures, equipment, and assuring quality of examination procedures. There was no major difference in types of common nonconformities reported in the two study periods. The total number of nonconformities reported in the second reassessment of 27 laboratories in 2009 was almost halved compared to their initial assessments. The number of significant nonconformities per laboratory significantly decreased (P = 0.023).
  
  
  CONCLUSIONS
  Similar nonconformities were reported in the two study periods though the frequency encountered decreased. The significant decrease in number of significant nonconformities encountered in the same group of laboratories in the two periods substantiated that 15015189 contributed to quality improvement of accredited laboratories.
authors: Hong Kong Accreditation Service, Innovation and Technology Commission, HKSAR Government, Hong Kong. bellaho@itc.gov.hk
authors: Bella
authors: B
authors: Ho
authors: Eric
authors: E
authors: Ho
mesh_terms: D000068:Accreditation / Q000592:standards; D019411:Clinical Laboratory Techniques / Q000379:methods* / Q000592:standards; D003951:Diagnostic Errors / Q000517:prevention & control; D006723:Hong Kong; D006801:Humans; D007753:Laboratories / Q000458:organization & administration / Q000592:standards; D007755:Laboratories, Hospital / Q000592:standards*; D015233:Models, Statistical; D011361:Professional Competence / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards; D011786:Quality Control; D015203:Reproducibility of Results; D012189:Retrospective Studies