Greenville Health System, 701 Grove Road Support Tower 5, Greenville, SC, 29605, USA.
Intersocietal Accreditation Commission, Ellicott City, MD, USA.
J Nucl Cardiol. 2018 Dec;25(6):2044-2052. doi: 10.1007/s12350-017-0904-1. Epub 2017 May 4.
The aim of this study was to evaluate reporting compliance of laboratories applying for serial accreditation by the Intersocietal Accreditation Commission (IAC) and compare compliance based on laboratory characteristics.
All laboratories applying for IAC accreditation for the first time in 2008 and then twice more (2011-2014) were evaluated for compliance with 18 reporting elements. The elements were ranked into three severity groups (high/moderate/low).
Reports from 523 laboratories were evaluated. The percentage of laboratories with reporting issues by cycle was 66.2% for cycle 1, 36.7% for cycle 2, and 43.8% for cycle 3 (p < .001). For most of the 18 elements, there was a significant decrease in the percentage of labs with issues. Less moderate and high severity errors were seen over time. Also, the mean non-compliant elements per laboratory decreased from 5.78 ± 2.72 at cycle 1, down to 1.25 ± 1.77 at cycle 3.
In facilities applying for 3 consecutive IAC accreditation cycles, reporting compliance with IAC Standards improved between cycles 1-2 and 1-3. No significant improvement occurred between cycles 2-3. Although the quality of reports improved overall, problems remain in quantifying myocardial perfusion defects, documenting report approval date, and integrating stress and imaging reports.
本研究旨在评估申请国际联合委员会（IAC）连续认证的实验室的报告合规性，并根据实验室特征比较合规性。
评估了 2008 年首次申请 IAC 认证的所有实验室，以及随后两次（2011-2014 年）申请的实验室，共评估了 18 个报告要素的合规性。这些要素分为三个严重程度组（高/中/低）。
评估了 523 个实验室的报告。每个周期报告存在问题的实验室比例分别为第 1 周期 66.2%、第 2 周期 36.7%和第 3 周期 43.8%（p<0.001）。对于 18 个要素中的大多数，存在问题的实验室比例显著下降。随着时间的推移，中度和高度严重错误的数量减少。此外，每个实验室不符合要求的要素数量从第 1 周期的 5.78±2.72 减少到第 3 周期的 1.25±1.77。
在连续申请 3 次 IAC 认证的设施中，第 1 周期和第 1-2 周期之间以及第 1 周期和第 1-3 周期之间的报告合规性有所改善。第 2 周期和第 3 周期之间没有显著改善。尽管报告质量总体上有所提高，但在量化心肌灌注缺陷、记录报告批准日期和整合应激和成像报告方面仍存在问题。
