Whitby J L, Black W A, Richardson H, Wood D E
J Clin Pathol. 1982 Jan;35(1):94-100. doi: 10.1136/jcp.35.1.94.
The Ministry of Health requires that all medical laboratories in the Province of Ontario participate in a laboratory proficiency testing program (LPTP). In bacteriology compliance has been excellent. Eighty-six laboratories, for various reasons over the period under review, have surrendered their licence or, because of poor performance on LPTP test surveys, have had their licence withdrawn by the Ministry. The highest percentage of withdrawals occurred in small hospitals in isolated areas. In April 1979 there were 249 participating laboratories. Participants' results are first analysed by computer, and, subsequently, approximately 20% of participants' reports are reviewed by the Committee. Various Committee actions ensue: correspondence with the laboratory director regarding errors; an offer of a visit; and possibly a report via a senior LPTP committee to the Ministry that a laboratory is non-proficient and, in LPTP's terms of reference, non-remediable. Subsequent Ministry action might be the withdrawal of a laboratory's licence. However, this last recourse only occurs when educational efforts have proved ineffectual. Overall, performance in LPTP bacteriology surveys has improved over the period 1975-8, with 68% of 263 laboratories achieving a score of 70% or higher and 26% of 263 laboratories scoring less than 60%.
卫生部要求安大略省的所有医学实验室都要参加实验室能力验证计划（LPTP）。在细菌学方面，合规情况非常好。在审查期间，有86家实验室由于各种原因放弃了执照，或者因为在LPTP测试调查中表现不佳而被卫生部吊销了执照。吊销执照比例最高的是偏远地区的小医院。1979年4月，有249家参与实验室。参与者的结果首先由计算机进行分析，随后，委员会会对大约20%的参与者报告进行审查。委员会会采取各种行动：就错误问题与实验室主任通信；提出进行访问；并可能通过LPTP高级委员会向卫生部报告某实验室不具备能力且按照LPTP的职权范围无法补救。卫生部随后可能采取的行动是吊销实验室的执照。然而，只有在教育努力证明无效时才会采取这最后的措施。总体而言，在1975年至198年期间，LPTP细菌学调查的表现有所改善，263家实验室中有68%的得分达到70%或更高，263家实验室中有26%的得分低于60%。
