The document discusses POCT (point-of-care testing) accreditation in Germany based on ISO standards 15189 and 22870. It describes how the DAkkS (German Accreditation Body) uses ISO 15189 as the basis for accrediting medical laboratories, and additionally uses ISO 22870 for laboratories that perform POCT examinations. It also discusses how a guidance document from the EA Laboratory Committee provides policies for accreditation bodies to identify and assess all sites where POCT is performed during an accreditation cycle.
The document discusses POCT (point-of-care testing) accreditation in Germany based on ISO standards 15189 and 22870. It describes how the DAkkS (German Accreditation Body) uses ISO 15189 as the basis for accrediting medical laboratories, and additionally uses ISO 22870 for laboratories that perform POCT examinations. It also discusses how a guidance document from the EA Laboratory Committee provides policies for accreditation bodies to identify and assess all sites where POCT is performed during an accreditation cycle.
The document discusses POCT (point-of-care testing) accreditation in Germany based on ISO standards 15189 and 22870. It describes how the DAkkS (German Accreditation Body) uses ISO 15189 as the basis for accrediting medical laboratories, and additionally uses ISO 22870 for laboratories that perform POCT examinations. It also discusses how a guidance document from the EA Laboratory Committee provides policies for accreditation bodies to identify and assess all sites where POCT is performed during an accreditation cycle.
The document discusses POCT (point-of-care testing) accreditation in Germany based on ISO standards 15189 and 22870. It describes how the DAkkS (German Accreditation Body) uses ISO 15189 as the basis for accrediting medical laboratories, and additionally uses ISO 22870 for laboratories that perform POCT examinations. It also discusses how a guidance document from the EA Laboratory Committee provides policies for accreditation bodies to identify and assess all sites where POCT is performed during an accreditation cycle.
Ralf Bauerndistel, Dr., Lead Assessor German Accreditation Body (DAkkS), Germany Beside for example the accreditation of ambassadors, the accreditation of degree programs and the accreditation of journalists and along the Regulation (EC) No 765/2008, Article 2(10), accreditation is the formal and independent confirmation of competence of a conformity assessment body (CAB) by a national accreditation body (NAB). In contrast to a certification based on e. g. ISO 9001 - the confirmation of conformity - the accreditation brings confidence in services, certificates or reports and supports economic value and credibility. The DAkkS (Deutsche Akkreditierungsstelle) is the NAB of Germany, which was founded at the end of 2009 due to the European Regulation (EC) No 765/2008. The DAkkS is supported by three types of shareholders - the industry, the federal states and the Federal Government of Germany. The DAkkS has three locations in Berlin, Braunschweig and Frankfurt a. M., more than 160 employees and about 1000 external assessors. The DAkkS is subject to supervision by the Federal Government of Germany and is working on a non-profit basis. Furthermore, it is DAkkS is member of international accreditation networks like EA, IAF and ILAC. The DAkkS uses the industry-specific standard DIN EN ISO 15189:2014 (Medical laboratories - Requirements for quality and competence (ISO 15189:2012, Corrected version 2014-08-15); German version EN ISO 15189:2012) as the basis for accreditation of medical laboratories. In case that medical laboratories carry out POCT examinations as well, the DIN EN ISO 22870:2006 (Point-ofcare testing (POCT) - Requirements for quality and competence) is additionally used as a basis. In some points the 22870 supplements the 15189 with additional requirements, in other respects the 22870 refers to the 15189 only. The revision of the 22870 is postponed although it refers to the DIN EN ISO 15189:2003. For this reason a working group of the national NAMed committee is developing a table of crossreferences whilst other national committees are currently elaborating special requirements / interpretations on certain points of the 22870 like the DIN 58964 (Quality assurance of POCT results - Assessment criteria for comparison measurement and implementation). The crossreferences have been implemented already in the checklist to the 22870 provided on the DAkkS website. Edited by the laboratory the checklist represents an important document for the assessment.
Abstract
Ralf Bauerndistel
Meanwhile the EA Laboratory Committee working group on
Healthcare - Laboratory Medicine developed a Guidance for the Assessment of Laboratories against EN ISO 15189 and EN ISO 22870 Point-of-Care Testing (POCT) (EA-4/20 G:2014), published on 9th of December 2014. This guidance document is intended for accreditation bodies that assess POCT in the field of laboratory medicine and for medical laboratories, which are responsible for POCT. A relevant point of the guidance document is the postulation that The accreditation body should have a clear policy for identifying and assessing all key sites of POCT and all sites where POC tests are performed during an accreditation cycle. A plan should be documented by the accreditation body to plan appropriate assessment activities for all sites over the accreditation cycle.. The policy is still in preparation. But, to meet this requirement already foresighted, common practice had long been that the laboratory ahead of every assessment submits a list with identification of the location (address, clinic, ward, etc.), with identification of the relevance (critical, non critical area) and identification of the output (high, medium, low output). In collaboration with the technical assessors the file manager selects a sample of three sites at every postal address to be assessed. In the sampling exercise critical (where POCT results are critical to patient care, for example accident and emergency rooms and operating theatres) and highthroughput sites will be considered and assessed first. At the next assessment another sample from the list will be chosen, so that during the whole accreditation cycle all or at least all key sites from the list will be assessed. All sites will be assessed every time by a technical and a quality management assessor. Together, the overall effectiveness of the POCT quality managements system can be ensured.