MS ISO15189

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Transcript of MS ISO15189

  • 7/26/2019 MS ISO15189

    1/6

    Schedule

    lssue date: 09

    December 2015

    Valid until:

    29

    October

    2016

    NO: SAMM

    480

    Lab 6

    of 10

    (lssue

    2,

    09

    December

    2015 replacement

    of SAMM

    480

    dated

    19 February

    2014)

    Page:

    1

    of 6

    LABORATORY

    LOCATTON: MEDTCAL

    LABORATORIES

    (PERMANENT

    LABORATORY)

    HEMATOLOGY & TRANSFUSION

    MEDICINE

    LABORATORY

    HOSPTTAL

    UNIVERSII

    SAINS MALAYSIA

    (HUSM)

    JALAN RAJA PEREMPUAN

    ZAINAB II

    16150

    KUBANG

    KERIAN

    KELANTAN, MALAYSIA

    A

    medical laboratory's

    fulfillment of

    the

    requirements

    of

    ISO

    15189:2012

    means

    the

    laboratory

    meets both the technical

    competence requirements

    and

    the

    management system

    requirements

    necessary

    for it

    to consistently

    deliver technically

    valid test

    results.

    The

    management system

    requirements

    in ISO 15189

    (Section

    4) are

    written

    in a

    language

    relevant to

    a medical

    laboratory's operations

    and meet the

    principles

    of

    ISO

    9001:2008

    Quality

    management systems

    -

    Requirement and

    are

    aligned

    with

    its pertinent requirements

    (Joint

    IAF-ILAC-ISO Communiqud

    issued in 2015)

    FIELD

    OF MEDTCAL

    TESTING:

    HAEMATOLOGY

    SCOPE OF

    ACCREDITATION :

    sKlM AKREDTTAST MAKMAL MALAYS|A

    (SAMM)

    LABORATORY ACCREDITATION

    SCHEME OF

    MALAYSIA

    MS tSO 15189

    Specimen

    Tested

    Type

    of

    Tests/

    Properties Measured

    Test Method, Specification/

    EquipmenUTechniques

    Used

    Routine Haematology

    EDTA Blood

    Dried Blood

    EDTA Blood

    Routine

    Haematology

    EDTA Blood

    FBC

    ESR

    GOPD Screening

    Reticulocyte

    Count

    FBP

    o

    FBC

    Manual

    Sysmex

    XE500O / DC

    Detection Method as

    Documented

    in

    HUSM/HEMA-UPT/STM-R1

    Sysmex l

  • 7/26/2019 MS ISO15189

    2/6

    Schedule

    NO:

    SAMM 480

    Lab

    6

    of

    10

    (lssue

    2,

    09 December

    2015 replacement

    of SAMM 480

    dated 19 February

    2014)

    FIELD

    OF

    MEDTCAL

    TESTING:

    HAEMATOLOGY

    SCOPE OF ACCREDITATION:

    lssue

    date: 09 December

    2015

    Valid

    unti :

    29

    October

    2016

    Page:

    2

    of 6

    MS rSO

    '15189

    Specimen

    Tested

    Type

    of Tests/

    Properties

    Measured

    Test Method,

    Specification/

    EquipmenUTechniques

    Used

    Molecular

    EDTA B|ood/

    EDTA

    Bone Marrow

    Coagulation

    Plasma

    Molecular

    APTT

    PT

    / INR

    Fibrinogen

    Factor

    Assay:

    Factor

    Vlll:C &

    Factor lX

    D-Dimer

    Lupus

    Anticoagulant

    Polymerase

    Chain

    Reaction

    (PCR).

    BCR-ABL

    Fusion

    transcript

    using

    Multiplex

    RT-PCR

    as

    documented in

    HUSM/HEMA-UPT/STM-M1

    HUSM/HEMA-UPT/STM-M2

    Polymerase

    Chain

    Reaction

    (PCR).

    JAK

    2

    Mutation

    V617F

    as

    documented

    in

    HUSM/HEMA-UPT/STM-M3

    HUSM/HEMA.UPT/STM-M4

    HUSM/HEMA-UPT/STM-M5

    Coag

    u

    lometric

    Test-Mechan

    ical

    Clot

    Detection

    Method

    on

    STA CompacUSTA-R

    EVOLUTION

    as Documented

    in

    HUSM/HEMA-UPT/STM-C1

    MechanicalClot

    Detection

    Method

    on STA

    Compact

    /STA-R

    EVOLUTION

    as

    Documented

    in

    HUSM/HEMA-UPT/STM-C1

    MechanicalClot

    Detection

    Method

    on

    STA

    CompacU

    STA-R

    EVOLUTION

    as

    Documented

    in HUSM/H

    EMA-U PT/STM-C2

    MechanicalClot

    Detection

    Method

    on

    STA

    Compact as Documented

    in

    HUSM/HEMA-UPT/STM-C3

    lmmunoassay

    Tests

    -

    Mechanical

    Clot

    Detection

    on

    STA CompacV STA-R

    EVOLUTION Method

    as

    Documented in

    HUSM/HEMA-UPT/STM-C4

    STA Compact

    /

    Mechanical clot detection

    method

    as

    documented in

    HUSM/HEMA-UPT/STM-C6

    HUSM/HEMA-UPT/STM.C7

    ST

    art

    4

    /

    Mechanical

    clot detection

    method

    as

    documented

    in

    H

    USM/H EMA-U PT/STM-C8

  • 7/26/2019 MS ISO15189

    3/6

    Schedule

    NO:

    SAMM 480

    Lab 6

    of

    10

    (lssue

    2,

    09 December 2015 replacement

    of

    SAMM

    480

    dated 19 February 2014)

    FIELD

    OF

    MEDICAL

    TESTING: HAEMATOLOGY

    SCOPE OF

    ACCREDITATION:

    lssue

    date: 09 December

    2015

    Valid

    until:

    29

    October 2016

    @

    S tSO 15189

    Page:

    4

    of

    6

    Specimen Tested Type

    of

    T.ests/

    Properties

    Measured

    Test Method,

    Specification/

    EquipmenUTechniques

    Used

    Flow

    Cytometry

    EDTA Blood

    Haemopoetic

    Progenitor

    Cell-

    Apheresis

    (HPC-A)

    anticoagulated with

    ACDA; Peripheralblood

    stem

    cell

    in

    EDTA

    container

    (2mll3ml).

    Haemoglobin

    Analysis

    EDTA Blood

    lmmunophenotyping

    Quantitation of CD34

    Positive

    Cells

    For Stem

    Cell

    Transplantation

    Haemoglobin

    Electrophoresis

    Hb

    Analysis

    Flow

    Cytometry

    FACS

    CANTO llas

    documented

    in

    HUSM/H

    EMA-U

    PT/STM-F1

    FACS

    Calibur

    Flowcytometer

    Single Platform ISHAGE

    Gating Strategy

    using

    Flowcytometry

    as documented in

    HUSM/HEMA-UPT/STM-F2

    Agarose

    Gel

    /

    System Electrophoresis

    lnterlab G26

    as

    Documented in

    HUSM/HEMA.U

    PT/STM-SH2

    HUSM/HEMA.U PT/STM-SH3

    HPLC

    /

    Bio-Rad

    Variant ll

    as documented

    in HUSM/HEMA-UPT/STM/SH-1

    sKlM

    AKREDTTAST

    MAKMAL

    MALAYSTA

    (SAMM)

    LABORATORY ACCREDITATION

    SCHEME OF

    MALAYSIA

  • 7/26/2019 MS ISO15189

    4/6

    Schedule

    NO: SAMM

    480

    Lab 6 of 10

    (lssue

    2, 09

    December

    2015 replacement

    ofSAMM

    480 dated

    19 February

    2014)

    FIELD

    OF

    MEDICAL

    TESTING:

    HAEMATOLOGY

    SCOPE

    OF

    ACCREDTTATION:

    lssue date:

    09 December

    2015

    Valid until:

    29 October

    2016

    Page:

    3 of6

    MS tSO

    15189

    Specimen

    Tested

    Type of Tests/

    Properties

    Measured

    Test

    Method,

    Specifi

    cation/

    EquipmenUTechniques

    Used

    lmmunohaematology

    EDTA B|ood

    Transfusion

    Microbiology

    Serum/Plasma

    Bone

    Marrow

    Aspirated

    Bone

    Marrow

    ABO/Rh

    Grouping

    Antibody

    Screen

    (lndirect

    Coombs

    Test)

    Cross Match

    Rhesus Genotyping

    Direct

    Antiglobulin Test

    RBC Phenotyping

    Antibody

    ldentification

    HlV,

    HCV

    and

    HBsAg

    Screening

    for

    Blood

    Donor

    Bone marrow

    examination

    and

    cytochemical

    staining

    Tile/Tube

    Method

    / Gel Card

    (Techno

    Twin

    Station)

    (Antibody-Antigen

    Reaction)

    as

    documented

    in

    HUSM/HEMA-UPT/STM.T1

    HUSM/HEMA-UPT/STM-T2

    Gel

    Card

    (Antigen-Antibody

    Reaction) as

    documented

    in

    H

    USM/H

    EMA-U

    PT/STM-T3

    Gel

    Card

    (Antigen-Antibody

    Reaction)

    Tube

    Method

    (lmmediate

    Spin)

    as documented

    in HUSM/HEMA-UPT/STM-T4

    Gel Card/

    Tube

    Method

    (Antibody-Antigen

    Reaction) as

    documented

    in

    HUSM/HEMA-UPT/STM-Ts

    Gel

    Card

    (Antigen-Antibody Reaction) as

    documented

    in

    H

    USM/H EMA-U

    PT/STM-T6

    Gel

    Card/

    Tube

    Method

    (Antigen-Antibody

    Reaction) as

    documented

    in

    HUSM/HEMA-UPT/STM-T7

    Gel

    Card

    (Antigen-Antibody

    Reaction)

    as

    documentEd

    iN

    HUSM/HEMA-U

    PT/STM-T8

    Abbott

    Architect

    (Chemiluminescent

    Microparticle

    lmmunoassay

    (CMIA)

    as

    documented

    in

    H

    USM/H

    EMA-U

    PT/STM-SI

    Manual

    Smear

    &

    Staining

    Method

    as

    documented

    in

    H

    USM/H

    EMA-U

    PT/STM-BM

    1

    H USM/H

    EMA-U

    PT/STM-BM2

    H

    USM/H

    EMA-U

    PT/STM-BM3

    HUSM/H

    EMA-U

    PT/STM-BM4

    HUSM/HEMA.U

    PT/STM-BM5

    H

    USM/H

    EMA-U

    PT/STM-BM6

    HUSM/H

    EMA-U

    PT/STM-BM7

  • 7/26/2019 MS ISO15189

    5/6

    Schedule

    NO:

    SAMM

    480

    Lab

    6

    of

    10

    (lssue

    2,

    09

    December

    2015

    replacement

    ofSAMM

    480

    dated

    19

    Febryary

    2014)

    Key

    Personnel:

    lssue

    date:

    09 December

    2015

    Valid

    until:

    29

    October

    20{6

    ns

    6-rsrag

    Page:5

    of6

    No.

    Name

    Designation

    1.

    Assoc.

    Prof.

    Dr. Rapiaah

    Mustaffa

    Laboratory

    Director

    2.

    Assoc.

    Prof. Dr.

    Wan

    Zaidah

    Abdullah

    Deputy

    Laboratory

    Director

    Haematology

    3. Assoc.

    Prof.

    Dr.

    Wan

    Zaidah

    Abdullah

    Quality

    Manager

    4.

    Mdm.

    Norizah

    Tumin

    Deputy

    Quality

    Manager

    5.

    Mdm. Maseta lsmail

    Technical

    Manager

    6.

    Mdm.

    Narishah

    Sharif

    Deputy

    Technical

    Manager

    7.

    Mdm. Norizah

    Tumin

    Document

    Controller

    8. Ms.

    Wan

    NorAziemah

    Wan

    Zainulddin

    Deputy

    Document

    Controller

    9

    Mdm.

    Roazliana

    Ramli

    Technical

    Officer

    Routine

    Haematology

    10.

    Mr. Muhammad

    Ashraf

    Zulkarnain

    Technical

    Officer

    Routine

    Coagulation

    11.

    Mr.

    Saharim

    Osman

    Technical

    Officer

    Routine

    Flowcytometry

    12.

    Mdm.

    Salwana

    Ahmad

    Technical

    Officer

    Routine

    Molecular

    13.

    Mdm.

    SuryatiAbdullah

    Technical

    Officer

    Routine

    -Hb Analysis

    14.

    Ms.

    Ang

    Cheng

    Yong

    Technical

    Officer

    Routine

    Bone Marrow

    Transfusion

    Medicine

    15.

    Assoc.

    Prof. Noor

    Haslina

    Mohd Noor

    Quality

    Manager

    16.

    Mdm

    Khairiah

    Yazid

    Deputy

    Quality

    Manager

    17.

    Mdm.

    Salamah

    Ahmad

    Sukri

    Technical

    Manager

    18.

    Mdm.

    Rohana

    Yusof

    Deputy

    Technical

    Manager

    19.

    Mdm. Khairiah

    Yazid

    Document

    Controller

    20.

    Mr.

    Muhamad

    FakhriMohd

    Azmi

    Deputy

    Document

    Controller

    21.

    Mdm.

    Suzana Abu

    Technical

    Officer lmmunohematology

    22. Mr.

    Abu

    Salam Mohamed

    Nor

    Technical

    Officer

    Transfusion

    Microbiology

    23.

    Mr.

    Ahmad

    Zaki

    ldris

    Technical

    Officer Stem Cell

    24.

    Mdm Wan

    RosniWan

    Yakob

    Technical

    Officer

    Donor

    Section

    sKtM

    AKREDTTAST MAKMAL MALAYSTA

    (SAMM)

    LABORATORY ACCREDITATION

    SCHEME OF

    MALAYSIA

  • 7/26/2019 MS ISO15189

    6/6

    Schedule

    ffiL

    Y

    MS rSO

    15189

    lssue

    date:

    09 December 2015

    Valid

    until:

    29

    October 2016

    NO:

    SAMM 480

    Lab 6 of 10

    (lssue

    2,

    09

    December

    2015

    replacement

    of SAMM 480

    dated

    19 February

    2014)

    Clinical

    Personnel:

    Page:

    6

    of

    6

    No. Name

    Discipline

    1

    Assoc.

    Prof.

    Dr. Rapiaah

    Mustaffa

    Haematology/Transfusion

    Med

    icine/Molecu

    lar

    2

    Prof.

    Dr. Rosline Hassan

    Haematology/Transfusion

    Med

    icine/Molecu

    lar

    3 Assoc.

    Prof. Dr.

    Wan

    Zaidah Abdullah

    Haematology/Transfusion

    Medicine/Molecu

    lar

    4

    Assoc.

    Prof.

    Dr.

    Suhair Abbas

    Ahmed

    Al-Salih Haematology/Transfusion

    Medicine

    5

    Dr.

    Wan HaslindawaniWan

    Mahmood

    Haematologyff

    ransfusion

    Medicine

    6

    Dr. Shafini Mohamed

    Yusoff

    Haematology/Transfusion

    Med

    icine

    7

    Assoc.

    Prof.

    Dr.

    Rosnah

    Bahar

    Haematologyff

    ransfusion

    Medicine

    I Assoc.

    Prof.

    Dr.

    Noor

    Haslina Mohd.

    Noor

    Haematology/Transfusion

    Med

    icine

    I

    Dr.

    MariniRamli

    Haematology/Transfusion

    Medicine

    10

    Dr. Mohd

    Nazri Hassan

    Haematology/Transfusion

    Med

    icine

    11 Dr. Muhamad

    Farid

    Johan

    Molecular

    12 Dr

    Salfarina

    lberahim

    Haematology/Transfusion

    Med icine

    13

    Dr. Marne

    Abdullah

    Haematology/Transfusion

    Medicine

    sKtM

    AKREDTTAST

    MAKMAL MALAYSIA

    (SAMM)

    LABORATORY ACCREDITATION

    SCHEME

    OF MALAYSIA