IQCP – It’s about the money

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There is an article in CAP Today about IQCP. I was struck by a quote in the beginning of the article:

“I didn’t stop to calculate what it would cost to do liquid quality control on all the i-Stat cartridge types every eight hours because the number would have been through the roof”

Now I understand that cost is a real issue, but so is harm to patients.

The original idea of EQC (equivalent quality control) was to reduce the frequency of QC if you did an experiment that showed good QC for 10 days. This was of course without merit with the potential to cause patient harm.

The current notion of IQCP is to perform risk analysis and reduce the frequency of QC. This also makes no sense. Risk analysis should always be performed and so should QC, at a frequency which allows the repeat of questionable results such that patients will not be harmed.

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