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ASSESS URINE MORPHOLOGY CONSISTENCY - QPUA10
QPUA10
Urinalysis, including microscopic review of particulate matter, is a commonly performed test in clinical laboratories. Technical staff
must be able to identify cells, casts, crystals, and microorganisms for an accurate review. An estimation of the frequency of different
particle types is often informative as well, since some particles may be seen at low frequency in normal urine, while high numbers can
indicate disease. Laboratories are required to assess the competency of individual medical laboratory scientists and the consistency of
morphologic reporting among laboratory staff at least annually and provide adequate education.
Objectives
This study will help assess the effectiveness of educational and practical experience policies and procedures dedicated to
the laboratory’s efforts in maintaining laboratory scientist skills in the morphological assessment of elements found in urine
sediment. Participation in this study will help management assess the technical staff’s ability to evaluate urine samples using
photomicrographs. These cases provide a standardized review and evaluation for each laboratory scientist. The study will help
management meet applicable CLIA, CAP Laboratory Accreditation Program, and The Joint Commission laboratory requirements for
morphology consistency of reporting among staff and personnel competency requirements (testing previously analyzed specimens).*
Data Collection
A series of online photomicrographs accessed via e-LAB Solutions Suite will be provided to each participating institution and its
participants to assess medical laboratory scientist’s ability to detect and identify various elements found in urine. Each laboratory
scientist will receive their own kit and result form. They will provide information about their work experience related to urinalysis
review, continuing education, and professional background. Relevant information will be collected from each site about their
laboratory as it relates to urinalysis assessment.
Performance Indicators
Individual medical laboratory scientists’s scores are based on a standardized competency assessment method to determine
their ability to identify and estimate various inclusions such as red and white blood cells, casts, crystals, and microorganisms
present in normal and abnormal urinalysis cases.
Overall laboratory scores are based on the performance(s) of a facility’s individual medical laboratory scientist(s).
Your Reports – What to Expect
A participant summary report will explain the grading criteria for each case and how to read the reports. The report will feature
timely author commentary about each case and links to unmarked and annotated photomicrographs.
An institution report will include your facility’s score summary with comparison to other institutions and a medical laboratory
scientist score summary by case for each participant.
An individual report for each participant will list their responses and score for each case.
Program Information
To meet your staff technical competency assessment requirements:
Result forms for up to 10 medical laboratory scientists (QPUA10)
Result forms for up to 25 medical laboratory scientists (QPUA25)
Multiple orders may be purchased to accommodate the quantity of result forms needed.
Participant summaries are provided with institution and individual results for each case.
Participation in this study helps laboratories meet applicable requirements:
CLIA personnel requirements (Subpart M, 42 CFR§493.1)
CAP Laboratory Accreditation Program Urinalysis Checklist statements: URN.30800, consistency of morphologic observation among personnel performing urine sediment microscopy at least annually; GEN.55500, Competency Assessment of Testing Personnel (element 5); GEN.55525, Performance Assessment of Supervisors/Consultants; DRA.11425, functions or responsibilities are properly performed by a qualified individual.
The Joint Commission Standards HR.01.05.03, 01.06.01 (EPs 3, 18, 19), HR.01.07.01, PI.03.01.01(EPs 3-5), and LD.04.05.01, 04.05.03 (EPs 1-6) regarding in-service training, continuing education, competency, and evaluation of staff members
Clinical and Laboratory Standards Institute (CLSI) document GP16 (Urinalysis).
Shipping Schedule
A Mailing: January 5, 2027
This is a one-time study conducted in the second quarter.
Select Q-PROBES and Q-TRACKS studies to support your quality improvement initiatives.
Preanalytic
Analytic
Postanalytic
Anatomic Pathology
Clinical Pathology
Turnaround Time
Patient Safety
Microbiology
Transfusion Medicine
Chemistry/ Hematology
Customer Satisfaction
Q-PROBES
Non-Physician Care Team Satisfaction With Clinical Laboratory Services (QP231)
✓
✓
✓
✓
✓
✓
Technical Competency Assessment of Body Fluid Review (QPB10)
✓
✓
✓
✓
Technical Competency Assessment of Peripheral Blood Smears (QPC10/QPC25)
✓
✓
✓
✓
Technical Competency Assessment of Gram Stains (QPD10/QPD25)
Satisfaction with Outpatient Specimen Collection (QT7)
✓
✓
✓
✓
Stat Test Turnaround Time Outliers (QT8)
✓
✓
✓
✓
✓
✓
Critical Values Reporting (QT10)
✓
✓
✓
✓
✓
Troponin Turnaround Times (QT15)
✓
✓
✓
✓
✓
✓
✓
✓
Corrected Results (QT16)
✓
✓
✓
✓
✓
✓
✓
✓
Outpatient Order Entry Errors (QT17)
✓
✓
✓
✓
✓
✓
✓
*The CAP requires accredited laboratories to have a quality management plan that covers all areas of the laboratory and includes benchmarking key measures of laboratory performance (GEN.13806, GEN.20316, COM.04000). The Joint Commission requires accredited hospitals to regularly collect and analyze performance data (PI.01.01.01, PI.02.01.01). CLIA requires laboratories to monitor, assess, and correct problems identified in preanalytic, analytic, and postanalytic systems (§493.1249, §493.1289, §493.1299).