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Laboratories receive a variety of body fluids for evaluation that technologists review. Technical staff must maintain their identification skills of these specimens, and laboratories are required to provide education and to assess competency and consistency of reporting morphology amongst staff of body fluid cell identification amongst staff on an annual basis.


This study will assess the effectiveness of educational and practical experience policies and procedures dedicated to the laboratory’s efforts in maintaining technologist skills in the performance of accurate body fluid cell counts and identification of other body fluid features. Results of this study will assist individuals, the laboratory director, and manager with areas to focus on for improvement and education.

The study will help management meet applicable Clinical Laboratory Improvement Amendments (CLIA), CAP Laboratory Accreditation, and The Joint Commission laboratory requirements for personnel competency requirements and consistency of reporting amongst staff.*

Data Collection

Technologists will access a series of online, whole slide images to assess their ability to perform cell differentials on Wright-stained body fluids and identify miscellaneous cells and inclusions in cytocentrifuged preparations. Participants will provide additional information about their competency assessment programs, continuing education, and professional background

Information will be collected from each site regarding minimum qualifications and experience requirements of their technologists, their ongoing educational programs and requirements, as well as relevant procedures and policies.

Performance Indicators

  • Individual technologist score (%) based on a standardized competency assessment method to determine a technologist’s ability to identify various WBC types, microorganisms, and other cells present in normal and abnormal cases in comparison to consensus responses
  • Overall laboratory score based on the facility’s individual technologist performance(s)
  • Reports are provided at institution and technologist levels. A summary of responses to the general questions will be provided for participants

Program Information

To meet your staff technical competency assessment requirements:

  • Each QPB10 order includes kits with result forms for up to 10 technologists
  • Multiple kits may be purchased to accommodate quantity needed
  • Result forms for up to 10 technologists (QPB10)
  • Result forms for up to 25 technologists (QPB25)
  • Multiple kits may be purchased to accommodate quantity needed.

Applicable Requirements

  • CLIA personnel requirements (Subpart M, 42 CFR §493.1)
  • CAP Laboratory Accreditation Program Checklist statements GEN.55500 Competency Assessment of Testing Personnel, and HEM.35566, consistency of morphologic observation among personnel performing blood fluid cell differentials at least annually
  • Assessment of Testing Personnel, and HEM.35566, consistency of morphologic observation among personnel performing blood fluid cell differentials at least annually
  • The Joint Commission Standards HR. 01.05.03, 01.06.01, 01.07.01, LD.04.05.03, and 04.05.05 regarding in-service training, continuing education, competency, and evaluation of hospital personnel

Shipping Schedule

D Mailing: August 5, 2024

Select Q-PROBES and Q-TRACKS studies to support your quality improvement initiatives.
Anatomic Pathology
Clinical Pathology
Turnaround Time
Patient Safety
Transfusion Medicine
Chemistry/ Hematology
Customer Satisfaction
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)
Patient Identification Accuracy (QT1)
Blood Culture Contamination (QT2)
Laboratory Specimen Acceptability (QT3)
In-Date Blood Product Wastage (QT4)
Gynecologic Cytology Outcomes: Biopsy Correlation Performance (QT5)
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).

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