QP 000 002 Mini-vertical audit MINI-VERTICAL AUDIT Edition No. Edition No. 1.0 Replaces: Operative Date: 2/12/2016 Review Date: October 2004 Location: NGRL, UKNEQAS Office, EMQN Office Author: Simon Patton Signature: Date: October 2003 Updated by: Signature: Date: Authorised by: Rob Elles Signature: Date: Copy No. 1 Document History Edition No. Date: Comment: 1 2 3 4 5 Document available from: D:\106729579.doc QUALITY PROCEDURE Edition No. 1.0 CONTROLLED DOCUMENT - DO NOT PHOTOCOPY Page 1 of 2 Central Manchester and Manchester Children’s University Hospitals NHS Trust – National Genetics Reference Laboratory (Manchester) QP 000 002 Mini-vertical audit MINI-VERTICAL AUDIT A. OVERVIEW This document provides a brief overview on how to carry out a mini-vertical audit and assumes that a full vertical audit has been carried out in the last 3 months – please consult the laboratory quality manager before proceeding. B. WHAT YOU WILL NEED 1. 2. 3. 4. Mini-vertical audit checklist form (QF 000 001) Auditors (2 minimum) Mini-vertical audit SOP (QP 000 002) You might also want to refer to the summary of the CPA accreditation standards (QP 000 005) and as well as the full CPA standards (QP 000 004). C. PROCEDURE 1. Select starting point for mini-vertical audit. For example, if conducting a vertical audit on a disease diagnosis, select at least 1 sample. The recommended approach is 1 sample for 3 different disease diagnoses, or at least 3 samples for 1 disease diagnosis. 2. Choose sample booking in date appropriate to service profile. There is no hard and fast rule however, for a test with a quick turnaround time, such a FRAX, choose the 1st FRAX sample from 3 months previously. Alternatively, for a test with a long turnaround time, such as L1CAM, choose the 1st sample from the same month but 1 year previously. 3. Use lab database to trace the sample(s) from reception to reporting. Pull off all information relating to the sample including: a. Sample card (s) and referral information. Check that referral information is appropriate, card is correctly filled in, all associated paper work is filed and that transcription of information on to lab database is correct. b. DNA sample(s) - check sample is present, filed correctly etc. c. Worksheet(s) – check present and filed correctly. d. Report(s) – check present and filed correctly e. SOP(s) – check present, up to date, information is relevant to service and that locations on where to find information on samples, primers etc is correct. 4. Record findings on mini-vertical audit form (QF 000 001) 5. Note any partial or non-compliances on form (QF 000 004) 6. Sign form and return to Lab Quality Manager. Document available from: D:\106729579.doc QUALITY PROCEDURE Edition No. 1.0 CONTROLLED DOCUMENT - DO NOT PHOTOCOPY Page 2 of 2 Central Manchester and Manchester Children’s University Hospitals NHS Trust – National Genetics Reference Laboratory (Manchester)