BACT 1304 Routine Final Survey Report 0000 Your Laboratory Summary Q Score and Action Report Lab 0000 BACT 1304 BACT-1304-1 BACT-1304-2 BACT-1304-3A BACT-1304-3B BACT-1304-4 Q Score Class Antimicrobials ID Q Scores IID-FI AST Q Scores PAST-AC
† An A2 action (unacceptable performance) is based on the total Q Score for identification or antimicrobial susceptibility testing for a sample. A discordant findings investigation form is posted on QViewÔ for each result that has contributed to an A2 action.
Total Q Score for Survey Total ID Q Score for Survey Total AST Q Score for Survey
15 ♦xxxxxx ♦ Your laboratory
The BACT 1304 Routine Survey Report was authorized by Christine Fleming, Senior Consultant Technologist
2013 QMP-LS. All rights reserved. Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory Q Score Legend Organism Identification and Identification (ID) Incorrect Results - Organism Isolation and Identification (IID) IID-FI
(See Program Information, Appendix B1, Table B1.1)
Isolation of Additional Organism (i.e. contaminant)
(See Program Information, Appendix B1, Table B1.2)
(See Program Information, Appendix B1, Table B1.3)
(See Program Information, Appendix B1, Table B1.4)
Incorrect Identification to Genus Level - Exceptional
Incorrect Identification to Group or Complex Level
(See Program Information, Appendix B1, Table B1.5)
Incorrect Identification to Group or Complex Level - Exceptional
Incorrect Identification to Species Level
(See Program Information, Appendix B1, Table B1.6)
Incorrect Identification to Species Level -Exceptional
Incorrect Interpretation of Findings (i.e. misinterpreting clinical significance)
(See Program Information, Appendix B1, Table B1.7)
(See Program Information, Appendix B1, Table B1.8)
(See Program Information, Appendix B1, Table B1.8)
(See Program Information, Appendix B1, Table B1.9)
Partial/Incomplete Results - Organism Identification (PID) PID-GM
(See Program Information, Appendix B1, Table B1.10)
(See Program Information, Appendix B1, Table B1.11)
Identification to Group or Comples Level Only
(See Program Information, Appendix B1, Table B1.12)
Antimicrobial Susceptibility Testing (AST) Incorrect/Inappropriate Results - Antimicrobial Susceptibility Testing (IAST) IAST-IC
Incorrect Antimicrobial Susceptibility Testing Result
(See Program Information, Appendix B1, Table B1.13)
Inappropriate Antimicrobial Susceptibility Testing Result
(See Program Information, Appendix B1, Table B1.14)
Technical Antimicrobial Susceptibility Testing Error
(See Program Information, Appendix B1, Table B1.15)
Partial/Incomplete Results - Antimicrobial Susceptibility Testing (PAST) PAST-NR
(See Program Information, Appendix B1, Table B1.16)
(See Program Information, Appendix B1, Table B1.17)
Action Rules Legend Action Rule Description
Investigate and retain internal discordant finding documentation
Investigate and submit completed discordant finding form to QMP-LS
Investigate and submit completed discordant finding form to QMP-LS
(Defined as a score above 50 plus the score at the ≥ 80th percentile all participants scores)
Investigate and submit completed discordant finding form to QMP-LS(Defined as 3 A2 actions for the same parameter* in at least 2 of 3 consecutive surveys)
*Same parameter =organism identification or antimicrobial susceptibility testing. Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 1 -Enterococcus faecium - Blood culture, leukemia patient (Basic) Total Laboratories Reporting : 77 Assigned Frequency Organism Identification Value(s) of Results Q Score Class Action Rule
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Organism Identification Q Score - BACT-1304-1 ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 1 -Enterococcus faecium - Blood culture, leukemia patient (Basic) Assigned Frequency B-Lactamase Value(s) of Results Q Score Class Action Rule Frequency of Results Antimicrobial Agents Assigned Q Score Class Action Rule Result Value(s) PAST-AC*
Other (specify in Comments below) NR
* Q score assigned for not reporting either linezolid or daptomycin
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Q Score Class Action Rule Other AST Issues
Inappropriate comment suggesting synergy with high-level aminoglycoside and penicillin,
ampicillin and/or vancomycin is possible. Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 1 -Enterococcus faecium - Blood culture, leukemia patient (Basic) Antimicrobial Susceptiblity Testing Q Score - BACT-1304-1 30 xxxxxx 15 ♦xxxxxxxx 0 xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 2 -Vibrio parahaemolyticus - "Fresh" simulated blood culture (Basic) Total Laboratories Reporting : 79 Assigned Frequency Organism Identification Value(s) of Results Q Score Class Action Rule
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Organism Identification Q Score - BACT-1304-2
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♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 2 - Vibrio parahaemolyticus - "Fresh" simulated blood culture (Basic) Frequency of Results Antimicrobial Agents Assigned Q Score Class Action Rule Result Value(s)
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Antimicrobial Susceptiblity Testing Q Score - BACT-1304-2 0 ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 3A -Staphylococcus aureus - Bone biopsy, diabetic foot (Basic) Total Laboratories Reporting : 77 Assigned Frequency Organism Identification Value(s) of Results Q Score Class Action Rule
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Organism Identification Q Score - BACT-1304-3A ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 3A -Staphylococcus aureus - Bone biopsy, diabetic foot (Basic) Assigned Frequency B-Lactamase Value(s) of Results Q Score Class Action Rule Frequency of Results Antimicrobial Agents Assigned Q Score Class Action Rule Result Value(s)
Other (specify in Comments below) NR
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Q Score Class Action Rule Other AST Issues
Clindamycin zone diameter 28mm, D-test positive
Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 3A -Staphylococcus aureus - Bone biopsy, diabetic foot (Basic) Antimicrobial Susceptiblity Testing Q Score - BACT-1304-3A 0 ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 3B -Prevotella bivia - Bone biopsy, diabetic foot (Basic) Total Laboratories Reporting : 77 Assigned Frequency Organism Identification Value(s) of Results Q Score Class Action Rule
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Organism Identification Q Score - BACT-1304-3B
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♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 3B -Prevotella bivia - Bone biopsy, diabetic foot (Basic) Assigned Frequency B-Lactamase Value(s) of Results Q Score Class Action Rule Frequency of Results Antimicrobial Agents Assigned Q Score Class Action Rule Result Value(s)
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Antimicrobial Susceptiblity Testing Q Score - BACT-1304-3B 0 ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 4 -Streptococcus dysgalactiae subsp. equisimilis - Knee aspirate, penicillin-allergic patient Total Laboratories Reporting : 77 Assigned Frequency Organism Identification Value(s) of Results Q Score Class Action Rule Streptococcus dysgalactiae subsp. equisimilis
Beta haemolytic streptococcus (not Lancefield
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Q Score Class Action Rule Other Isolation/Identification Issues Organism Identification Q Score - BACT-1304-4 ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6 BACT 1304 Routine Final Survey Report 0000 Your Laboratory VIAL 4 - Streptococcus dysgalactiae subsp. equisimilis - Knee aspirate, penicillin-allergic patient (Basic) Frequency of Results Antimicrobial Agents Assigned Q Score Class Action Rule Result Value(s)
Other (specify in Comments below) NR
Assigned Value = Consensus results of committee and supplier laboratories (Expert Laboratories) NR = Not Reported NOTE: Discordances that pertain to your laboratory are shown in RED when reports are viewed on-line or when printed in colour. Antimicrobial Susceptiblity Testing Q Score - BACT-1304-4 0 ♦xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ♦ Your laboratory Quality Management Program - Laboratory Services 1500-393 University Avenue, Toronto, Ontario Canada M5G 1E6
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Effect of Face Mask Design on Inhaled Mass of Nebulized Albuterol,Hui-Ling Lin MSc RN RRT, Ruben D Restrepo MD RRT, Douglas S Gardenhire MSc RRT-NPS, BACKGROUND: Aerosol face mask design and the distance at which the face mask is held from the face affect the delivery of nebulized medication to pediatric patients. OBJECTIVE: To measure the inhaled mass of nebulized albuterol with 3 types of pedi