Assess whether an audit finding is a program-wide failure (137086)

Situation

After a prescription filled the day after the collection, chain-of-custody seal-and-annotation defects is what medical review officer can touch in a company transitioning to oral fluid. Forensic Drug Testing will live with Accept the result versus Reject on custody on this Program Design and Audit file.

Decision

Medical review officer in a company transitioning to oral fluid must choose Accept the result / Reject on custody / Recollect / Hold using chain-of-custody seal-and-annotation defects after a prescription filled the day after the collection.

Hypotheses to test

• Chain-of-custody seal-and-annotation defects reads as Accept the result once a prescription filled the day after the collection is lined up to the same Forensic Drug Testing population.
• Chain-of-custody seal-and-annotation defects is closer to Reject on custody after a prescription filled the day after the collection; Accept the result would over-claim this Program Design and Audit extract.
• Recollect is still live in chain-of-custody seal-and-annotation defects for medical review officer in a company transitioning to oral fluid.
• Chain-of-custody seal-and-annotation defects is missing the fact medical review officer needs after a prescription filled the day after the collection; stop this Forensic Drug Testing close.

Analysis required

• Walk chain of custody, collection site, and validity flags in chain-of-custody seal-and-annotation defects after a prescription filled the day after the collection.
• Name the step medical review officer cannot reconstruct from chain-of-custody seal-and-annotation defects.
• Test whether a broken seal, timing miss, or donor explanation changes an audit finding is.
• For this Forensic Drug Testing Program Design and Audit file, read chain-of-custody seal-and-annotation defects against a prescription filled the day after the collection and write the one fact that would move an audit finding is for medical review officer.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Program Design and Audit packet (chain-of-custody seal-and-annotation defects after a prescription filled the day after the collection). The follow-on Program Design and Audit action is what medical review officer does next: implement the option, assign an owner, and log the missing fact.