Assess whether an audit finding is a program-wide failure from collector

Situation

Collector error log that repeats at one site arrived with a prescription filled the day after the collection for return-to-duty coordinator. That is a Forensic Drug Testing Specimen Validity decision on an audit finding is in a lab facing an adulterated-specimen spike.

Decision

Return-to-duty coordinator in a lab facing an adulterated-specimen spike must choose Accept the result / Reject on custody / Recollect / Hold using collector error log that repeats at one site after a prescription filled the day after the collection.

Hypotheses to test

• The population in collector error log that repeats at one site is the one a prescription filled the day after the collection named, so Accept the result follows for this Specimen Validity file.
• The population in collector error log that repeats at one site is adjacent only to a prescription filled the day after the collection; Reject on custody is the honest Forensic Drug Testing call.
• A lab facing an adulterated-specimen spike already contained a prescription filled the day after the collection before collector error log that repeats at one site arrived; no new Specimen Validity path.
• Provenance on collector error log that repeats at one site after a prescription filled the day after the collection is broken; do not pick Accept the result or Reject on custody yet.

Analysis required

• Check MRO notes and cutoffs against the protocol a lab facing an adulterated-specimen spike claims to run.
• Walk chain of custody, collection site, and validity flags in collector error log that repeats at one site after a prescription filled the day after the collection.
• Name the step return-to-duty coordinator cannot reconstruct from collector error log that repeats at one site.
• For this Forensic Drug Testing Specimen Validity file, read collector error log that repeats at one site against a prescription filled the day after the collection and write the one fact that would move an audit finding is for return-to-duty coordinator.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Specimen Validity packet (collector error log that repeats at one site after a prescription filled the day after the collection). If collector error log that repeats at one site cannot force a Forensic Drug Testing label under Specimen Validity, stop. Do not invent pages a lab facing an adulterated-specimen spike does not have.