Assess whether an audit finding is a program-wide failure after a donor

Situation

Specimen Validity work in an MRO reviewing a prescription-explained positive now turns on an audit finding is because a donor claiming the seal was already broken put observed-collection justification memo in play. Oral-fluid implementation lead should say what observed-collection justification memo proves.

Decision

Oral-fluid implementation lead in an MRO reviewing a prescription-explained positive must choose Accept the result / Reject on custody / Recollect / Hold using observed-collection justification memo after a donor claiming the seal was already broken.

Hypotheses to test

• The population in observed-collection justification memo is the one a donor claiming the seal was already broken named, so Accept the result follows for this Specimen Validity file.
• The population in observed-collection justification memo is adjacent only to a donor claiming the seal was already broken; Reject on custody is the honest Forensic Drug Testing call.
• An MRO reviewing a prescription-explained positive already contained a donor claiming the seal was already broken before observed-collection justification memo arrived; no new Specimen Validity path.
• Provenance on observed-collection justification memo after a donor claiming the seal was already broken is broken; do not pick Accept the result or Reject on custody yet.

Analysis required

• Test whether a broken seal, timing miss, or donor explanation changes an audit finding is.
• Confirm the kit ID in observed-collection justification memo matches the collection log.
• Check MRO notes and cutoffs against the protocol an MRO reviewing a prescription-explained positive claims to run.
• For this Forensic Drug Testing Specimen Validity file, read observed-collection justification memo against a donor claiming the seal was already broken and write the one fact that would move an audit finding is for oral-fluid implementation lead.

Recommendation

Choose Accept the result / Reject on custody / Recollect / Hold on this Forensic Drug Testing / Specimen Validity packet (observed-collection justification memo after a donor claiming the seal was already broken). If observed-collection justification memo cannot force a Forensic Drug Testing label under Specimen Validity, stop. Do not invent pages an MRO reviewing a prescription-explained positive does not have.