Assess whether an audit finding is a program-wide failure (dc405c)

Situation

In an MRO reviewing a prescription-explained positive, oral-fluid cutoff and collection-device validation is the only Program Design and Audit extract after a dilute pattern in one shift at one terminal that HHS-certified lab liaison can use for an audit finding is. HHS-certified lab liaison has to pick Accept the result or Reject on custody for this Forensic Drug Testing Program Design and Audit close using oral-fluid cutoff and collection-device validation.

Decision

HHS-certified lab liaison in an MRO reviewing a prescription-explained positive must choose Accept the result / Reject on custody / Recollect / Hold using oral-fluid cutoff and collection-device validation after a dilute pattern in one shift at one terminal.

Hypotheses to test

• The population in oral-fluid cutoff and collection-device validation is the one a dilute pattern in one shift at one terminal named, so Accept the result follows for this Program Design and Audit file.
• The population in oral-fluid cutoff and collection-device validation is adjacent only to a dilute pattern in one shift at one terminal; Reject on custody is the honest Forensic Drug Testing call.
• An MRO reviewing a prescription-explained positive already contained a dilute pattern in one shift at one terminal before oral-fluid cutoff and collection-device validation arrived; no new Program Design and Audit path.
• Provenance on oral-fluid cutoff and collection-device validation after a dilute pattern in one shift at one terminal is broken; do not pick Accept the result or Reject on custody yet.

Analysis required

• Confirm the kit ID in oral-fluid cutoff and collection-device validation matches the collection log.
• Check MRO notes and cutoffs against the protocol an MRO reviewing a prescription-explained positive claims to run.
• Walk chain of custody, collection site, and validity flags in oral-fluid cutoff and collection-device validation after a dilute pattern in one shift at one terminal.
• For this Forensic Drug Testing Program Design and Audit file, read oral-fluid cutoff and collection-device validation against a dilute pattern in one shift at one terminal and write the one fact that would move an audit finding is for HHS-certified lab liaison.

Recommendation