Assess whether an audit finding is a program-wide failure (843753)

Situation

The desk packet is prescription that could explain an opioid positive after a SAP who closed the file before follow-up tests finished. HHS-certified lab liaison in an MRO reviewing a prescription-explained positive has to name Accept the result or Reject on custody for this Forensic Drug Testing Program Design and Audit file.

Decision

HHS-certified lab liaison in an MRO reviewing a prescription-explained positive must choose Accept the result / Reject on custody / Recollect / Hold using prescription that could explain an opioid positive after a SAP who closed the file before follow-up tests finished.

Hypotheses to test

• A SAP who closed the file before follow-up tests finished is noise around an already-controlled Program Design and Audit process in an MRO reviewing a prescription-explained positive, given prescription that could explain an opioid positive.
• A SAP who closed the file before follow-up tests finished is the event in prescription that could explain an opioid positive that forces Accept the result for HHS-certified lab liaison under Forensic Drug Testing.
• Prescription that could explain an opioid positive shows a one-file miss after a SAP who closed the file before follow-up tests finished, not a Program Design and Audit program failure.
• Prescription that could explain an opioid positive cannot decide an audit finding is yet after a SAP who closed the file before follow-up tests finished; hold is the only Forensic Drug Testing close an MRO reviewing a prescription-explained positive can defend.

Analysis required

• Confirm the kit ID in prescription that could explain an opioid positive 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 prescription that could explain an opioid positive after a SAP who closed the file before follow-up tests finished.
• For this Forensic Drug Testing Program Design and Audit file, read prescription that could explain an opioid positive against a SAP who closed the file before follow-up tests finished and write the one fact that would move an audit finding is for HHS-certified lab liaison.

Recommendation