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Chapter 11 : Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice

Author: Lynne S. Garcia1
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Affiliations: 1: LSG Associates
Content Type: Reference
Publication Year: 2016

Category: Clinical Microbiology

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Abstract:

  • Equipment
    • Microscope
    • Centrifuge
    • Fume hood
    • Biological safety cabinet
    • Refrigerator-freezer
  • Supplies
    • Glassware
    • Miscellaneous supplies
    • ATCC quality control organisms
  • Safety: personnel and physical facilities
    • General precautions
    • Handwashing
    • Personal protective equipment (OSHA 2001 blood borne)
    • Handling specimens
    • Processing specimens
    • Spills
    • Disposal of contaminated materials
    • Standard precautions
    • Hepatitis exposure protocol
    • Dangerous properties of industrial materials
    • Current OSHA regulations for the use of formaldehyde
    • Latex allergy
  • Quality systems
    • Extent of services
    • Proficiency testing
    • In-house quality control
    • Patient outcome measures
    • Continuous quality improvement, total quality management, or 10-step and FOCUS-PDCA for performance improvement activities
    • CLIA '88 inspection process
  • New quality guidelines
    • ISO guidelines
    • CLSI (NCCLS) model
  • Factors influencing future laboratory practice
    • Managed care
    • Financial considerations
    • Current regulations
    • Decentralized testing
    • Laboratory services
    • Technological trends
    • Clinical decision support
    • Personnel issues
    • Changing demographics
    • Emerging diseases
    • Bioterrorism

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
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Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice
Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.fig001
Figure 11.1

Microscopes routinely used in clinical laboratories. (Top row) Regular compound microscopes. (Second row, left) Microscope with tube for photography; (right) stereomicroscope. (Bottom) Fluorescence microscope. doi:10.1128/9781555819002.ch11.f1

10.1128/9781555819002/garcia.ch11.fig001_thmb.gif
10.1128/9781555819002/garcia.ch11.fig001.gif
Image of Figure 11.1
Figure 11.1

Microscopes routinely used in clinical laboratories. (Top row) Regular compound microscopes. (Second row, left) Microscope with tube for photography; (right) stereomicroscope. (Bottom) Fluorescence microscope. doi:10.1128/9781555819002.ch11.f1

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
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Figure 11.2

Ocular micrometer, top scale; stage micrometer, bottom scale. (Illustration by Nobuko Kitamura; modified from , and .) doi:10.1128/9781555819002.ch11.f2

10.1128/9781555819002/garcia.ch11.fig002_thmb.gif
10.1128/9781555819002/garcia.ch11.fig002.gif
Image of Figure 11.2
Figure 11.2

Ocular micrometer, top scale; stage micrometer, bottom scale. (Illustration by Nobuko Kitamura; modified from , and .) doi:10.1128/9781555819002.ch11.f2

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
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Figure 11.3

Example of a commercially available disinfectant (Solucide) that can be used for countertops, small spills, and any hard surface that requires a disinfectant (www.med-chem.com). doi:10.1128/9781555819002.ch11.f3

10.1128/9781555819002/garcia.ch11.fig003_thmb.gif
10.1128/9781555819002/garcia.ch11.fig003.gif
Image of Figure 11.3
Figure 11.3

Example of a commercially available disinfectant (Solucide) that can be used for countertops, small spills, and any hard surface that requires a disinfectant (www.med-chem.com). doi:10.1128/9781555819002.ch11.f3

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
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References

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Tables

Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice
Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab001
TABLE 11.1
Potential exposures to laboratory-acquired parasitic infections ( )
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TABLE 11.1

Potential exposures to laboratory-acquired parasitic infections ( )

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab002
TABLE 11.2
Laboratory functions that may produce aerosols
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TABLE 11.2

Laboratory functions that may produce aerosols

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab003
TABLE 11.3
Potential routes of laboratory infection with human parasites
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TABLE 11.3

Potential routes of laboratory infection with human parasites

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab004
TABLE 11.4
Risk assessment and exposure control plan for the parasitology laboratory
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TABLE 11.4

Risk assessment and exposure control plan for the parasitology laboratory

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab005
TABLE 11.5
Potential hazards of industrial substances
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TABLE 11.5

Potential hazards of industrial substances

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab006
TABLE 11.6
Recommendations for the handling and examination of proficiency-testing specimens
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TABLE 11.6

Recommendations for the handling and examination of proficiency-testing specimens

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab007
TABLE 11.7
Requirements for technical procedure manuals
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TABLE 11.7

Requirements for technical procedure manuals

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab008
TABLE 11.8
Quality assessment of postanalytic systems
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TABLE 11.8

Quality assessment of postanalytic systems

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab009
TABLE 11.9
Quantitation of organisms
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TABLE 11.9

Quantitation of organisms

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab010
TABLE 11.10
Ten-step and FOCUS-PDCA grid for organizing performance improvement activities
Generic image for table
TABLE 11.10

Ten-step and FOCUS-PDCA grid for organizing performance improvement activities

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab011
TABLE 11.11
Information regarding the HCFA self-survey process (CLIA): alternate quality assessment survey
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TABLE 11.11

Information regarding the HCFA self-survey process (CLIA): alternate quality assessment survey

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab012
TABLE 11.12
Factors influencing future laboratory practice
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TABLE 11.12

Factors influencing future laboratory practice

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11
/content/10.1128/9781555819002.garcia.ch11.garcia.ch11.tab013
TABLE 11.13
Evolution of the health care delivery system and impact on clinical laboratory testing
Generic image for table
TABLE 11.13

Evolution of the health care delivery system and impact on clinical laboratory testing

Citation: Garcia L. 2016. Equipment, Supplies, Safety, and Quality System Recommendations for a Diagnostic Parasitology Laboratory: Factors Influencing Future Laboratory Practice, p 212-248. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch11

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