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Laboratory quality regulations and accreditation standards in Canada
Authors:Hui Li  Khosrow Adeli
Affiliation:1. Department of Laboratory Medicine, University-Hospital, Padova, Italy;2. Department for Quality and Accreditation, University-Hospital, Padova, Italy;1. Pathology Queensland, Department of Chemical Pathology, Royal Brisbane and Women''s Hospital, Brisbane, Qld, Australia;2. Formerly Department of Chemical Pathology, LabPlus, Auckland City Hospital, Auckland, New Zealand;3. Clinical Biochemistry, Leeds Teaching Hospitals NHS Trust, General Infirmary, Leeds, UK;4. Centre for Metrological Traceability in Laboratory Medicine (CIRME), University of Milano, Milan, Italy;1. University of Houston, Houston, TX 77204-6282, USA;2. Tongji University, Tongji Building A, Sipping Road, 1500 Shanghai, China;3. London School of Economics and Political Science, London WC2A 2AE, UK;4. F4energy Ltd., Unit 10, Melbourne Business Park, Australia
Abstract:ObjectivesTo review the current status of laboratory quality regulations and accreditation standards in Canada.Design and methodsThe review is written based on information collected by survey questionnaires, a comprehensive review of available websites, and personal communications.ResultsAccreditation of medical laboratories in Canada is regulated by provincial health authorities. Out of the ten provinces of Canada, five have provincial accreditation bodies, while in the other five provinces, medical laboratories are accredited by Canadian Counsel on Health Service Accreditation (CCHSA). Each of these accreditation bodies has developed their own standards, implementing the International Organization for Standardization (ISO) documents to variable extent. Canadian Coalition for Quality in Laboratory Medicine (CCQLM) has recently been incorporated to provide a national structure for harmonizing quality management in medical laboratories across Canada.ConclusionsAlthough provincially regulated, implementation of ISO in accreditation standards and coalition of accreditation bodies have been promoting the harmonization of quality regulations in Canada.
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