# Presentation: 512060

## PT Assist Software Application for External Quality Assessment

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**Development, Application, Adaptation for Regional Quality** **Assessment Programs**

## Zimbabwe National Quality Assurance Program: ZINQAP

- Private non-private trust
- 	Started in U of Zimbabwe chemical pathology department (1991) (ZEQAS)
- 	Supported by DANIDA 1994-1998 / UK NEQAS
- Provides EQA services, also conducts
-  	lab visits and workshop training
- Provides support for National Standards
- Three year cooperative effort w/CDC GAP
- 	(About half way into 2nd year)

**Notes:**
Features are under development

## Current Schemes by ZINQAP

**HIV: ELISA **
**HIV: Rapid (monthly)**
**TB Smears**
**Malaria Parasites**
**RPR/TPHA/**
**	****HbsAg **
**Pregnancy **

**While Cell Differential**
**Blood Bank **
**Gram Stain**
**Swab Culture**** **
**Chemistry (monthly)**
**Full Blood Count**

## Project Need at ZINQAP

- _Lost data_ due to change in university support
- _Down operations_ due to expired license and incompatible software
- _Inefficient office operations_ due to manual calculations, difficult data retrieval, mail merge, labeling, etc.

## Project Assessment 

- _Review current EQA schemes at ZINQAP_
- Data entry forms
- Report summary data
- Resolve inconsistencies in nomenclature, scoring, data entry styles in different schemes
- Suggest revisions for consistency with ISO Guide 43 and current practices internationally

**Notes:**
Features are under development

## Project Design / Capabilities

- Operates on PC with Window 98/Me /Xp/NT/2000 operating systems.
- Developed in Microsoft Visual Basic, Access and with Crystal Reports.
- Compatible with other common software, such as accounting and data analysis
- Consistent with international guidelines
- For qualitative schemes only (Version 1.0)

## Main features of Release 1.0

- Contact Information
- Participants (laboratories and testing sites)
- Oversight agencies (govt.; lab owners; etc.)
- Scheme Configuration
- Shipments (dates, content, co-shipments, notes)
- Samples (source, type, description)
- Laboratory Enrollment
- Packing List
- Customized for every participant
- Checklist for QA and records

## Main features of Release 1.0

- Expected result
- Known in advance
- Determined after data review
- Scoring system; fixed or variable
- Record participant response
- Calculate Scores
- Generate Reports

## Enter/Update Contact Information

**Notes:**
Shows the field required to populate Contact Information.
There are two type of agencies ( Laboratory and Monitoring Agencies)
ZINQAP Input: At this point data populated for this does not contain very limited information. ZINQAP has to populate remaining information.

## Configure Schemes and Samples

**Notes:**
Define scheme:
For a given year and a given scheme -  add number of shipments, give the shipment date, add number of samples, and Sample details.
Please remember that for a active Scheme “Scheme Status” should be checked.
It is possible to add a new shipment, delete an unshipped shipment, change date of shipment of unshipped shipment.
In order to delete a unshipped shipment, delete all samples in that shipment and then delete shipment.
In the same way it is possible to add, modify, delete sample information for a  unshipped shipment.
One can add different type of Sample as : swab, Slides, urine in  Sample Type in table  “ConfigSampleType” in database
There is a limitation on number of shipment per scheme (max allowed is 12 = number of months) but no limitation in number of samples.
ZINQAP Input: How to use calculate amount of samples from Packing type (?)
 It is not required to fill all information as number of samples, sample type, Sample labels, volume etc at the beginning of the year. But before making packing list these information are required.

## Enroll Laboratories in Schemes

**Notes:**
Two different types of enrollments 
ZINQAP : Populate data for “Enrollment of Laboratory with Agency”

## Produce Packing List

**Notes:**
Two type of Packing List
After printing packing list, all the shipment of the given date should be updated as shipped to make  available for registering actual and lab responses.
If the shipment is not updated as shipped one can not register the actual/lab result.
ZINQAP : Check packing list is as per the operating practices

## Enter Expected Results & Scoring System

**Notes:**
Register Actual result and grading system

## Enter Laboratory Response

**Notes:**
Ta add Lab responses.
Shipment Comments: Comments from from Scheme configuration Comments( not available for edit/modify)
Sample Comments: Comments from from Sample configuration Comments( not available for edit/modify)
Feedback: Sample feedback received from laboratory
Shipment Feedback : Shipment feedback from laboratory
Excluded from Result : Checking this will exclude this shipment from grading. Please refer reports for this.
Response Received: unchecked if one of the sample response not received. If response not received it will give sample marks = 0
Forced Marks: By checking it, it will force to give marks and will be used in grading calculation. 

## Calculate Scores

**Notes:**
Before Viewing reports, result must be calculated. If you calculate grading system will prompt for update shipment as complete. If shipment is updated as complete then no new entry for laboratory response and and also for updating in reference result. 

## Generate Reports

**Notes:**
Shows reports for scheme whose grading is calculated.

## Reports and Forms

- Announcements & Communications
- Data response forms and instructions
- Summary reports for expert review
- Summary reports for participants
- Reports for monitoring agencies
- Annual reports (or on demand)
- Generic download for special studies

## Current Status

- ZINQAP staff trained on Beta version in March, 2003
- Version 1.0 installed as of 10 April, 2003.
- Now used for production, with ZINQAP staff maintaining report and data entry forms
- Version 1.1 in development to make  adjustments to data fields and data entry sequences.

**Notes:**
1. ZINQAP : Provide information for panels preparations, calculation of number of samples

## Desired features

- Data entry verification
- Sample validation check
- Quantitative analysis
- Sample tracking and ordering
- Graphic reports

**Notes:**
1. ZINQAP : Provide information for panels preparations, calculation of number of samples

## Customized use

- Can be easily modified for use by other EQA schemes:
- Microbiology EQA/PT/ Interlab. comparison
- Other CDC GAP or WHO programs
- Can accommodate other designs:
- TB / Malaria slide sample reassessment
- Regional / Network QC

**Notes:**
1. ZINQAP : Provide information for panels preparations, calculation of number of samples

## Introduction to PT Assist Software

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**Thank you!**