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Laboratory Accreditation Manual - Pathology

Editor: Francis E. Sharkey, MD, FCAPL aboratory Accreditation ManualPatient Safety | Compliance | Consistency | Confidence | Accuracy | 2017 college of american Pathologists. All rights reserved. college of american Pathologists Laboratory Accreditation Manual 2017 Edition 1 TABLE OF CONTENTS TOPIC PAGE introduction 3 Commission Philosophies 10 Applying to CAP Accreditation programs 14 Preparation of Application Materials 16 Preparing for the Inspection 21 Conducting the Inspection: General Principles and Meetings 29 Inspecting the Laboratory Sections 40 Requirements Applicable to all Laboratory Sections Laboratory General Conducting the Safety Inspection All Common Anatomic Pathology 40 42 48 53 63 Chemistry and Toxicology 69 Clinical Biochemical Genetics Cytogenetics 72 75 Cytopathology 78 Flow Cytometry 84 Hematology and Coagulation 86 Histocompatibility 90 Immunology 93 Microbiology 94 Molecular Pathology 99 Point-of-Care Testing 102 Team Leader Assessment of Director & Quality Checklist 106 Transfusion Medicine 109 Urinalysis 111 Reproductive Laboratories (RLAP) 112 Forensic Drug Testing Laboratories (FDT) Biorepository Facilities (BAP) 115 117 Inspecting Other Types of

College of American Pathologists Laboratory Accreditation Manual 2017 Edition 3 INTRODUCTION TOPIC PAGE Purpose of this Manual 3 Overview of Accreditation Program 3

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