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AS ISO 15189—2009
                                                                                                            ISO 15189:2007
                                                                AS ISO 15189—2009




                                                                                    Australian Standard®
This is a free 7 page sample. Access the full version online.




                                                                                    Medical laboratories—Particular
                                                                                    requirements for quality and competence
This Australian Standard® was prepared by Committee HE-029, Clinical Laboratory Testing
                                                                and In Vitro Diagnostic Test Systems. It was approved on behalf of the Council of Standards
                                                                Australia on 21 July 2009.
                                                                This Standard was published on 11 August 2009.




                                                                The following are represented on Committee HE-029:

                                                                    •    Australasian Association of Clinical Biochemists
                                                                    •    Australian Association of Pathology Practices
                                                                    •    Australian Institute of Medical Scientists
                                                                    •    Australian Society for Microbiology
                                                                    •    Consumers Federation of Australia
                                                                    •    Human Genetics Society of Australasia
                                                                    •    Medical Technology Association of Australia
                                                                    •    National Association of Testing Authorities Australia
                                                                    •    National Coalition of Public Pathology
                                                                    •    National Pathology Accreditation Advisory Council
                                                                    •
This is a free 7 page sample. Access the full version online.




                                                                         Royal College of Pathologists of Australasia
                                                                    •    Therapeutic Goods Administration

                                                                Additional Interests:

                                                                    •    Ausbiotech




                                                                This Standard was issued in draft form for comment as DR AS ISO 15189.

                                                                Standards Australia wishes to acknowledge the participation of the expert individuals that
                                                                contributed to the development of this Standard through their representation on the
                                                                Committee and through the public comment period.




                                                                Keeping Standards up-to-date
                                                                Australian Standards® are living documents that reflect progress in science, technology and
                                                                systems. To maintain their currency, all Standards are periodically reviewed, and new editions
                                                                are published. Between editions, amendments may be issued.

                                                                Standards may also be withdrawn. It is important that readers assure themselves they are
                                                                using a current Standard, which should include any amendments that may have been
                                                                published since the Standard was published.

                                                                Detailed information about Australian Standards, drafts, amendments and new projects can
                                                                be found by visiting www.standards.org.au

                                                                Standards Australia welcomes suggestions for improvements, and encourages readers to
                                                                notify us immediately of any apparent inaccuracies or ambiguities. Contact us via email at
                                                                mail@standards.org.au, or write to Standards Australia, GPO Box 476, Sydney, NSW 2001.
AS ISO 15189—2009




                                                                Australian Standard®


                                                                Medical laboratories—Particular
This is a free 7 page sample. Access the full version online.




                                                                requirements for quality and competence




                                                                Originated as AS 4633—2004.
                                                                Revised and redesignated as AS ISO 15189—2009.




                                                                COPYRIGHT
                                                                © Standards Australia
                                                                All rights are reserved. No part of this work may be reproduced or copied in any form or by
                                                                any means, electronic or mechanical, including photocopying, without the written
                                                                permission of the publisher.
                                                                Published by Standards Australia GPO Box 476, Sydney, NSW 2001, Australia
                                                                ISBN 0 7337 9220 0
ii ii



                                                                                                            PREFACE

                                                                This Standard was prepared by the Standards Australia Committee HE-029, Clinical Laboratory
                                                                Testing and In Vitro Diagnostic Test Systems to supersede AS 4633—2004.
                                                                This Standard is identical to, and has been reproduced from ISO 15189:2007, Medical
                                                                laboratories—Particular requirements for quality and competence.
                                                                The objective of this Standard is to provide requirements for quality and competence that are
                                                                particular for medical/clinical laboratories.
                                                                As this Standard is reproduced from an International Standard, the following modifications
                                                                apply:
                                                                (a)    Its number does not appear on each page of the text, and its identity is shown only on the
                                                                       cover and title page.
                                                                (b)    In this reproduced text, ‘this International Standard’ should be read as ‘this Australian
                                                                       Standard’.
This is a free 7 page sample. Access the full version online.




                                                                The reference to International Standards should be replaced by references to the following
                                                                Australian or Australian/New Zealand Standards:
                                                                Reference to International Standard or other            Australian Standard/New Zealand Standard
                                                                publication
                                                                ISO                                                     AS
                                                                31           Quantities and units (all parts)           2900         Quantities and units (all parts)
                                                                                                                        AS/NZS ISO
                                                                9000         Quality management systems—                9000         Quality management systems—
                                                                             Fundamentals and vocabulary                             Fundamentals and vocabulary
                                                                9001         Quality management systems—                9001         Quality management systems—
                                                                             Requirements                                            Requirements
                                                                ISO/IEC                                                 AS/NZS ISO
                                                                17025        General requirements for the               17025        General requirements for the
                                                                             competence of testing and                               competence of testing and
                                                                             calibration laboratories                                calibration laboratories
                                                                Guide 43-1 Proficiency testing by                       HB 18.43.1 Guidelines for third-party
                                                                           interlaboratory comparisons                             certification and accreditation
                                                                           Part 1: Development and                                 Guide 43: Proficiency testing by
                                                                           operation of proficiency testing                        interlaboratory comparisons—
                                                                           schemes                                                 Part 1: Development and
                                                                                                                                   operation of proficiency testing
                                                                                                                                   schemes
                                                                International vocabulary of basic and general           —
                                                                terms in metrology (VIM). BIPM, CLSI, IEC,
                                                                IFCC, ISO, IuPAC, IUPAP, OIML
                                                                The term ‘informative’ has been used in this Standard to define the application of the annex to
                                                                which it applies. An ‘informative’ annex is for information or guidance only.
iii iii


                                                                Contents                                                                     CONTENTS
                                                                                                                                                                                                                                Page


                                                                                                                                                                                                                               Page
                                                                Foreword............................................................................................................................................................ iv
                                                                Introduction ........................................................................................................................................................ v
                                                                1           Scope ..................................................................................................................................................... 1
                                                                2           Normative references ........................................................................................................................... 1
                                                                3           Terms and definitions........................................................................................................................... 1
                                                                4           Management requirement .................................................................................................................... 4
                                                                4.1         Organization and management ........................................................................................................... 4
                                                                4.2         Quality management system ............................................................................................................... 5
                                                                4.3         Document control ................................................................................................................................. 6
                                                                4.4         Review of contracts .............................................................................................................................. 7
                                                                4.5         Examination by referral laboratories .................................................................................................. 8
                                                                4.6         External services and supplies ........................................................................................................... 8
                                                                4.7         Advisory services ................................................................................................................................. 9
                                                                4.8         Resolution of complaints ..................................................................................................................... 9
                                                                4.9         Identification and control of nonconformities ................................................................................... 9
                                                                4.10        Corrective action................................................................................................................................. 10
This is a free 7 page sample. Access the full version online.




                                                                4.11        Preventive action ................................................................................................................................ 10
                                                                4.12        Continual improvement...................................................................................................................... 10
                                                                4.13        Quality and technical records ........................................................................................................... 11
                                                                4.14        Internal audits ..................................................................................................................................... 11
                                                                4.15        Management review............................................................................................................................ 12
                                                                5           Technical requirements ..................................................................................................................... 13
                                                                5.1         Personnel............................................................................................................................................. 13
                                                                5.2         Accommodation and environmental conditions ............................................................................. 15
                                                                5.3         Laboratory equipment ........................................................................................................................ 16
                                                                5.4         Pre-examination procedures ............................................................................................................. 18
                                                                5.5         Examination procedures .................................................................................................................... 20
                                                                5.6         Assuring quality of examination procedures .................................................................................. 22
                                                                5.7         Post-examination procedures ........................................................................................................... 23
                                                                5.8         Reporting of results............................................................................................................................ 23
                                                                Annex A (Informative) Correlation with ISO 9001:2000 and ISO/IEC 17025:2005 ...................................... 26
                                                                Annex B (informative) Recommendations for protection of laboratory information systems (LIS)........ 30
                                                                Annex C (informative) Ethics in laboratory medicine................................................................................... 34
                                                                Bibliography ..................................................................................................................................................... 37




                                                                © ISO 2007 – All rights reserved                                                                                                                                      iii
ISO 15189:2007(E)



                                                                                                                             iv iv


                                                                                                                    INTRODUCTION
                                                                Introduction
                                                                This International Standard, based upon ISO/IEC 17025 and ISO 9001, provides requirements for
                                                                competence and quality that are particular to medical laboratories1). It is acknowledged that a country could
                                                                have its own specific regulations or requirements applicable to some or all its professional personnel and their
                                                                activities and responsibilities in this domain.

                                                                Medical laboratory services are essential to patient care and therefore have to be available to meet the needs
                                                                of all patients and the clinical personnel responsible for the care of those patients. Such services include
                                                                arrangements for requisition, patient preparation, patient identification, collection of samples, transportation,
                                                                storage, processing and examination of clinical samples, together with subsequent validation, interpretation,
                                                                reporting and advice, in addition to the considerations of safety and ethics in medical laboratory work.

                                                                Whenever allowed by national regulations, it is desirable that medical laboratory services include the
                                                                examination of patients in consultation cases, and that those services actively participate in the prevention of
                                                                disease in addition to diagnosis and patient management. Each laboratory ought also to provide suitable
                                                                educational and scientific opportunities for professional staff working with it.

                                                                While this International Standard is intended for use throughout the currently recognised disciplines of medical
This is a free 7 page sample. Access the full version online.




                                                                laboratory services, those working in other services and disciplines could also find it useful and appropriate. In
                                                                addition, bodies engaged in the recognition of the competence of medical laboratories will be able to use this
                                                                International Standard as the basis for their activities. If a laboratory seeks accreditation, it should select an
                                                                accrediting body which operates to appropriate international standards and which takes into account the
                                                                particular requirements of medical laboratories.

                                                                Demonstrated conformity to this International Standard does not imply conformity of the quality management
                                                                system within which the laboratory operates to all the requirements of ISO 9001. This International Standard is
                                                                not intended to be used for the purposes of certification.

                                                                The correlation between the clauses and subclauses of this second edition of ISO 15189 and those of
                                                                ISO 9001:2000 and of ISO/IEC 17025:2005 is detailed in Annex A of this International Standard.




                                                                1)   In other languages, these laboratories can be designated by the equivalent of the English term “clinical laboratories.”




                                                                © ISO 2007 – All rights reserved                                                                                               v
INTERNATIONAL STANDARD                                                                 ISO 15189:2007(E)


                                                                                                                     1      1

                                                                      AUSTRALIAN STANDARD
                                                                     Medical laboratories — Particular requirements for quality and
                                                                     competence
                                                                      Medical laboratories—Particular requirements for quality and
                                                                      competence

                                                                     1     Scope
                                                                     1.1 This International Standard specifies requirements for quality and competence particular to medical
                                                                     laboratories.

                                                                     1.2 This International Standard is for use by medical laboratories in developing their quality management
                                                                     systems and assessing their own competence, and for use by accreditation bodies in confirming or
                                                                     recognising the competence of medical laboratories.


                                                                     2     Normative references
This is a free 7 page sample. Access the full version online.




                                                                     The following referenced documents are indispensable for the application of this document. For dated
                                                                     references, only the edition cited applies. For undated references, the latest edition of the referenced
                                                                     document (including any amendments) applies.

                                                                     ISO 31 (all parts), Quantities and units

                                                                     ISO 9000:2005, Quality management systems — Fundamentals and vocabulary

                                                                     ISO 9001:2000, Quality management systems — Requirements

                                                                     ISO/IEC Guide 43-1, Proficiency testing by interlaboratory comparisons — Part 1: Development and operation
                                                                     of proficiency testing schemes

                                                                     ISO/IEC 17025:2005, General requirements for the competence of testing and calibration laboratories


                                                                     3     Terms and definitions
                                                                     For the purposes of this document, the following terms and definitions apply.

                                                                     3.1
                                                                     accreditation
                                                                     procedure by which an authoritative body gives formal recognition that a body or person is competent to carry
                                                                     out specific tasks

                                                                     3.2
                                                                     accuracy of measurement
                                                                     closeness of the agreement between the result of a measurement and a true value of the measurand

                                                                     [VIM:1993, definition 3.5]




                                                                     © ISO 2007 – All rights reserved                                                                             1


                                                                                                                  COPYRIGHT
                                                                www.standards.org.au                                                                                    © Standards Australia
This is a free preview. Purchase the entire publication at the link below:




                                                                                  AS ISO 15189-2009 Medical laboratories -
                                                                                  Particular requirements for quality and
                                                                                  competence
This is a free 7 page sample. Access the full version online.




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As iso 15189 2009 medical laboratories - particular requirements for quality and competence

  • 1. AS ISO 15189—2009 ISO 15189:2007 AS ISO 15189—2009 Australian Standard® This is a free 7 page sample. Access the full version online. Medical laboratories—Particular requirements for quality and competence
  • 2. This Australian Standard® was prepared by Committee HE-029, Clinical Laboratory Testing and In Vitro Diagnostic Test Systems. It was approved on behalf of the Council of Standards Australia on 21 July 2009. This Standard was published on 11 August 2009. The following are represented on Committee HE-029: • Australasian Association of Clinical Biochemists • Australian Association of Pathology Practices • Australian Institute of Medical Scientists • Australian Society for Microbiology • Consumers Federation of Australia • Human Genetics Society of Australasia • Medical Technology Association of Australia • National Association of Testing Authorities Australia • National Coalition of Public Pathology • National Pathology Accreditation Advisory Council • This is a free 7 page sample. Access the full version online. Royal College of Pathologists of Australasia • Therapeutic Goods Administration Additional Interests: • Ausbiotech This Standard was issued in draft form for comment as DR AS ISO 15189. Standards Australia wishes to acknowledge the participation of the expert individuals that contributed to the development of this Standard through their representation on the Committee and through the public comment period. Keeping Standards up-to-date Australian Standards® are living documents that reflect progress in science, technology and systems. To maintain their currency, all Standards are periodically reviewed, and new editions are published. Between editions, amendments may be issued. Standards may also be withdrawn. It is important that readers assure themselves they are using a current Standard, which should include any amendments that may have been published since the Standard was published. Detailed information about Australian Standards, drafts, amendments and new projects can be found by visiting www.standards.org.au Standards Australia welcomes suggestions for improvements, and encourages readers to notify us immediately of any apparent inaccuracies or ambiguities. Contact us via email at mail@standards.org.au, or write to Standards Australia, GPO Box 476, Sydney, NSW 2001.
  • 3. AS ISO 15189—2009 Australian Standard® Medical laboratories—Particular This is a free 7 page sample. Access the full version online. requirements for quality and competence Originated as AS 4633—2004. Revised and redesignated as AS ISO 15189—2009. COPYRIGHT © Standards Australia All rights are reserved. No part of this work may be reproduced or copied in any form or by any means, electronic or mechanical, including photocopying, without the written permission of the publisher. Published by Standards Australia GPO Box 476, Sydney, NSW 2001, Australia ISBN 0 7337 9220 0
  • 4. ii ii PREFACE This Standard was prepared by the Standards Australia Committee HE-029, Clinical Laboratory Testing and In Vitro Diagnostic Test Systems to supersede AS 4633—2004. This Standard is identical to, and has been reproduced from ISO 15189:2007, Medical laboratories—Particular requirements for quality and competence. The objective of this Standard is to provide requirements for quality and competence that are particular for medical/clinical laboratories. As this Standard is reproduced from an International Standard, the following modifications apply: (a) Its number does not appear on each page of the text, and its identity is shown only on the cover and title page. (b) In this reproduced text, ‘this International Standard’ should be read as ‘this Australian Standard’. This is a free 7 page sample. Access the full version online. The reference to International Standards should be replaced by references to the following Australian or Australian/New Zealand Standards: Reference to International Standard or other Australian Standard/New Zealand Standard publication ISO AS 31 Quantities and units (all parts) 2900 Quantities and units (all parts) AS/NZS ISO 9000 Quality management systems— 9000 Quality management systems— Fundamentals and vocabulary Fundamentals and vocabulary 9001 Quality management systems— 9001 Quality management systems— Requirements Requirements ISO/IEC AS/NZS ISO 17025 General requirements for the 17025 General requirements for the competence of testing and competence of testing and calibration laboratories calibration laboratories Guide 43-1 Proficiency testing by HB 18.43.1 Guidelines for third-party interlaboratory comparisons certification and accreditation Part 1: Development and Guide 43: Proficiency testing by operation of proficiency testing interlaboratory comparisons— schemes Part 1: Development and operation of proficiency testing schemes International vocabulary of basic and general — terms in metrology (VIM). BIPM, CLSI, IEC, IFCC, ISO, IuPAC, IUPAP, OIML The term ‘informative’ has been used in this Standard to define the application of the annex to which it applies. An ‘informative’ annex is for information or guidance only.
  • 5. iii iii Contents CONTENTS Page Page Foreword............................................................................................................................................................ iv Introduction ........................................................................................................................................................ v 1 Scope ..................................................................................................................................................... 1 2 Normative references ........................................................................................................................... 1 3 Terms and definitions........................................................................................................................... 1 4 Management requirement .................................................................................................................... 4 4.1 Organization and management ........................................................................................................... 4 4.2 Quality management system ............................................................................................................... 5 4.3 Document control ................................................................................................................................. 6 4.4 Review of contracts .............................................................................................................................. 7 4.5 Examination by referral laboratories .................................................................................................. 8 4.6 External services and supplies ........................................................................................................... 8 4.7 Advisory services ................................................................................................................................. 9 4.8 Resolution of complaints ..................................................................................................................... 9 4.9 Identification and control of nonconformities ................................................................................... 9 4.10 Corrective action................................................................................................................................. 10 This is a free 7 page sample. Access the full version online. 4.11 Preventive action ................................................................................................................................ 10 4.12 Continual improvement...................................................................................................................... 10 4.13 Quality and technical records ........................................................................................................... 11 4.14 Internal audits ..................................................................................................................................... 11 4.15 Management review............................................................................................................................ 12 5 Technical requirements ..................................................................................................................... 13 5.1 Personnel............................................................................................................................................. 13 5.2 Accommodation and environmental conditions ............................................................................. 15 5.3 Laboratory equipment ........................................................................................................................ 16 5.4 Pre-examination procedures ............................................................................................................. 18 5.5 Examination procedures .................................................................................................................... 20 5.6 Assuring quality of examination procedures .................................................................................. 22 5.7 Post-examination procedures ........................................................................................................... 23 5.8 Reporting of results............................................................................................................................ 23 Annex A (Informative) Correlation with ISO 9001:2000 and ISO/IEC 17025:2005 ...................................... 26 Annex B (informative) Recommendations for protection of laboratory information systems (LIS)........ 30 Annex C (informative) Ethics in laboratory medicine................................................................................... 34 Bibliography ..................................................................................................................................................... 37 © ISO 2007 – All rights reserved iii
  • 6. ISO 15189:2007(E) iv iv INTRODUCTION Introduction This International Standard, based upon ISO/IEC 17025 and ISO 9001, provides requirements for competence and quality that are particular to medical laboratories1). It is acknowledged that a country could have its own specific regulations or requirements applicable to some or all its professional personnel and their activities and responsibilities in this domain. Medical laboratory services are essential to patient care and therefore have to be available to meet the needs of all patients and the clinical personnel responsible for the care of those patients. Such services include arrangements for requisition, patient preparation, patient identification, collection of samples, transportation, storage, processing and examination of clinical samples, together with subsequent validation, interpretation, reporting and advice, in addition to the considerations of safety and ethics in medical laboratory work. Whenever allowed by national regulations, it is desirable that medical laboratory services include the examination of patients in consultation cases, and that those services actively participate in the prevention of disease in addition to diagnosis and patient management. Each laboratory ought also to provide suitable educational and scientific opportunities for professional staff working with it. While this International Standard is intended for use throughout the currently recognised disciplines of medical This is a free 7 page sample. Access the full version online. laboratory services, those working in other services and disciplines could also find it useful and appropriate. In addition, bodies engaged in the recognition of the competence of medical laboratories will be able to use this International Standard as the basis for their activities. If a laboratory seeks accreditation, it should select an accrediting body which operates to appropriate international standards and which takes into account the particular requirements of medical laboratories. Demonstrated conformity to this International Standard does not imply conformity of the quality management system within which the laboratory operates to all the requirements of ISO 9001. This International Standard is not intended to be used for the purposes of certification. The correlation between the clauses and subclauses of this second edition of ISO 15189 and those of ISO 9001:2000 and of ISO/IEC 17025:2005 is detailed in Annex A of this International Standard. 1) In other languages, these laboratories can be designated by the equivalent of the English term “clinical laboratories.” © ISO 2007 – All rights reserved v
  • 7. INTERNATIONAL STANDARD ISO 15189:2007(E) 1 1 AUSTRALIAN STANDARD Medical laboratories — Particular requirements for quality and competence Medical laboratories—Particular requirements for quality and competence 1 Scope 1.1 This International Standard specifies requirements for quality and competence particular to medical laboratories. 1.2 This International Standard is for use by medical laboratories in developing their quality management systems and assessing their own competence, and for use by accreditation bodies in confirming or recognising the competence of medical laboratories. 2 Normative references This is a free 7 page sample. Access the full version online. The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. ISO 31 (all parts), Quantities and units ISO 9000:2005, Quality management systems — Fundamentals and vocabulary ISO 9001:2000, Quality management systems — Requirements ISO/IEC Guide 43-1, Proficiency testing by interlaboratory comparisons — Part 1: Development and operation of proficiency testing schemes ISO/IEC 17025:2005, General requirements for the competence of testing and calibration laboratories 3 Terms and definitions For the purposes of this document, the following terms and definitions apply. 3.1 accreditation procedure by which an authoritative body gives formal recognition that a body or person is competent to carry out specific tasks 3.2 accuracy of measurement closeness of the agreement between the result of a measurement and a true value of the measurand [VIM:1993, definition 3.5] © ISO 2007 – All rights reserved 1 COPYRIGHT www.standards.org.au © Standards Australia
  • 8. This is a free preview. Purchase the entire publication at the link below: AS ISO 15189-2009 Medical laboratories - Particular requirements for quality and competence This is a free 7 page sample. Access the full version online. Looking for additional Standards? Visit SAI Global Infostore Subscribe to our Free Newsletters about Australian Standards® in Legislation; ISO, IEC, BSI and more Do you need to Manage Standards Collections Online? Learn about LexConnect, All Jurisdictions, Standards referenced in Australian legislation Do you want to know when a Standard has changed? Want to become an SAI Global Standards Sales Affiliate? Learn about other SAI Global Services: LOGICOM Military Parts and Supplier Database Metals Infobase Database of Metal Grades, Standards and Manufacturers Materials Infobase Database of Materials, Standards and Suppliers Database of European Law, CELEX and Court Decisions Need to speak with a Customer Service Representative - Contact Us