SIST EN ISO 22870:2006
(Main)Point-of-care testing (POCT) - Requirements for quality and competence (ISO 22870:2006)
Point-of-care testing (POCT) - Requirements for quality and competence (ISO 22870:2006)
This International Standard gives specific requirements applicable to point-of-care testing and is intended to be used with ISO 15189. The requirements of this standard apply when POCT is carried out in a hospital or clinic and may be applied by a healthcare organization providing ambulatory care. It may be applied to transcutaneous measurements, the analysis of expired air, and in vivo monitoring of physiological parameters. Patient self-testing in a home or community setting is excluded, but elements of this standard may apply. Considerations of local, regional, and national regulations shall apply.
Patientennahe Untersuchungen (point-of-care testing, POCT) - Anforderungen an Qualität und Kompetenz (ISO 22870:2006)
Diese Internationale Norm legt besondere Anforderungen fest, die für patientennahe Untersuchungen gelten, und ist zur Anwendung im Zusammenhang mit ISO 15189 vorgesehen. Die Anforderungen dieser Internationalen Norm gelten, wenn POCT in einem Krankenhaus oder einer Klinik erfolgen, und dürfen auch in einer Pflegeorganisation angewendet werden, die ambulante Patientenversorgung durchführt. Sie kann für transkutane Messungen, die Analyse der Ausatemluft und die In vivo Überwachung physiologischer Parameter angewendet werden.
Die Selbstuntersuchung von Patienten in deren Heim oder in einer Gemeinschaftseinrichtung fällt nicht unter diese Internationale Norm, aber bestimmte ihrer Elemente können dafür gelten.
ANMERKUNG Örtliche, regionale und nationale Bestimmungen sind zu berücksichtigen.
Analyses de biologie délocalisées (ADBD) - Exigences concernant la qualité et la compétence (ISO 22870:2006)
L'ISO 22870:2006 fournit des exigences spécifiques des analyses de biologie délocalisées et est destinée à être utilisée conjointement à l'ISO 15189. Les exigences de l'ISO 22870:2006 s'appliquent lorsque les ADBD sont réalisées dans un hôpital ou une clinique et par un organisme de santé prodiguant des soins ambulatoires. Elle peut s'appliquer à des mesurages transcutanés, à l'analyse de l'air expiré et à la surveillance in vivo de paramètres physiologiques.
L'auto-test par les patients à domicile ou dans un dispensaire est exclu, mais certains éléments de l'ISO 22870:2006 peuvent s'appliquer.
Preskušanje ob preiskovancu (POCT) – Zahteve za kakovost in usposobljenost (ISO 22870:2006)
General Information
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Standards Content (Sample)
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.Preskušanje ob preiskovancu (POCT) – Zahteve za kakovost in usposobljenost (ISO 22870:2006)Patientennahe Untersuchungen (point-of-care testing, POCT) - Anforderungen an Qualität und Kompetenz (ISO 22870:2006)Analyses de biologie délocalisées (ADBD) - Exigences concernant la qualité et la compétence (ISO 22870:2006)Point-of-care testing (POCT) - Requirements for quality and competence (ISO 22870:2006)11.100.01Laboratorijska medicina na splošnoLaboratory medicine in general03.120.10Vodenje in zagotavljanje kakovostiQuality management and quality assuranceICS:Ta slovenski standard je istoveten z:EN ISO 22870:2006SIST EN ISO 22870:2006en01-april-2006SIST EN ISO 22870:2006SLOVENSKI
STANDARD
SIST EN ISO 22870:2006
EUROPEAN STANDARD NORME EUROPÉENNE EUROPÄISCHE NORM
EN ISO 22870
February 2006 ICS 03.120.10; 11.100.01 English Version
Point-of-care testing (POCT) - Requirements for quality and competence (ISO 22870:2006)
Analyses de biologie délocalisées (ADBD) - Exigences concernant la qualité et la compétence (ISO 22870:2006) Patientennahe Untersuchungen (point-of-care testing, POCT) - Anforderungen an Qualität und Kompetenz (ISO 22870:2006) This European Standard was approved by CEN on 23 January 2006.
CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the Central Secretariat or to any CEN member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the Central Secretariat has the same status as the official versions.
CEN members are the national standards bodies of Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION COMITÉ EUROPÉEN DE NORMALISATION EUROPÄISCHES KOMITEE FÜR NORMUNG
Management Centre: rue de Stassart, 36
B-1050 Brussels © 2006 CEN All rights of exploitation in any form and by any means reserved worldwide for CEN national Members. Ref. No. EN ISO 22870:2006: ESIST EN ISO 22870:2006
EN ISO 22870:2006 (E)
2
Foreword
This document (EN ISO 22870:2006) has been prepared by Technical Committee ISO/TC 212 "Clinical laboratory testing and in vitro diagnostic test systems" in collaboration with Technical Committee CEN/TC 140 "In vitro diagnostic medical devices", the secretariat of which is held by DIN.
This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by August 2006, and conflicting national standards shall be withdrawn at the latest by August 2006.
According to the CEN/CENELEC Internal Regulations, the national standards organizations of the following countries are bound to implement this European Standard: Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom.
Endorsement notice
The text of ISO 22870:2006 has been approved by CEN as EN ISO 22870:2006 without any modifications.
SIST EN ISO 22870:2006
Reference numberISO 22870:2006(E)© ISO 2006
INTERNATIONAL STANDARD ISO22870First edition2006-02-01Point-of-care testing (POCT) — Requirements for quality and competenceAnalyses de biologie délocalisées (ADBD) — Exigences concernant la qualité et la compétence
SIST EN ISO 22870:2006
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SIST EN ISO 22870:2006
ISO 22870:2006(E) © ISO 2006 – All rights reserved iiiContents Page Foreword.iv Introduction.v 1 Scope.1 2 Normative references.1 3 Terms and definitions.1 4 Management requirements.1 5 Technical requirements.6 Bibliography.11
SIST EN ISO 22870:2006
ISO 22870:2006(E) iv © ISO 2006 – All rights reserved Foreword ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies (ISO member bodies). The work of preparing International Standards is normally carried out through ISO technical committees. Each member body interested in a subject for which a technical committee has been established has the right to be represented on that committee. International organizations, governmental and non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization. International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2. The main task of technical committees is to prepare International Standards. Draft International Standards adopted by the technical committees are circulated to the member bodies for voting. Publication as an International Standard requires approval by at least 75 % of the member bodies casting a vote. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. ISO shall not be held responsible for identifying any or all such patent rights. ISO 22870 was prepared by Technical Committee ISO/TC TC 212, Clinical laboratory testing and in vitro diagnostic test systems. SIST EN ISO 22870:2006
ISO 22870:2006(E) © ISO 2006 – All rights reserved vIntroduction Traditional examinations of a patient’s body fluids, excreta and tissues are carried out generally in the controlled and regulated environment of a recognized medical laboratory. The introduction of quality management systems and accreditation of these laboratories are gaining increasing interest.
Advances in technology have resulted in compact, easy-to-use in vitro diagnostic (IVD) medical devices that make it possible to carry out some examinations at, or close to, the location of the patient. Point-of-care/near-patient testing may benefit the patient as well as healthcare facilities.
Risk to the patient and to the facility can be managed by a well-designed, fully implemented quality management system that facilitates: ⎯ evaluation of new or alternative POCT instruments and systems, ⎯ evaluation and approval of end-user proposals and protocols, ⎯ purchase and installation of equipment, ⎯ maintenance of consumable supplies and reagents, ⎯ training, certification and recertification of POCT system operators, ⎯ quality control and quality assurance. Bodies that recognise the competence of POCT facilities may use this International Standard as the basis for their activities. If a healthcare facility seeks accreditation for a part or all of its activities, it should select an accreditation body that operates in a manner which takes into account the special requirements of POCT.
SIST EN ISO 22870:2006
SIST EN ISO 22870:2006
INTERNATIONAL STANDARD ISO 22870:2006(E) © ISO 2006 – All rights reserved 1Point-of-care testing (POCT) — Requirements for quality and competence 1 Scope This International Standard gives specific requirements applicable to point-of-care testing and is intended to be used in conjunction with ISO 15189. The requirements of this International Standard apply when POCT is carried out in hospital, clinic and by a healthcare organization providing ambulatory care. This International Standard can be applied to transcutaneous measurements, the analysis of expired air, and in vivo monitoring of physiological parameters. Patient self-testing in a home or community setting is excluded, but elements of this International Standard can be applicable.
NOTE Local, regional, and national regulations are to be taken into consideration. 2 Normative references 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 15189:2003, Medical laboratories — Particular requirements for quality and competence
3 Terms and definitions For the purposes of this document, the following terms and definitions apply. 3.1 point-of-care testing POCT near-patient testing testing that is performed near or at the site of a patient with the result leading to possible change in the care of the patient 4 Management requirements 4.1 Organization and management 4.1.1 ISO 15189:2003, 4.1.1, and the following apply. The management of laboratory services shall plan and develop the processes needed for POCT. The following shall be considered, as appropriate: a) quality objectives and requirements for POCT; SIST EN ISO 22870:2006
ISO 22870:2006(E) 2 © ISO 2006 – All rights reserved b) the need to establish processes and documents, and provide resources specific to POCT; c) required verification, validation, and monitoring of activities specific to POCT;
d) records to provide evidence that POCT processes and procedures meet requirements. The governing body of the organization shall be ultimately responsible for ensuring that appropriate measures are in place to monitor the accuracy and quality of POCT conducted within the healthcare organization.
4.1.2 ISO 15189:2003, 4.1.2, and the following subclauses 4.1.2.1 to 4.1.2.5 apply. 4.1.2.1 A health professional grouping (e.g. Medical Advisory Committee) shall be responsible to the governing body, for defining the scope of POCT to be made available. This shall take into consideration the clinical need for POCT, its financial implications, technical feasibility, and the ability of the organization to fulfil the need.
4.1.2.2 The laboratory director or designate shall appoint a multidisciplinary POCT management group with representation from the laboratory, administration, and clinical programmes including nursing to advise on the provision of POCT. 4.1.2.3 The management group shall ensure that responsibilities and authorities are defined and communicated within the organization. 4.1.2.4 The management group shall assist in evaluating and selecting POCT devices and systems. Performance criteria for POCT devices should include consideration of trueness, precision, detection limits, use limits, and interferences. Practicability should also be considered.
4.1.2.5 The management group shall consider all proposals to introduce any product, device, or system for POCT. 4.1.3 ISO 15189:2003, 4.1.3 applies. 4.2 Quality management system 4.2.1 ISO 15189:2003, 4.2, and the following subclauses 4.2.2 to 4.2.5 apply. 4.2.2 The management of laboratory services shall establish, document, implement and maintain a quality management system and continually improve its effectiveness. 4.2.2.1 The management of laboratory services shall a) identify the processes needed for the quality management system for POCT throughout the organization, b) determine the sequence and interaction of these processes, c) determine criteria and methods needed to ensure that both the operation and control of these processes are effective, d) ensure the availability of resources and information necessary to support the operation and monitoring of these processes, e) monitor, measure and analyse these processes, f) implement actions necessary to achieve planned results and continual improvement of these processes,
g) appoint a person with appropriate training and experience, as quality manager responsible for POCT quality, which includes review of the requirements related to POCT.
SIST EN ISO 22870:2006
ISO 22870:2006(E) © ISO 2006 – All rights reserved 3These processes shall be managed by the organization in accordance with the requirements of this International Standard. Processes needed for the quality management system referred to above should include processes for management activities, provision of resources, service provisions, and measurement provisions. 4.2.2.2 The management of laboratory services shall plan and implement the monitoring, measurement, analysis, and improvement processes needed to demonstrate conformity of POCT to the quality system. 4.2.3 The quality management system documentation shall include: a) documented statements of a quality policy and quality objectives; b) quality manual; c) documented procedures required by this International Standard; d) documents needed by the organization to ensure the effective planning, operation, and control of its processes;
e) records required by this International Standard. NOTE Within this International Standard, the term “documented procedure” means that the procedure is established, documented, implemented, and maintained. The extent of the quality management system documentation may differ from one organization to another, due to: ⎯ the size of organization and type of activities; ⎯ the complexity of processes and their interactions; ⎯ the competence of personnel. The documentation may be in any form or type of medium that can be maintained and retrieved up to the specified retention times, which is dependent upon local, regional, and national requirements. 4.2.4 ISO 15189:2003, 4.2.3, and the following apply. The laboratory director or suitably qualified designate shall ensure that: a) POCT quality objectives are established that are measurable; b) the planning of the quality management system is carried out in order to meet the requirements of the service, as well as the quality objectives;
c) the integrity of the quality management system is maintained when changes to the quality management system are planned and implemented. 4.2.5 ISO 15189:2003, 4.2.4, and the following apply. The organization shall establish and maintain a quality manual that includes: a)
the scope of the quality management system; b) the documented procedu
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