Laboratory & Diagnosis Official Journal of Iranian Association of Clinical Laboratory Doctors Editorial Manager: Dr. Mohammad Sahebalzamani, DCLS Editor in Chief: Dr. S. Mahdi Bolourchi, DCLS Editorial Board Members: Dr. Mohammad Reza Bakhtiari, DCLS, PhD Dr. Davood Behravan, DCLS Dr. S. Mahdi Bolourchi, DCLS Dr. Behzad Poopak, DCLS, PhD Dr. Majid Jalilzadeh Khoei, DCLS Dr. S. Mohammad Hasan Hashemimadani, DCLS Dr. Ali Sadeghitabar, DCLS Dr. Mohammad Sahebalzamani, DCLS Dr. Mohammad Javad Soltanpour, DCLS Executive Board Members: S. Farzaneh Bathaei Sara Tondro Abolfazl Yousefian Navid Ghahremani Tahereh Komasi Circulation: 3000 Copies Address: No.29, Ardeshir Alley, Hashtbehesht St., Golha Square, Fatemi Ave, Tehran 1414734711 – Iran. Telefax: (+98 21) 88970700 Laboratory & Diagnosis Vol.3, No14, Suplememt Issue Massage of Congress Chairman After several months passed over the 4th international and 9th national congress on quality improvement in clinical laboratories, also gaining valuable experiences and reviewing over benefits and disadvantaging points, now there is a new chance to pro- vide The 5th international & 10th national congress, and all these opportunities are available now because of GODs grace. Congress efforts are done to improve quality of laboratory services by providing appropriate environment for intellectual agreement, information exchange, presenting the results of different researches and sharing updated scientific information of Iranian and abroad professors, elites, colleagues. Extending and optimizing laboratory services in different branches of clinical laboratory sciences as desired of society requirement are the main objectives of congress. We hope all those who are involved in various fields of laboratory sciences either in Iran or abroad consider to take part in this splendid scientifically stage and give us this chance to take advantage of their knowledge and experiences. Behzad Poopak, DCLS PhD Chairman of Congress 2 The 5th International & 10th National Congress on Quality Improvement in Clinical Laboratory April 23-26, 2012 Laboratory & Diagnosis Vol.3, No74, Suplememt Issue Massage of Congress Secretaries In the name of Him who imparted thought to soul And lit the heart with the light of soul A special welcome goes to the esteemed community of Medical Diagnostic Laboratories who is dedicated to serve the people. Undoubtedly, your efforts will improve the health level of society and your reward is reserved by God. We thank God that the Iran’s Congress on Quality improvement in clinical Laboratories has been the seedbed of much remarkable advancement in medical sector and academia during the past decade. These would have not been possible without your valuable comments and criticisms and also the synergy of the Congress organizers. We hope that the 10th Congress will be held outstandingly with the participation of all Sympathetic community members in the spring 2012, concurrent with its decennial ceremony; and may it add to the honors of the country’s laboratory community. The scientific programs of the congress have been planned by inviting professors and researchers from universities and research centers around the country, as well as prominent professors from other world countries. They give their presentations and run workshops within the framework of 13 scientific disciplines. Hereby, all researches are invited to submit their research papers within the framework of congress disciplines via the congress website. Once accepted, they can deliver their paper as oral or poster presentations. Worth mentioning is that it has been attempted to include emerging subjects as the congress disciplines - ones that have been less debated in the previous years. Moreover, the congress intends to discuss issues that the country’s laboratories are facing now with the aim of providing the latest scientific information and practical solutions for existing challenges of clinical laboratories. In the end, we would like to express our gratitude to all professors, pioneers, sponsors, and companies, whose supports enable us to organize the congress at a magnificent level. Dr. M. R. Bakhtiari, DCLS PhD Dr. M. Taghikhani, DCLS Dr. M. J. Gharavi, DCLS Dr. A. Sadeghitabar, DCLS The 5th International & 10th National Congress on Quality Improvement in Clinical Laboratory April 23-26, 2012 3 Laboratory & Diagnosis Vol.3, No14, Suplememt Issue Congress Scientific Board Dr. H. Aboolghasemi Dr. M. Jalali Dr. M. R. Shakeebi Dr. H. Argani Dr. M. Jalilzadeh Khoei Dr. A. Shams Borhan Dr. M. Abbasi Dr. A. A. Janati Mr. S. Shariati Nasab Dr. A. Afrasiabi Dr. M. Karimi Dr. E. Sharifi Dr. B. Afsharniya Dr. A. Karimi Dr. S. Sharifzadeh Dr. M. T. Akbari Dr. H. M. Kazeruoni Dr. A. Shirin Dr. M. Alavian Dr. Ch. Khalili Dr. S. Shokouhi Dr. A. V. Alborzi Dr. K. Khodaverdian Dr. M. J. Soltanpour Ms. L. Alizadeh Dr. S. Mahdavi Dr. K. Soltanzadeh Dr. R. Amini Dr. A. Mahmoodzadeh Dr. M. Taghikhani Dr. H. Amir Rasouli Dr. A. Malekpour Mr. M. Taheri Dr. N. Amirizadeh Dr. M. Mardani Dr. A. R. Tahmasbpour Dr. S. Anjarani Dr. A. Mir Jalili Dr. S. A. Tara Dr. S. Ansaripour Dr. N. Moazami Dr. GH. R.Togeh Dr. S. M. Azin Dr. R. Mohammadi Dr. M. Torabi Dr. F. Azizmohseni Dr. M. M. Mohammadi Dr. B. Valizadeh Dr. M. R. Bakhtiari Dr. A. Mohammadzadeh Dr. M. Vanaki Dr. D. Behravan Dr. M. M. Mossalaei Dr. A. A. Velayati Dr. M. Bolourchi Dr. A. Najafi Dr. D. Yadegarnia Dr. M. Boutorabi Dr. M. Nasehi Dr. S. Yarahmadi Dr. M. Bozorgi Dr. A. Nateghian Dr. M. Yavarian Dr. Gh. Dabeshlim Dr. R. Nekouian Dr. M.R. Yazdanpanah Dr. P. Dahim Dr. B. Oboudi Dr. M. Zonoobi Dr. H. Dargahi Dr. M. Parsania Dr.A. R. Esteghamati Dr. B. Poopak Dr. A. Fallah Dr. Y. Poorkhoshbakht Dr. P. Fallahi Dr. B. Pourabbas Tahvildari Dr. M. Fallahpour Dr. M. Rahbar Dr. Sh. Farsi Dr. F. Rahimi Dr. H. Fatemi Dr. M. Rahnamaie Farzami Dr. M. R. Fouladi Dr. A. Rajab Dr. S. R. Ghaffari Dr. R. Ranjbar Dr. M. Ghahri Dr. F. Rashed Marandi Dr. H. S. Gharaei Dr. M. Rasouli Dr. M. J. Gharavi Dr. H. Ravaghi Dr. A. Gharehbaghian Dr. M. R. Rezaniya Moallem Dr. M. Gharib Doost Dr. A. Sadeghitabar Dr. A. Ghasempour Dr. N. Safadel Dr. M. Ghazi Khansari Dr. A. Safaei Dr. H. Gholami Dr. A. Safavi Naeini Dr. H. Golafshan Dr. M. Sahebalzamani Dr. M. M. Gouya Dr. M. Saifi Dr. K. Haji Noori Dr. E. Salehi Dr. M. Hajia Dr. R. Samani Dr. M. Hasanzad Dr. S. Sameeie DR. M. H. Hashemi Madani Dr. A. R. Samimi Dr. Gh. R. Hatam Dr. A. A. Sani Dr. L. Hosseini Gohari Dr. A. Sarafnejad Dr. S. A. Hosseini Taghavi Dr. A. Shabestari Dr. E. Jabarzadeh Dr. R. Shahsia 4 The 5th International & 10th National Congress on Quality Improvement in Clinical Laboratory April 23-26, 2012 Laboratory & Diagnosis Vol.3, No74, Suplememt Issue Congress Main Topics Main Topics Coordinators pages Accreditation and Quality Assurance of Clinical Dr. S. M. Samiee, DCLS, PhD 8 Laboratories: Clinical Governance Dr. M. Mahdavi, DCLS Advanced Technologies in Clinical Laboratories Dr. S. M. Bolourchi, DCLS 12 Clinical Laboratory (Respiratory Tract Infections) Dr. B. Valizadeh, DCLS 16 Ethics and Professional Law in Laboratory Medicine Dr. M. J. Soltanpour, DCLS 19 Laboratory and Diabetic Nephropathy Dr. M. R. Bakhtiari, DCLS, PhD 23 Laboratory and Female Infertility Dr. A. Sadeghitabar, DCLS 25 Laboratory and Male Infertility Dr. M. H. Hashemi Madani, DCLS 28 Laboratory and Rheumatologic Diseases Dr. M. M. Mohammadi, DCLS, PhD 30 Laboratory and thyroid Diseases Dr. H. R. Kazerouni, DCLS 31 Dr. H. R. Kazerouni, DCLS Laboratory Role in Mother and Fetus Health 34 Dr. M. Vanaki, DCLS Molecular Diagnosis: Challenges and Solutions Dr. B. Poopak, DCLS, PhD 37 Research in Laboratory Science Dr. M. Fallahpour, DCLS, PhD 44 TB and Diagnostic Challenges Dr. B. Oboudi, DCLS 54 The 5th International & 10th National Congress on Quality Improvement in Clinical Laboratory April 23-26, 2012 5 Laboratory & Diagnosis Vol.3, No14, Suplememt Issue ABSTARCTS of the 5th International & 10th National Congress on Quality Improvement in Clinical Laboratories 6 The 5th International & 10th National Congress on Quality Improvement in Clinical Laboratory April 23-26, 2012 Laboratory & Diagnosis Vol.3, No74, Suplememt Issue Oral Presentations The 5th International & 10th National Congress on Quality Improvement in Clinical Laboratory April 23-26, 2012 7 Laboratory & Diagnosis Iranian Association of Clinical Laboratory Doctors Accreditation and Qulity Assurance of Clinical Laboratories: Clinical Governance O1 - O7 O1 Quality and safety improvement of blood component products in blood transfusion by using statistical methods and control charts in screening test results Saleh Nasiri 1 * 1- IBTO bldg, Hemmat Exp. Way, Next to Milad tower-Tehran-Iran., [email protected] Background and Aim: One of the major goals of blood transfusion centers is to improve quality and safety of blood component products. Nowadays, statistical methods are used to monitor blood components quality control results. Measurement of mean, standard deviation, coefficient variation and bias for determination of random, systematic and total errors are the subjects which are applied in this field. Quality control process includes quality control samples, te sting, determine control limits, include to all test runs, data collection, data analysis, monitor variation and if variation identified investigate. Precision and accuracy are statistical tools which are used to determine random and systematic errors. Random errors are inherent in system and data to fall above or below mean, which increase standard deviation and coefficient variation. But, systematic errors usually create two populations of data with different mean value which causes bias. The aim of this study is to use statistical methods and control chart in screening test results to improve quality and safety of blood component products. Methods: First, 20 to 30 test runs using 3 different reagent batches of a kit are tested for monitoring variations and drawing control charts. Sample/cut-off data of positive control are collected and mean, standard deviation and CV are measured and control chart is established with using Mean ± 2SD.