CHN66: SAMPLE AND LAB TEST COMPLETENESS 1.0 …
CHAIN SOP on sample and Lab tests completeness
CHN66: SAMPLE AND LAB TEST COMPLETENESS
1.0 PURPOSE / INTRODUCTION:
1.1 Introduction:
Sample completeness is very critical for CHAIN project to derive meaningful conclusions from future data for publication. Sample completeness is a key determinant to the selection samples for cases and controls to be included in the planned lab assay analysis. Lab data forms an important component of the CHAIN study as this will be analyzed in relation to the clinical data to determine the causes of mortality in comparison to the controls. It is therefore of critical importance that sites focus on ensuring that they obtain all the sample types from participants at each time point.
Any challenges on sample collection must be reported to the clinical lead and the lab coordination for site support where possible. Sites must track their own internal performance on a weekly basis in reference to the Dash board.
1.2 Purpose
The purpose of this SOP is to give guidance on the acceptable percentage cut offs of sample and lab data completeness as a measure of site performance.
2.0 SCOPE / RESPONSIBILITY:
This SOP is applicable to all study clinicians, laboratory technicians and PIs in CHAIN study.
The Principal Investigator (through the study coordinator when applicable) retains the overall responsibility of implementation of these standard procedures.
The Study Laboratory Coordinator is responsible for answering questions you may have about the content of this SOP and any other relevant study documentation. Please contact that the Study Laboratory Coordinator through your site coordinator.
3.0 ACCEPTABLE PERCENTAGE MONTHLY SAMPLE COMPLETENESS
Sample type in all time points
Minimum accepted completeness
Reduction in monthly performance that requires Flagging
Blood (Serum and 95%
Plasma)
Dry Blood spots
95%
Whole Blood
95%
CBC samples and 95% test parameters
10%
10% 10% 10%
Version 1.01 (23/07/2018)
CHAIN SOP on sample and Lab tests completeness
Clinical Chemistry 95%
samples and analytes
Rectal swabs
100
Stool
85%
Blood culture
95%
PBMCs
90%
10%
10% 10% 10% 10%
4.0 LAB TESTS AND ACTIONS
Clinical chemistry and CBC requires 95 % completeness as well as complete lab results for each test parameter or analyte. No sites should miss the specified tests in the lab CRF as listed below at all time points. CBC is required in all the time points while clinical chemistry is collected at admission, discharge, deterioration, readmission and for all community participants. The expected tests are;
CBC
Complete blood count with differentials
Clinical chemistry
Total Calcium, Magnesium, Albumin, Total Bilirubin, Alkaline Phosphate, Inorganic Phosphate, ALT, Sodium, Potassium, Urea and Creatinine (UEC).
Specific actions
Lab data entry must be done on real time basis but not later than Friday every week. Each site must generate a monthly report on challenges faced on sample collection for review by clinical and lab management. All the sample and lab data reports will be generated based on data entered by sites in Red Cap. Any data not entered in the database in good time will not be included in the report and may show suboptimal performance by sites. It is therefore the responsibility of all the sites to ensure that the data in all the databases are up to date.
When a performance is flagged, it is the obligation of the site project coordinator or lab manager to notify the site PI, clinical lead (Priya Sukhtankar) and CHAIN lab manager (Caroline Tigoi) by email with details on the causes of the suboptimal performance and actions taken. Depending on the performance challenges further discussions might be initiated with the specific site.
Version 1.01 (23/07/2018)
CHAIN SOP on sample and Lab tests completeness
Document history Version
1.01 Sample and lab test completeness.
Author
Approved by
Caroline Robert Bandsma Tigoi
Dated 31/07/2018
Site training record
All sites are required to maintain a master copy of this SOP that documents the site staff that have been trained on this SOP.
Version No.
1.01
Document History
Trained
Signature of trained
staff initials
staff
Date
KDT
Example row
1st Jan 2016
Trainer's Initials DM
Version 1.01 (23/07/2018)
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