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Tarangnan Community Hospital — Clinical Laboratory

QC Out? Stop. Fix. Prove It.

Internal quality control and Westgard troubleshooting, as flow-charted in LAB-QM-ANA-001 Figure 1.
INFOGRAPHIC IG-16
Source: LAB-QM-ANA-001
Version V0 — DRAFT
The rule: patient testing stops immediately when a rejection rule is violated — and resumes only when control values are back in control.

1 · Start of shift

Yes — in control: QC is verified within acceptable limits. Proceed with testing; patient results are authorized and released.

2 · Warning rule only

Key distinction: a warning rule alone does not stop the run — a rejection rule does. When a rejection rule is violated, follow column 3.

3 · Rejection rule — stop & fix

Run QC at shift start
→
All in limits? → test
→
Warning → inspect run
→
Rejection → STOP
→
Fix + fresh QC
→
Resume — or recall