Incident Review Form EQA Performance Issues - Incident Review Form Following your laboratory’s recent performance issues, please inform us of the actions being taken by your laboratory.Please submit the form below OR send us your laboratory’s internal supporting documents to organiser@ukneqasmicro.org.uk within 3 weeks.We will keep the completed form/supporting documents on file as evidence of actions taken to ensure quality performance of testing within your laboratory.A copy of the completed form will be available to you on request at any future date if required. Reporting and investigating EQA performance issues is recommended for all participating laboratories but is mandatory to all UK and Ireland participants.After completing the form, click on the ‘Submit’ button below, and the results will be automatically sent to UK NEQAS for Microbiology and to the email address you have given on form. Lab Identification No* Select a Scheme Name*AAFB microscopyAAFB microscopyAnti-HBs detectionAnti-HBs detectionAntifungal susceptibilityAntifungal susceptibilityAntimicrobial susceptibilityAntimicrobial susceptibilityBacterial Identification Bacterial Identification Blood borne virusesBlood borne virusesBlood donor screenBlood donor screenBlood parasitologyBlood parasitologyC. trachomatis & N. gonorrhoeae (molecular)C. trachomatis & N. gonorrhoeae (molecular)Clostridium difficile Clostridium difficile CMV DNA quantificationCMV DNA quantificationCommunity MedicineCommunity MedicineCryptococcal antigen detectionCryptococcal antigen detectionDiagnostic serology hepatitis Diagnostic serology hepatitis EBV DNA quantification EBV DNA quantification Faecal parasitologyFaecal parasitologyFaecal pathogensFaecal pathogensFungal biomarkersFungal biomarkersGeneral bacteriologyGeneral bacteriologyGenital pathogensGenital pathogensHepatitis B DNA quantificationHepatitis B DNA quantificationHepatitis B serologyHepatitis B serologyHepatitis C RNA detectionHepatitis C RNA detectionHepatitis C serologyHepatitis C serologyHepatitis E serologyHepatitis E serologyHIV Point of CareHIV Point of CareHIV serologyHIV serologyHIV1 RNA quantificationHIV1 RNA quantificationImmunity screenImmunity screenInterpretive commentsInterpretive commentsMalaria (Molecular)Malaria (Molecular)Malaria rapidMalaria rapidMeasles and Mumps IgG serologyMeasles and Mumps IgG serologyMolecular detection of HEV RNAMolecular detection of HPVMolecular detection of HPVMolecular detection of respiratory virusesMolecular detection of respiratory virusesMRSA screeningMycobacteria (molecular)Mycobacterium cultureMycobacterium cultureMycologyMycologyMycology teachingMycology teachingParasite serologyParasite serologyParasitology teaching (blood)Parasitology teaching (blood)Parasitology teaching (faecal)Parasitology teaching (faecal)Parvovirus B19 and Rubella serologyParvovirus B19 and Rubella serologyRespiratory Rapid: RSVRespiratory Rapid: RSVRubella IgG serologySyphilis serologyToxoplasma serologyUrinary AntigensViral GastroenteritisViral GastroenteritisVirus identificationViruses in CSF (molecular)Viruses in CSF (molecular)AAFB microscopyAAFB microscopyAnti-HBs detectionAnti-HBs detectionAntifungal susceptibilityAntifungal susceptibilityAntimicrobial susceptibilityAntimicrobial susceptibilityBacterial Identification Bacterial Identification Blood borne virusesBlood borne virusesBlood donor screenBlood donor screenBlood parasitologyBlood parasitologyC. trachomatis & N. gonorrhoeae (molecular)C. trachomatis & N. gonorrhoeae (molecular)Clostridium difficile Clostridium difficile CMV DNA quantificationCMV DNA quantificationCommunity MedicineCommunity MedicineCryptococcal antigen detectionCryptococcal antigen detectionDiagnostic serology hepatitis Diagnostic serology hepatitis EBV DNA quantification EBV DNA quantification Faecal parasitologyFaecal parasitologyFaecal pathogensFaecal pathogensFungal biomarkersFungal biomarkersGeneral bacteriologyGeneral bacteriologyGenital pathogensGenital pathogensHepatitis B DNA quantificationHepatitis B DNA quantificationHepatitis B serologyHepatitis B serologyHepatitis C RNA detectionHepatitis C RNA detectionHepatitis C serologyHepatitis C serologyHepatitis E serologyHepatitis E serologyHIV Point of CareHIV Point of CareHIV serologyHIV serologyHIV1 RNA quantificationHIV1 RNA quantificationImmunity screenImmunity screenInterpretive commentsInterpretive commentsMalaria (Molecular)Malaria (Molecular)Malaria rapidMalaria rapidMeasles and Mumps IgG serologyMeasles and Mumps IgG serologyMolecular detection of HEV RNAMolecular detection of HPVMolecular detection of HPVMolecular detection of respiratory virusesMolecular detection of respiratory virusesMRSA screeningMycobacteria (molecular)Mycobacterium cultureMycobacterium cultureMycologyMycologyMycology teachingMycology teachingParasite serologyParasite serologyParasitology teaching (blood)Parasitology teaching (blood)Parasitology teaching (faecal)Parasitology teaching (faecal)Parvovirus B19 and Rubella serologyParvovirus B19 and Rubella serologyRespiratory Rapid: RSVRespiratory Rapid: RSVRubella IgG serologySyphilis serologyToxoplasma serologyUrinary AntigensViral GastroenteritisViral GastroenteritisVirus identificationViruses in CSF (molecular)Viruses in CSF (molecular) Distribution Number* Description of Problem* ROOT CAUSE* IMMEDIATE ACTION* CONSEQUENCES/ RISKS* CORRECTIVE/ PREVENTIVE ACTION* FOLLOW UP/ REVIEW*Note:Please provide as much evidence as possible to confirm your actions, e.g. extracts from quality meetings. Please note that response is expected within 3 weeks. Completed by* Position Email* Verification:SubmitReset