Assess whether an audit finding is a program-wide failure (441c92)

Situation

In a company transitioning to oral fluid, hair-test admissibility file for a non-DOT decision is the evidence after a grievance on observed collection without a documented reason. Medical review officer has to pick Accept the result or Reject on custody for this Forensic Drug Testing Program Design and Audit close using hair-test admissibility file for a non-DOT decision.

Decision

Medical review officer in a company transitioning to oral fluid must choose Accept the result / Reject on custody / Recollect / Hold using hair-test admissibility file for a non-DOT decision after a grievance on observed collection without a documented reason.

Hypotheses to test

• The population in hair-test admissibility file for a non-DOT decision is the one a grievance on observed collection without a documented reason named, so Accept the result follows for this Program Design and Audit file.
• The population in hair-test admissibility file for a non-DOT decision is adjacent only to a grievance on observed collection without a documented reason; Reject on custody is the honest Forensic Drug Testing call.
• A company transitioning to oral fluid already contained a grievance on observed collection without a documented reason before hair-test admissibility file for a non-DOT decision arrived; no new Program Design and Audit path.
• Provenance on hair-test admissibility file for a non-DOT decision after a grievance on observed collection without a documented reason is broken; do not pick Accept the result or Reject on custody yet.

Analysis required

• Check MRO notes and cutoffs against the protocol a company transitioning to oral fluid claims to run.
• Walk chain of custody, collection site, and validity flags in hair-test admissibility file for a non-DOT decision after a grievance on observed collection without a documented reason.
• Name the step medical review officer cannot reconstruct from hair-test admissibility file for a non-DOT decision.
• For this Forensic Drug Testing Program Design and Audit file, read hair-test admissibility file for a non-DOT decision against a grievance on observed collection without a documented reason and write the one fact that would move an audit finding is for medical review officer.

Recommendation