Assess whether an audit finding is a program-wide failure (e36ced)

Situation

After a donor producing a sample in 47 seconds, return-to-duty follow-up testing calendar is what oral-fluid implementation lead can touch in a clinic with shy-bladder protocol gaps. Forensic Drug Testing will live with Accept the result versus Reject on custody on this Collection and Custody file.

Decision

Oral-fluid implementation lead in a clinic with shy-bladder protocol gaps must choose Accept the result / Reject on custody / Recollect / Hold using return-to-duty follow-up testing calendar after a donor producing a sample in 47 seconds.

Hypotheses to test

• The population in return-to-duty follow-up testing calendar is the one a donor producing a sample in 47 seconds named, so Accept the result follows for this Collection and Custody file.
• The population in return-to-duty follow-up testing calendar is adjacent only to a donor producing a sample in 47 seconds; Reject on custody is the honest Forensic Drug Testing call.
• A clinic with shy-bladder protocol gaps already contained a donor producing a sample in 47 seconds before return-to-duty follow-up testing calendar arrived; no new Collection and Custody path.
• Provenance on return-to-duty follow-up testing calendar after a donor producing a sample in 47 seconds is broken; do not pick Accept the result or Reject on custody yet.

Analysis required

• Check MRO notes and cutoffs against the protocol a clinic with shy-bladder protocol gaps claims to run.
• Walk chain of custody, collection site, and validity flags in return-to-duty follow-up testing calendar after a donor producing a sample in 47 seconds.
• Name the step oral-fluid implementation lead cannot reconstruct from return-to-duty follow-up testing calendar.
• For this Forensic Drug Testing Collection and Custody file, read return-to-duty follow-up testing calendar against a donor producing a sample in 47 seconds and write the one fact that would move an audit finding is for oral-fluid implementation lead.

Recommendation

Release Accept the result for this Forensic Drug Testing Collection and Custody file only when return-to-duty follow-up testing calendar after a donor producing a sample in 47 seconds names the fact an audit finding is requires. Oral-fluid implementation lead in a clinic with shy-bladder protocol gaps should withhold Accept the result while that fact is still a hole in return-to-duty follow-up testing calendar.