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pubmed-article:10974573pubmed:abstractTextThe majority of microbiology laboratories have implemented quality improvement procedures such as a Q scoring system to assess the nature of clinical specimens. Our study reviewed the sources and the amount of variation when Q scoring of lower respiratory secretions was performed. In total, 450 slides representing lower respiratory tract secretions were Q scored by three experienced technologists. Total agreement regarding the number of neutrophils, squamous epithelial cells and Q scores was 76%, 57% and 57% respectively. The major factor influencing Q score values was the enumeration of epithelial cells. From our findings, we expect that there is greater variability in Q scoring then is generally acknowledged and there is a substantial degree of subjectivity on part of individual technologists reading gram stains.lld:pubmed
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pubmed-article:10974573pubmed:authorpubmed-author:CooperG MGMlld:pubmed
pubmed-article:10974573pubmed:authorpubmed-author:JonesJ JJJlld:pubmed
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pubmed-article:10974573pubmed:dateRevised2004-11-17lld:pubmed
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pubmed-article:10974573pubmed:articleTitleIntra and inter technologist variability in the quality assessment of respiratory tract specimens.lld:pubmed
pubmed-article:10974573pubmed:affiliationDepartment of Pathology and Laboratory Medicine, Queen Elizabeth II Health Sciences Center and the Departments of Pathology, Microbiology and Immunology, Halifax, Nova Scotia, Canada. cooper.geraldine@primus.calld:pubmed
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