Question 1: How many laboratories in Canada (or indeed anywhere) have been closed down because they did not get a perfect score on their proficiency testing challenges? Answer: None. Never. Notta. Zip. Zero.
Another solution would be to create a link between the P.T. provider and the laboratory information systems, so that reports would be automatically generated and sent tot he provider. This would take some initial set-up time and save time on the laboratory side, but would, in most P.T. programs, cause increased time requirements to transfer results to the data base for analysis with an inevitable increase in cost. Additionally, it is stunning how unstandardized our reports are. But that is a topic for another time.
Or we could disguise the samples completely and have them submitted as clinical samples. But that would cause all sorts of challenges with getting site specific requisitions from each laboratory and creating patient names with appropriate identification numbers. And then we would have to sort through the problems created with billings. (A number of years ago when I was a resident, a microbiologist in the hospital created a throat swab with C. diphtheriae. It was a brilliant idea except that the result got reported to public health and much chaos ensued).
The POLQM Weekend Workshop is coming together well. For those interested in doing a poster or podium presentation, register early and send your abstract to email@example.com