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Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia
BACKGROUND: Laboratory services have been described as the major processes contributing to safe patient care in the modern healthcare sector. However, occurrences of errors in the overall testing processes impair the clinical decision-making process. Such errors are supposed to be high in resource-p...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Research and Publications Office of Jimma University
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016342/ https://www.ncbi.nlm.nih.gov/pubmed/29983521 http://dx.doi.org/10.4314/ejhs.v28i2.15 |
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author | Ambachew, Sintayehu Adane, Kasaw Worede, Abebaw Melak, Tadele Asmelash, Daniel Damtie, Shewaneh Baynes, Habtamu Wondifraw Abebe, Molla Biadgo, Belete |
author_facet | Ambachew, Sintayehu Adane, Kasaw Worede, Abebaw Melak, Tadele Asmelash, Daniel Damtie, Shewaneh Baynes, Habtamu Wondifraw Abebe, Molla Biadgo, Belete |
author_sort | Ambachew, Sintayehu |
collection | PubMed |
description | BACKGROUND: Laboratory services have been described as the major processes contributing to safe patient care in the modern healthcare sector. However, occurrences of errors in the overall testing processes impair the clinical decision-making process. Such errors are supposed to be high in resource-poor countries, like Ethiopia. The objective of this study was to assess errors in the total testing process in the Clinical Chemistry laboratory of the University of Gondar Hospital, Northwest Ethiopia METHODS: A cross-sectional study was conducted at the University of Gondar Hospital from February to March 2016. All the required data were collected using established quality indicators. Data were analyzed using SPSS version 20. Frequencies and cross-tabulations were used to summarize descriptive statistics. RESULTS: A total of 3259 samples and corresponding laboratory request forms were received for analysis. The analysis of the overall distribution of errors revealed that 89.6% were pre-analytical errors, 2.6% were analytical, and 7.7% were post-analytical errors. Of the pre-analytical errors, incomplete request form filling was the most frequent error observed, followed by sample rejection rate (3.8%). Analytical errors related to internal and external quality control exceeding the target range, (14.4%) and (51.4%) respectively, were reported. Excessive turnaround time and unreported critical value cases were the major defects in the post-analytical phase of quality assurance. CONCLUSION: The present finding showed relatively high frequency of errors, which alarms the importance of quality indicators to assess errors in the total testing process. The University of Gondar Hospital laboratory should improve the quality of healthcare services based on these findings using laboratory standards. |
format | Online Article Text |
id | pubmed-6016342 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Research and Publications Office of Jimma University |
record_format | MEDLINE/PubMed |
spelling | pubmed-60163422018-07-06 Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia Ambachew, Sintayehu Adane, Kasaw Worede, Abebaw Melak, Tadele Asmelash, Daniel Damtie, Shewaneh Baynes, Habtamu Wondifraw Abebe, Molla Biadgo, Belete Ethiop J Health Sci Original Article BACKGROUND: Laboratory services have been described as the major processes contributing to safe patient care in the modern healthcare sector. However, occurrences of errors in the overall testing processes impair the clinical decision-making process. Such errors are supposed to be high in resource-poor countries, like Ethiopia. The objective of this study was to assess errors in the total testing process in the Clinical Chemistry laboratory of the University of Gondar Hospital, Northwest Ethiopia METHODS: A cross-sectional study was conducted at the University of Gondar Hospital from February to March 2016. All the required data were collected using established quality indicators. Data were analyzed using SPSS version 20. Frequencies and cross-tabulations were used to summarize descriptive statistics. RESULTS: A total of 3259 samples and corresponding laboratory request forms were received for analysis. The analysis of the overall distribution of errors revealed that 89.6% were pre-analytical errors, 2.6% were analytical, and 7.7% were post-analytical errors. Of the pre-analytical errors, incomplete request form filling was the most frequent error observed, followed by sample rejection rate (3.8%). Analytical errors related to internal and external quality control exceeding the target range, (14.4%) and (51.4%) respectively, were reported. Excessive turnaround time and unreported critical value cases were the major defects in the post-analytical phase of quality assurance. CONCLUSION: The present finding showed relatively high frequency of errors, which alarms the importance of quality indicators to assess errors in the total testing process. The University of Gondar Hospital laboratory should improve the quality of healthcare services based on these findings using laboratory standards. Research and Publications Office of Jimma University 2018-03 /pmc/articles/PMC6016342/ /pubmed/29983521 http://dx.doi.org/10.4314/ejhs.v28i2.15 Text en © 2018 Sintayehu Ambachew, et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Original Article Ambachew, Sintayehu Adane, Kasaw Worede, Abebaw Melak, Tadele Asmelash, Daniel Damtie, Shewaneh Baynes, Habtamu Wondifraw Abebe, Molla Biadgo, Belete Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia |
title | Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia |
title_full | Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia |
title_fullStr | Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia |
title_full_unstemmed | Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia |
title_short | Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia |
title_sort | errors in the total testing process in the clinical chemistry laboratory at the university of gondar hospital, northwest ethiopia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016342/ https://www.ncbi.nlm.nih.gov/pubmed/29983521 http://dx.doi.org/10.4314/ejhs.v28i2.15 |
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