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Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study
Patient safety and medical diagnosis of patients are mainly influenced by laboratory results. The present study aimed to evaluate the errors in the preanalytical phase of testing in a Clinical Chemistry diagnostic laboratory. A review was conducted at the Clinical Chemistry Laboratory of a hospital...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259178/ https://www.ncbi.nlm.nih.gov/pubmed/35801773 http://dx.doi.org/10.1097/MD.0000000000029853 |
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author | Alcantara, Jerold C. Alharbi, Bandar Almotairi, Yasser Alam, Mohammad Jahoor Muddathir, Abdel Rahim Mahmoud Alshaghdali, Khalid |
author_facet | Alcantara, Jerold C. Alharbi, Bandar Almotairi, Yasser Alam, Mohammad Jahoor Muddathir, Abdel Rahim Mahmoud Alshaghdali, Khalid |
author_sort | Alcantara, Jerold C. |
collection | PubMed |
description | Patient safety and medical diagnosis of patients are mainly influenced by laboratory results. The present study aimed to evaluate the errors in the preanalytical phase of testing in a Clinical Chemistry diagnostic laboratory. A review was conducted at the Clinical Chemistry Laboratory of a hospital in Saudi Arabia from January 2019 to December 2020. Using the laboratory information system, the data of all canceled tests and requests were retrieved and evaluated for preanalytical errors. A total of 55,345 laboratory test requests and samples from different departments were evaluated for preanalytical errors. An overall rate of 12.1% (6705) was determined as preanalytical errors. The occurrence of these errors was found to be highest in the emergency department (21%). The leading preanalytical errors were nonreceived samples (3.7%) and hemolysis (3.5%). The annual preanalytical errors revealed an increasing rate in outpatient and inpatient departments, while a decreasing rate was observed in the emergency department. An increased rate of errors was also noted for the 2-year study period from 11.3% to 12.9%. The preanalytical phase has a significant impact on the quality of laboratory results. The rate of error in the study was high and the leading causes were nonreceived samples and hemolysis. An increased occurrence of hemolyzed samples in the outpatient department was noted. Enhanced educational efforts emphasizing specimen quality issues and training in sample collection among hospital staff must be carried out. |
format | Online Article Text |
id | pubmed-9259178 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-92591782022-07-08 Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study Alcantara, Jerold C. Alharbi, Bandar Almotairi, Yasser Alam, Mohammad Jahoor Muddathir, Abdel Rahim Mahmoud Alshaghdali, Khalid Medicine (Baltimore) Research Article Patient safety and medical diagnosis of patients are mainly influenced by laboratory results. The present study aimed to evaluate the errors in the preanalytical phase of testing in a Clinical Chemistry diagnostic laboratory. A review was conducted at the Clinical Chemistry Laboratory of a hospital in Saudi Arabia from January 2019 to December 2020. Using the laboratory information system, the data of all canceled tests and requests were retrieved and evaluated for preanalytical errors. A total of 55,345 laboratory test requests and samples from different departments were evaluated for preanalytical errors. An overall rate of 12.1% (6705) was determined as preanalytical errors. The occurrence of these errors was found to be highest in the emergency department (21%). The leading preanalytical errors were nonreceived samples (3.7%) and hemolysis (3.5%). The annual preanalytical errors revealed an increasing rate in outpatient and inpatient departments, while a decreasing rate was observed in the emergency department. An increased rate of errors was also noted for the 2-year study period from 11.3% to 12.9%. The preanalytical phase has a significant impact on the quality of laboratory results. The rate of error in the study was high and the leading causes were nonreceived samples and hemolysis. An increased occurrence of hemolyzed samples in the outpatient department was noted. Enhanced educational efforts emphasizing specimen quality issues and training in sample collection among hospital staff must be carried out. Lippincott Williams & Wilkins 2022-07-08 /pmc/articles/PMC9259178/ /pubmed/35801773 http://dx.doi.org/10.1097/MD.0000000000029853 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | Research Article Alcantara, Jerold C. Alharbi, Bandar Almotairi, Yasser Alam, Mohammad Jahoor Muddathir, Abdel Rahim Mahmoud Alshaghdali, Khalid Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study |
title | Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study |
title_full | Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study |
title_fullStr | Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study |
title_full_unstemmed | Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study |
title_short | Analysis of preanalytical errors in a clinical chemistry laboratory: A 2-year study |
title_sort | analysis of preanalytical errors in a clinical chemistry laboratory: a 2-year study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259178/ https://www.ncbi.nlm.nih.gov/pubmed/35801773 http://dx.doi.org/10.1097/MD.0000000000029853 |
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