NDLI: Error tracking in a clinical biochemistry laboratory

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Error tracking in a clinical biochemistry laboratory

Content Provider	Scilit
Author	Szecsi, Pal Bela Ødum, Lars
Copyright Year	2009
Abstract	Background: We report our results for the systematic recording of all errors in a standard clinical laboratory over a 1-year period. Methods: Recording was performed using a commer- cial database program. All individuals in the labora- tory were allowed to report errors. The testing processes were classified according to function, and errors were classified as pre-analytical, analytical, post-analytical, or service-related, and then further divided into descriptive subgroups. Samples were taken from hospital wards (38.6%), outpatient clinics (25.7%), general practitioners (29.4%), and other hospitals. Results: A total of 1189 errors were reported in 1151 reports during the first year, corresponding to an error rate of 1 error for every 142 patients, or 1 per 1223 tests. The majority of events were due to human errors (82.6%), and only a few (4.3%) were the result of technical errors. Most of the errors (81%) were pre- analytical. Of the remainder, 10% were analytical, 8% were post-analytical, and 1% was service-related. Nearly half of the errors (ns550) occurred with sam- ples received from general practitioners or clinical hospital wards. Identification errors were relatively common when non-technicians collected blood samples. Conclusions: Each clinical laboratory should record errors in a structured manner. A relation database is a useful tool for the recording and extraction of data, as the database can be structured to reflect the work- flow at each individual laboratory. Clin Chem Lab Med 2009;47:1253-7.
Related Links	https://edoc.hu-berlin.de/bitstream/18452/10581/1/cclm.2009.272.pdf
ISSN	14346621
e-ISSN	14374331
DOI	10.1515/cclm.2009.272
Journal	Clinical Chemistry and Laboratory Medicine (CCLM)
Issue Number	10
Volume Number	47
Language	English
Publisher	Walter de Gruyter GmbH
Publisher Date	2009-01-01
Access Restriction	Open
Subject Keyword	Clinical Chemistry and Laboratory Medicine (cclm) Medical Laboratory Technology Diagnostic Errors Medical Errors Safety Management Journal: Clinical Chemistry and Laboratory Medicine (CCLM), Vol- 47
Content Type	Text
Resource Type	Article
Subject	Biochemistry (medical) Clinical Biochemistry

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