Quality Improvement Efforts in Pre-Analytical Phase
DOI:
https://doi.org/10.24293/ijcpml.v26i1.1522Keywords:
quality improvement, laboratory service, pre-analytical phase, laboratory errorAbstract
In a clinical laboratory services pre-analytical phase has plays an important role in term of quality and patient safety. Pre-analytical phase is a phase before analyzing sample in laboratory which includes patient preparation, sampling, labeling, sample transportation, sample storage, and preservation of samples that might influence the laboratory results. In this phase it involves interaction between patient, doctor, laboratory personels, and other staff outside the laboratory. Therefore, it could be assumed that in this phase many sample are collected, many laboratory tests are requested, many individuals are involved and therefore laboratory errors might be occured. Laboratory errors can occur either in pre-analytical, analytical, or post analytical phases but the most frequently errors occur in pre-analytical phase. In this article, quality improvement efforts in pre-analytical phase will be discussed in order to minimize pre-analytical error.
Downloads
References
Simundic A, Lippi G. Preanalytical phase – a continuous challenge for laboratory professionals. Biochem Med 2012; 22: 145–149.
Rin G Da. Pre-analytical workstations : A tool for reducing laboratory errors. Clin Chim Acta 2009; 404: 68–74.
Neogi SS, Mehndiratta M, Gupta S, Puri D. Pre-analytical phase in clinical chemistry laboratory. J Clin Sci Res 2016; 5: 171–8.
Chhillar N, Khurana S. Effect of Pre-Analytical Errors on Quality of Laboratory Medicine at a Neuropsychiatry Institute in North India. Ind J Clin Biochem 2011; 26: 46–49.
Bonini P, Plebani M, Ceriotti F, Rubboli F. Errors in laboratory medicine. Clin Chem 2002; 48: 691–698.
Carraro P, Plebani M. Errors in a stat laboratory: Types and frequencies 10 years later. Clin Chem 2007; 53: 1338–1342.
Lippi G, Chance JJ, Dazzi P, Fontana R, Grankvist K, Huisman W et al. Preanalytical quality improvement : from dream to reality. Clin Chem Lab Med 2011; 49: 1113–1126.
Cornes MP, Atherton J, Pourmahram G, Borthwick H, Kyle B, West J. Monitoring and reporting of preanalytical errors in laboratory medicine : the UK situation. Ann Clin Biochem 2016; 53: 279–284.
Plebani M. Quality Indicators to Detect Pre-Analytical Errors in Laboratory Testing. Clin Biochem Rev 2012; 33: 85–88.
Houben PHH, Winkens RONAG, Weijden TVANDER, Vossen RCRM, Naus AJM, Grol RPTM. Reasons for ordering laboratory tests and relationship with frequency of abnormal results. Scand J Prim Heal Care 2010; 28: 18–23.
Galula G, Buffet C, Robba L, Poissonet M. Assessment of prescription practices for serological tests for viral hepatitis B and C in the Greater Parisian area in 2002. Gastroenterol Clin Biol 2006; 30: 517–524.
Atay A, Demir L, Cuhadar S, Saglam G, Unal H, Aksun S et al. Clinical biochemistry laboratory rejection rates due to various types of preanalytical errors. Biochem Med 2014; 24: 376–382.
Tapper MA, Pethick JC, Dilworth LL, Mcgrowder DA. Pre-analytical Errors at the Chemical Pathology Laboratory of a Teaching Hospital. J clin diagn res 2017; 11: 16–18.
Chawla R, Goswami B, Tayal D, Mallika V. Identification of the Types of Preanalytical Errors in the Clinical Chemistry Laboratory: 1-Year Study at G.B. Pant Hospital. Labmedicine 2010; 41: 89–92.
Begum F. A study of pre-analytical errors in a hospital based clinical biochemistry laboratory. IntJ Bioassays 2014; 3: 3270–3275.
Hilborne L. Choosing Wisely : selecting the right test for the right patient at the right time. MLO Med Lab Obs 2014; 46: 40.
Kaushik N, Green S. Pre-analytical errors : their impact and how to minimize them. MLO Med Lab Obs 2014; 46: 22, 24, 26.
Rivas-ruiz F, Molina-mendoza P. Pre-analytical errors management in the clinical laboratory : a five-year study. Biochem Med 2014; 24: 248–57.
Sodi R, Darn SM, Stott A. Pneumatic tube system induced haemolysis : assessing sample type susceptibility to haemolysis. Ann Clin Biochem 2004; 41: 237–240.
Magnette A, Chatelain M, Chatelain B, Cate H Ten, Mullier F. Pre-analytical issues in the haemostasis laboratory : guidance for the clinical laboratories. Thromb J 2016; 14: 1–14.
Al-Ghaithi H, Pathare A, Al-Mamari S, Villacruris R, Fawaz N, Alkindi S. Impact of Educational Activities in Reducing Pre-Analytical Laboratory Errors. Sultan Qaboos Univ Med J 2017; 17: 309–313.
Downloads
Submitted
Accepted
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
