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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Article
Preanalytic Error Rates for the Central Laboratory of a Large-scale Public Hospital in Turkey
Author(s)
Kemal Türker ULUTAS, Metin CELIK, Beril AKCIMEN, Esin Damla Z. KARACOR and Fatma KARAZİNDİYANOĞLU
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DOI:10.17265/2328-2150/2016.07.005
Affiliation(s)
ABSTRACT
The pre and post analytical phase in a testing cycle contributes up to 93% of total laboratory errors. However, pre analytical phase is primarily responsible for errors. Hence, it is of precise importance for the laboratory to study error occurrence rates during the testing cycle and implement a quality improvement plan to release an accurate result. The present study was conducted during the period Jan-Nov 2014 in the Central Clinical Lab in Osmaniye State Hospital, Turkey. During period of 11 months, 626897 samples were monitored for major preanalytical problems at the receiving counter of the Central Clinical Laboratory. Among all preanalytic laboratory errors, 35.4% of the errors were associated with clotted sample, 25.5% errors with inadequate sample, and 25.3% errors with hemolysed sample in the laboratory. Assessment considering the departments showed that emergency unit had the highest error rates (hemolysis: 52.5%, lipemic: 42.9%, damaged: 34.6%, clotted: 34.2%, inadequate: 26.8%, wrong material: 17.6%, wrong barcode: 16.7%). There was significant difference among the departments in terms of preanalytic errors (p < 0.001). Based on these observations, major preanalytic errors are of great concern and needs corrective approach via proper educational programs to related personals. If this area is ignored, that can lead to negative patient outcome. However, a better specimen quality and patient satisfaction are achieved with the high quality personal-based education regarding pre-analytical errors.
KEYWORDS
Pre-analytical errors, biochemistry laboratory, hemolysis.
Cite this paper
Ulutas, K. T., et al. 2016. “Preanalytic Error Rates for the Central Laboratory of a Large-scale Public Hospital in Turkey.” Journal of Pharmacy and Pharmacology 4 (7): 318-321.
References