Data Quality Associated with Handwritten Laboratory Test Requests: Classification and Frequency of Data-Entry Errors for Outpatient Serology Tests

Vecellio, Elia; Maley, Michael; Toouli, George; Georgiou, Andrew; Westbrook, Johanna I.

doi:10.1177/183335831504400302

Cited by 6 publications

(4 citation statements)

References 25 publications

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“…Data quality is of increasing importance, not only to patient care, but because of the growing reliance on patient record data for research (Hersh et al, 2013) and health service funding (Bailie et al, 2015). In recent HIMJ issues, various aspects of data quality were investigated in numerous settings including primary care (Barnett et al, 2016), aged care (Davis et al, 2016), cancer registries (Fararouei et al, 2016), outpatient clinics (Munyisia et al, 2016), hospitals (Jylha et al, 2016; Monto et al, 2016), and a serology laboratory (Vecellio et al, 2015). The impact of data quality on activity-based funding is critical and a number of papers presented issues related to this (Munyisia et al, 2016; Reid et al, 2017).…”

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confidence: 99%

Research in health information management: An expanding field of enquiry

Henderson

2017

HIM J

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confidence: 99%

Research in health information management: An expanding field of enquiry

Henderson

2017

HIM J

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“…Vecellio et al found that manual data entry from hand written request forms into an electronic laboratory information system is prone to transcription errors (9). The majority of laboratories (75%) in this study had both paper and electronic request forms available, electronic request forms would prevent transcription error.…”

Section: Discussionmentioning

confidence: 63%

Survey on request form content and result reporting in therapeutic drug monitoring service among laboratories in Czechia and Slovakia

Skalický¹,

Schneiderka²,

Studená

et al. 2020

Biochem. med. (Online)

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Introduction: The aim of the study was to investigate current practice and policies of therapeutic drug monitoring (TDM) service requesting and result reporting in Czechia and Slovakia. Materials and methods: All 149 laboratories that measure plasma drug concentrations were given an online questionnaire during a regular external quality assessment TDM cycle. The questionnaire consisted of 17 questions. The optimal TDM practice was defined as the application of all elements (age, body weight, time of sampling, date of the first administration, time of the last dose administration, the dose, the dosing interval, the route of administration, information on reason of testing, and information on other co–administered drugs) needed for reporting a recommendation for further drug dosing (positive response to question number 16). Results: The response rate was 69%, 103 out of 149 laboratories measuring drug concentrations. Only 12% (12 out of 103 laboratories) of the laboratories implemented all elements needed for optimal TDM practice and reported a recommendation. Both paper and electronic request forms were used by 77 out of 103 (75%) laboratories. A total of 69 out of 103 laboratories (67%) specified the type of sampling tube on their request form. Cystatin C was used for prediction of renal drug elimination by 24% (25 out of 103) of participants. Conclusions: Small number of laboratories implemented all elements needed for optimal TDM practice and report a recommendation on further dosing. Further efforts in education on optimal TDM practice as well as harmonization of service are desirable.

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“…The introduction of electronic ordering systems (EOS) as part of an integrated electronic medical record is expected to eliminate legibility issues with interpretation of handwritten orders and should reduce errors in both the wards and the laboratory, thus improving/enhancing the quality of the information provided to the laboratory. Computerized provider order entry systems have been promoted for their potential to improve the quality of care through their potential to increase efficiency, effectiveness and accuracy 12,13 . Laboratory testing has a direct impact on the length of stay in short stay units, especially in emergency departments (EDs).…”

Section: Ordering Testsmentioning

confidence: 99%

International Council for Standardisation in Haematology (ICSH) recommendations for collection of blood samples for coagulation testing

Kitchen¹,

Adcock

Dauer³

et al. 2021

Int J Lab Hematology

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This guidance document has been prepared on behalf of the International Council for Standardisation in Haematology (ICSH). The aim of the document is to provide guidance and recommendations for collection of blood samples for coagulation tests in clinical laboratories throughout the world. The following processes will be covered: ordering tests, sample collection tube and anticoagulant, patient preparation, sample collection device, venous stasis before sample collection, order of draw when different sample types need to be collected, sample labelling, blood‐to‐anticoagulant ratio (tube filling) and influence of haematocrit. The following areas are excluded from this document, but are included in an associated ICSH document addressing processing of samples for coagulation tests in clinical laboratories: sample transport and primary tube sample stability; centrifugation; interfering substances including haemolysis, icterus and lipaemia; secondary aliquots—transport and storage; and preanalytical variables for platelet function testing. The recommendations are based on published data in peer‐reviewed literature and expert opinion.

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Data Quality Associated with Handwritten Laboratory Test Requests: Classification and Frequency of Data-Entry Errors for Outpatient Serology Tests

Abstract: Manual data-entry of handwritten serology requests is an error-prone process. Electronic ordering has the potential to eliminate illegible handwriting and transcription errors, thus improving data accuracy in hospital information systems.

Cited by 6 publications

References 25 publications

Research in health information management: An expanding field of enquiry

Research in health information management: An expanding field of enquiry

Survey on request form content and result reporting in therapeutic drug monitoring service among laboratories in Czechia and Slovakia

International Council for Standardisation in Haematology (ICSH) recommendations for collection of blood samples for coagulation testing

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