Pre-Analytical Workstations as a Tool for Reducing Laboratory Errors

Rin, Giorgio Da

doi:10.2478/v10011-010-0031-x

Cited by 17 publications

(15 citation statements)

References 29 publications

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“…However, up to 0.5% of all laboratory test-results have been estimated to be erroneous and one fourth of these errors have consequences for the patient, which include a delayed test result or new sample collection, but may also have a life threatening impact and tragic consequences, such as the administration of unnecessary chemotherapy or the onset of coma. The dependence of patient management on laboratory data highlights the need for ensuring the quality of these services [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Types and frequency of pre-analytical errors at University of Gondar hospital laboratory

2015

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Section: Introductionmentioning

confidence: 99%

Types and frequency of pre-analytical errors at University of Gondar hospital laboratory

2015

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“…Penelitian ini bertujuan untuk mengetahui tingkat terutama dalam hal penegakan diagnosis, tindak lanjut pengetahuan, sikap, dan perilaku perawat tentang pengobatan, monitoring, keputusan rawat inap serta tindakan flebotomi serta pengaruhnya terhadap kualitas pasien pulang (1)(2)(3). Oleh karena itu peningkatan mutu spesimen laboratorium.…”

Section: Pendahuluanunclassified

“…Uji korelasi digunakan untuk menganalisis container atau jenis antikoagulan, rasio volume spesimen hubungan antara tingkat pengetahuan dan kualitas dan antikoagulan yang tidak sesuai, spesimen darah spesimen. Untuk menganalisis hubungan antara perilaku diambil dari jalur infus (1,(3)(4)(5)(6). Data tersebut perawat (patuh atau tidak patuh SPO) dan kualitas memperlihatkan bahwa kesalahan pra-analitik yang spesimen (layak atau tidak layak) digunakan uji statistik paling banyak yaitu kesalahan yang berhubungan dengan Chi-Square dengan tingkat kepercayaan 95%.…”

Section: Pendahuluanunclassified

Pengaruh Pengetahuan, Sikap, dan Perilaku Perawat tentang Flebotomi terhadap Kualitas Spesimen Laboratorium

Lestari

Rasyid

Thoyib

2015

JKB

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Program Studi Magister Manajemen Rumah Sakit Fakultas Kedokteran Universitas Brawijaya 2 Jurusan Manajemen Fakultas Ekonomi dan Bisnis Universitas Brawijaya ABSTRAKKesalahan pra-analitik memberikan kontribusi paling besar pada kesalahan di laboratorium (46-77,1%). Pelaksanaan pengambilan spesimen (flebotomi) yang tidak tepat, kurangnya pengetahuan dan ketidakpatuhan dari petugas flebotomi dilaporkan sebagai penyebab kesalahan pra-analitik yang berhubungan dengan kualitas spesimen. Penelitian ini bertujuan untuk mengetahui pengetahuan, sikap, dan perilaku perawat tentang tindakan flebotomi serta pengaruhnya terhadap kualitas spesimen. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Populasi penelitian adalah 129 orang perawat pelaksana di Instalasi Rawat Inap RSUD Kabupaten Jombang dengan masa kerja minimal 1 tahun dipilih secara acak. Pengetahuan dan sikap responden tentang tindakan flebotomi diukur menggunakan kuesioner. Perilaku dan kualitas spesimen diukur melalui observasi dan wawancara. Analisis data yang digunakan adalah korelasi Spearman, independent sample t-test, dan multiple logistic regression. Terdapat korelasi positif yang bermakna antara pengetahuan perawat dan kualitas spesimen (r=0,190; p=0,031). Tidak terdapat perbedaan bermakna rata-rata skor sikap perawat tentang flebotomi berdasarkan kualitas spesimen laboratorium (p=0,698) dan tidak terdapat korelasi antara perilaku perawat dan kualitas spesimen (r=0,017; p=0,846). Pengetahuan, sikap, dan perilaku perawat tidak berpengaruh terhadap perubahan kualitas spesimen, diduga faktor peralatan yang digunakan untuk flebotomi memiliki peran dalam penentuan kualitas spesimen. Peningkatan pengetahuan, mempertahankan sikap positif, memperbaiki sikap negatif serta merevisi SPO pengambilan darah perlu dilakukan untuk meningkatkan kualitas pelayanan.Kata Kunci: Kesalahan pra-analitik, kualitas spesimen, pengetahuan, perawat, perilaku, sikap r=0,190; p=0,031 ABSTRACT Pre-analytical errors contribute the biggest error portions in laboratory (46-77,1%

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“…Pre-analytical error and post-analytical error data are well documented. Occurrence of the errors at the pre-and post-analytical phases currently appears to be more vulnerable than the analytical phase [2]. Studies revealed that 46%-68.2% of laboratory errors predominated in the pre-analytical phase, and 18.5%-47% errors recorded in the post-analytical phase of the laboratory testing process [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of continuous quality improvement of tuberculosis and HIV diagnostic services in Amhara Public Health Institute, Ethiopia

Shiferaw¹,

Misganaw

2020

PLoS ONE

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BackgroundUnreliable laboratory results lead to unnecessary tests, procedures or treatments which may harm the patient. Continuous quality improvement (CQI) is a useful objective tool to improve processes and services. The use of quality indicators that meet requirements for effectiveness is an important quality improvement tool. However, the quality of critical aspects of pre-examination, examination, and post-examination processes have not been evaluated in Ethiopia including our setting. Hence, this study aimed to assess the performance of continuous quality improvement of TB and HIV laboratory tests in the Amhara Public Health Institute (APHI). MethodsA cross-sectional study was conducted to evaluate the quality indicators of advanced TB and HIV related laboratory tests in APHI from 01 January to 30 September 2019. HIV viral load, exposed infant diagnosis (EID), GeneXpert and TB culture quality indicators data were used as a quality improvement tool and evaluated in comparison to established targets. Data were extracted from excel database and record review of patient information, and entered and analyzed using SPSS V20 software. ResultsA total of 26,487 samples were received from 01 January to 30 September 2019. The overall specimen rejection rate was 0.43% (115/26,487). Specifically, viral load and TB culture had 0.43% and 1.14% rejection rates, respectively. The highest monthly rejection was documented for TB culture (5.3%) and viral load (2.4%) in September 2019. Centrifugation problems (46.1% [53/115]) and the use of the wrong container (40.9% [47/115]) were the main reasons for the rejections. Moreover, EID test was interrupted for a total of 54 days and 22 days due to reagent stock out and equipment down time, respectively. Similarly, about 82% PLOS ONEPLOS ONE | https://doi.org/10. ConclusionsThere were high rates of TB culture and viral load specimen rejection, and EID test interruptions. The TAT of viral load and EID tests were longer than the targeted goal (10 days) average TAT. Hence, training of sample collectors, functional equipment maintenance systems and supply chain management are recommended for continuous quality improvement. PLOS ONEQuality improvement of tuberculosis and HIV diagnostic services in APHI PLOS ONE | https://doi.org/10.

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Pre-Analytical Workstations as a Tool for Reducing Laboratory Errors

Cited by 17 publications

References 29 publications

Types and frequency of pre-analytical errors at University of Gondar hospital laboratory

Types and frequency of pre-analytical errors at University of Gondar hospital laboratory

Pengaruh Pengetahuan, Sikap, dan Perilaku Perawat tentang Flebotomi terhadap Kualitas Spesimen Laboratorium

Evaluation of continuous quality improvement of tuberculosis and HIV diagnostic services in Amhara Public Health Institute, Ethiopia

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