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Pre Analytical Error In Laboratory

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Pre-analytical errors: their impact and how to minimize them By: Nitin Kaushik By: Sol Green May 18, 2014 0 14986 The clinical laboratory plays an increasingly important role in the patient-centered analytical errors in clinical laboratory approach to the delivery of healthcare services. Physicians rely on accurate laboratory test post analytical errors results for proper disease diagnosis and for guiding therapy; it is estimated that more than 70% of clinical pre analytical error definition decisions are based on information derived from laboratory test results.1 The process of blood testing, also known as the “Total Testing Process,” begins and ends with the patient. It includes the preanalytical errors in clinical laboratory ppt entire process from ordering the test to interpretation of the test results by the clinician. The Total Testing Process can be subdivided into three stages: Pre-analytical: test request, patient and specimen identification, specimen collection, transport, accessioning and processing Analytical: specimen testing Post-analytical: reporting test results, interpretation, follow up, storage, retesting if needed. Additionally, the term “pre-pre-analytical phase” has been used for the initial

Preanalytical Errors In Phlebotomy

part of the pre-analytical phase, focused on test selection and identification of test needed, and the term “post-post-analytical phase” has been used for the interpretation of results by the clinician.2    The numbers don’t lie: it’s a significant problem Clinical laboratory errors directly lead to increased healthcare costs and decreased patient satisfaction. A laboratory error is defined as any defect that occurs during the entire testing process, from ordering tests to reporting results, that in any way influences the quality of laboratory services.3 Any error during the laboratory testing process can affect patient care, including delay in reporting, unnecessary redraws, misdiagnosis, and improper treatment. Sometimes, these errors may even be fatal (e.g., acute hemolytic reaction after incompatible blood transfusion caused by an error in patient identification).3 It has been observed that diagnostic errors have led to the most prevalent type of malpractice claim in the United States.4  Although errors can arise at any of the three stages, studies show that the pre-analytical phase accounts for 46% to 68.2% of errors observed during the Total Testing Process (Table 1).5 Considerable advances in laboratory instrumentation have signi

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What Is Preanalytical

list Help Journal ListClin Biochem Revv.33(3); 2012 AugPMC3428256 Clin Biochem pre analytical phase of laboratory testing Rev. 2012 Aug; 33(3): 85–88. PMCID: PMC3428256Quality Indicators to Detect Pre-Analytical Errors in Laboratory TestingMario preanalytical errors in clinical chemistry Plebani*Department of Laboratory Medicine, University-Hospital, Padova, Italy.*For correspondence: Prof Mario Plebani, email: ti.dpinu@inabelp.oiramAuthor information ► Copyright and License information ►The contents of articles or advertisements http://www.mlo-online.com/pre-analytical-errors-their-impact-and-how-to-minimize-them.php in The Clinical Biochemist – Reviews are not to be construed as official statements, evaluations or endorsements by the AACB, its official bodies or its agents. Statements of opinion in AACB publications are those of the contributors. Print Post Approved - PP255003/01665. Copyright © 2005 The Australasian Association of Clinical Biochemists https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3428256/ Inc. No literary matter in The Clinical Biochemist – Reviews is to be reproduced, stored in a retrieval system or transmitted in any form by electronic or mechanical means, photocopying or recording, without permission. Requests to do so should be addressed to the Editor. ISSN 0159 – 8090This article has been cited by other articles in PMC.AbstractPre-analytical steps, the major source of mistakes in laboratory diagnostics, arise during patient preparation, sample collection, sample transportation, sample preparation, and sample storage. However, while it has been reported that the pre-analytical phase is error-prone, only recently has it been demonstrated that most errors occur in the ‘pre-pre-analytical phase’. This comprises the initial procedures of the testing process performed by healthcare personnel outside the laboratory walls and outside the direct control of the clinical laboratory. Quality indicators (QIs) should therefore cover all steps in the pre-analytical phase, from test requesting to sample st

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Scientific Committee Homepages Literature Webinar Useful Links > Resource Centre Resource Centre The resource centre contains updated materials on the latest preanalytical guidelines, preanalytical flow charts, literature,in focus, best practice posters, preanalytical symposia presentationsand useful links. Introduction to Preanalytical Variables NEW Resources Added Preanalytical Guidelines Preanalytical Flow Charts In Focus Preanalytical Best Practice Posters Preanalytical Symposia Presentations Country Preanalytical Scientific Committee Homepages Literature Webinar Useful Links Last modification on3 June 2016 Site Map | Privacy | Terms & Conditions | Contact Us We comply with the HONcode standard for trustworthy health information: verify here. Important Note: The content of this Site is presented in summary form, is general in nature, and is provided for information purposes only; it is not intended nor recommended as a substitute for professional medical advice. This Site aims to raise awareness in the laboratory and medical community, and improve the safety and efficiency of laboratory services by controlling preanalytical variables to more effectively manage clinical outcomes. © 2016 BD. All rights reserved. Unless otherwise noted, BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company.

 

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