ISSN:
1437-4331
,
1437-4331
Content:
Background: We report our results for the systematic recording of all errors in a standard clinical laboratory over a 1-year period. Methods: Recording was performed using a commercial database program. All individuals in the laboratory were allowed to report errors. The testing processes were classified according to function, and errors were classified as pre-analytical, analytical, post-analytical, or service-related, and then further divided into descriptive subgroups. Samples were taken from hospital wards (38.6%), outpatient clinics (25.7%), general practitioners (29.4%), and other hospitals. Results: A total of 1189 errors were reported in 1151 reports during the first year, corresponding to an error rate of 1 error for every 142 patients, or 1 per 1223 tests. The majority of events were due to human errors (82.6%), and only a few (4.3%) were the result of technical errors. Most of the errors (81%) were pre-analytical. Of the remainder, 10% were analytical, 8% were post-analytical, and 1% was service-related. Nearly half of the errors (n=550) occurred with samples received from general practitioners or clinical hospital wards. Identification errors were relatively common when non-technicians collected blood samples. Conclusions: Each clinical laboratory should record errors in a structured manner. A relation database is a useful tool for the recording and extraction of data, as the database can be structured to reflect the workflow at each individual laboratory. Clin Chem Lab Med 2009;47:1253–7.
Content:
Peer Reviewed
In:
Clinical Chemistry and Laboratory Medicine, : de Gruyter, 2009, 47,2009,10, Seiten 1253-1257, 1437-4331
Language:
Undetermined
DOI:
10.1515/CCLM.2009.272
URN:
urn:nbn:de:kobv:11-100119674
URL:
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