An Insight View on Pre and PostAnalytical Errors in Clinical Chemistry Laboratory of A Tertiary Care Super Specialty Teaching Hospital
Journal Title: National Journal of Laboratory Medicine - Year 2016, Vol 5, Issue 4
Abstract
Introduction: In today’s modern world of technology with automation in laboratory testing took place to ensure a more efficient and safer service within a short interval of time helped clinicians in diagnostic and therapeutic decisions taking. Although, after plentiful literatures on improving the quality of services in laboratories and improvements done at various stages errors still persists. Aim: To evaluate the leading causes of pre-analytical and postanalytical errors in a clinical chemistry laboratory of a tertiary care super specialty teaching hospital. Materials and Methods: An analysis of errors obtained in clinical chemistry laboratory in the pre-analytical and postanalytical phase has been carried out over a period of 6 months for OPD and IPD samples. All pre and post-analytical errors that took place during the study were observed and were recorded during the study period. Results: In the present study the pre-analytical errors were found to be more common in both OPD and IPD cases (85.51%) than the post-analytical errors (14.49%). Both pre and postanalytical errors were more common in OPD cases (53.85%) than IPD (43.72%) cases. Conclusion: By investigating the percentage of errors that occurred during study period of 6 months it was found that preanalytical errors were more common than post-analytical errors and were seen more frequently in OPD cases compared to IPD. Amongst the pre-analytical errors, quantity insufficient and incomplete TRF were the major errors observed whereas in the post-analytical category, reports that were transcribed wrongly and failure to report clinicians which leads to increased turn around time (TAT) and causes patients inconvenience. Thus, identification of such valuable errors and to minimize them is a fundamental step in assessing and improving laboratory services otherwise it may hinder the quality of laboratory results.
Authors and Affiliations
Mr. Pawan Toshniwal, Mrs. Seema Toshniwal, Dr. Rita Mahendra Shah
Keywords
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- EP ID EP382102
- DOI 10.7860/NJLM/2016/22587:2173
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