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preanalytic Error Rates for the Central Laboratory of a Large-scale Public Hospital in Turkey

Journal of Pharmacy and Pharmacology 2016年第7期4卷 318-321页

作者： Kemal TOrker ULUTAS Metin CELIK Beril AKCIMEN Esin Damla Z. KARACOR Fatma KARAZiNDiYANOGLU Antakya State Hospital Department of Medical Biochemistry Antakya 31000 Hatay TURKEY Osmaniye State Hospitals Central Clinical Laboratory Osmaniye 80000 Osmaniye TURKEY Kadirli State Hospital Central Biochemistry Laboratory Kadirli 80750 Hatay TURKEY

Abstract： The pre and post analytical phase in a testing cycle contributes up to 93% of total laboratory errors. However, pre-analytical phase is primarily responsible for errors. Hence, it is of precise importance for the laboratory to study error occurrence rates during the testing cycle and implement a quality improvement plan to release an accurate result. The present study was conducted during the period Jan-Nov 2014 in the Central Clinical Lab in Osmaniye State Hospital, Turkey. During period of 11 months, 626897 samples were monitored for major preanalytical problems at the receiving counter of the Central Clinical Laboratory. Among all preanalytic laboratory errors, 35.4% of the errors were associated with clotted sample, 25.5% errors with inadequate sample, and 25.3% errors with hemolysed sample in the laboratory. Assessment considering the departments showed that emergency unit had the highest error rates （hemolysis： 52.5%, lipemic： 42.9%, damaged： 34.6%, clotted： 34.2%, inadequate： 26.8%, wrong material： 17.6%, wrong barcode： 16.7%）. There was significant difference among the departments in terms of preanalytic errors （p 〈 0.001）. Based on these observations, major preanalytic errors are of great concern and needs corrective approach via proper educational programs to related personals. If this area is ignored, that can lead to negative patient outcome. However, a better specimen quality and patient satisfaction are achieved with the high quality personal-based education regarding pre-analytical errors.

关键词： pre-analytical errors biochemistry laboratory hemolysis.

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