A Retrospective Analysis of Corrected Laboratory Results in a Large Academic Medical Center

被引:3
|
作者
Kalt, Derick A. [1 ,2 ]
机构
[1] Rush Univ, Management Program, Sci Clin Lab, Chicago, IL 60612 USA
[2] Rush Univ, Med Ctr, Dept Pathol, Core Lab, Chicago, IL 60612 USA
关键词
Medical errors; Quality management; Patient safety; Quality indicators; Preanalytical phase; Analytical phase; Postanalytical phase; Total testing process; QUALITY INDICATORS; ANALYTICAL ERRORS; PATIENT SAFETY;
D O I
10.1093/AJCP/AQZ036
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Objectives: To evaluate the total number of corrected laboratory results that occurred as a consequence of errors in the preanalytical, analytical, and postanalytical phases of testing and to identify areas for improvement in patient care. Methods: Revised laboratory results were retroactively reviewed for a 6-month period. The total number of revised results were categorized by department and the phase in which the resulting error occurred. Results: Of 1,278,783 reportable tests, a total of 156 revisions were noted. Errors were predominately observed in the postanalytical phase of testing; 57.69% (n = 156) of all revisions were called and documented to a care provider. Conclusion: Monitoring revised laboratory results is an important quality indicator that helps to identify areas within the laboratory that warrant improvement. Education, training, and ongoing process improvement initiatives are essential parts of a laboratory's quality management system in order to limit the total number of future revisions.
引用
收藏
页码:200 / 206
页数:7
相关论文
共 50 条
  • [21] Evaluation of add-on testing in the clinical chemistry laboratory of a large academic medical center - Operational considerations
    Melanson, SF
    Hsieh, B
    Flood, JG
    Lewandrowski, KB
    ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2004, 128 (08) : 885 - 889
  • [22] Outcomes With Overlapping Surgery at a Large Academic Medical Center
    Ponce, Brent A.
    Wills, Bradley W.
    Hudson, Parke W.
    Huntley, Samuel R.
    Starnes, Austin C.
    Watson, Shawna L.
    Rue, Loring W.
    Perez, Jorge L.
    McGwin, Gerald
    ANNALS OF SURGERY, 2019, 269 (03) : 465 - 470
  • [23] The Prescribing and Education of Naloxone in a Large Academic Medical Center
    Miller, Sabrina
    Williams, Lauren
    Thompson, Amy N.
    PHARMACY, 2020, 8 (01)
  • [24] Compass RoseTM Implementation in a Large Academic Medical Center
    Somani, Selina
    Takhar, Shannan
    Miller, Derek
    Camarillo, Hana
    Zhu, Mency
    Tran, Kathie
    EXPLORATORY RESEARCH IN CLINICAL AND SOCIAL PHARMACY, 2024, 15
  • [25] Efficiency of Diagnosing HIT at a Large Academic Medical Center
    Paddock, Marcia N.
    Clark, Bryce
    De Sancho, Maria Teresa
    BLOOD, 2015, 126 (23)
  • [26] Venous Thromboembolism Prophylaxis in Neurosurgical Procedures - Results from a Large Academic Medical Center Initiative
    Zenonos, Georgios
    Walch, Frank
    Roach, Eileen
    Stokes, Sandra
    Friedlander, Robert
    Gerszten, Peter
    JOURNAL OF NEUROSURGERY, 2015, 123 (02) : A482 - A482
  • [27] Utility and Pitfalls of Stepwise Laboratory Testing for Heparin Induced Thrombocytopenia: Retrospective Review from an Academic Medical Center
    Kra, Joshua
    Horng, Helen
    BLOOD, 2019, 134
  • [28] Adrenal Venous Sampling in the Investigation of Hyperaldosteronism: A Retrospective Practice Review from a Large Academic Medical Center
    Ishaq, Ariana
    Hamidi, Oksana
    Hashim, Ibrahim A.
    JOURNAL OF APPLIED LABORATORY MEDICINE, 2025,
  • [29] Tuberculid reactions at a US academic medical center: A retrospective review
    Jacobson, Rebecca
    Gutierrez, Rodrigo A.
    Virji, Azan Z.
    Ghatnekar, Shilpa
    Schwartz, Brian
    Gensler, Lianne S.
    Haemel, Anna
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2023, 89 (03) : AB244 - AB244
  • [30] Cutaneous tuberculosis at a US academic medical center: A retrospective review
    Gutierrez, Rodrigo A.
    Jacobson, Rebecca
    Virji, Azan Z.
    Ghatnekar, Shilpa
    Gensler, Lianne S.
    Schwartz, Brian
    Haemel, Anna
    JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2023, 89 (03) : AB145 - AB145