A STUDY ON IDENTIFYING THE PRE-ANALYTICAL PHASE ERRORS LEADING TO BIOCHEMISTRY AND HEMATOLOGY SAMPLE REJECTION BY USING FMEA & PARETOS PRINCIPLE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 9
Abstract
Laboratory specialists have been demonstrated that 70% of errors occur in the pre-analytical phase which is an important service of laboratory medicine. If the occurrence of error is manmade then it can always be identified and reduced. As the hospital management needs to evaluate the quality of laboratory services by knowing the sample rejection rate. A descriptive study was conducted to investigate and reduce the rejection rate for the Biochemistry and haematology samples received in the clinical laboratory. A strategy used in the study for the source detection of Failure modes are a) Brainstorming, b) Fish-bone diagram, c) Pareto?s chart, d) Failure Mode and Effect Analysis (FMEA) is an aid to calculate Risk Priority Number (RPN) that is the product of Occurrence Index (O.I), and Detectability Index (D.I). The total number of samples (both from OP & IP-D) received in the laboratory during the study period from January 2018 to April 2019 is about 3, 81,452 samples. The total number of samples rejected by the laboratory is 182 (0.047%). The highest rates according to Pareto?s principle & FMEA analysis are found for the failure modes sample clot, insufficient sample quantity, inappropriate sample Vacutainer/tube with RPN value of 48, 36 and 30 respectively. Even though these RPN values are highest among all identified failure modes, they are less than 50 (RPN<50) which indicates that the processes involved are well controlled.
Authors and Affiliations
Golla Rachana and Manjunatha R.
Keywords
Related Articles
- EP ID EP656836
- DOI 10.21474/IJAR01/9731
- Views 62
- Downloads 0
PERFORMANCE EVALUATION OF MBR TECHNOLOGY WASTEWATER TREATMENT PLANT AT SOHAR PORT-A CASE STUDY.
The wastewater generated from the household is nearly 80% of their intake. Most of the wastewater treatment plants were using activated sludge process to treat sewage. The treatment efficiency of activated sludge process...
INTAKE OF SUGAR-SWEETENED BEVERAGES AND EFFECT ON HEALTH.
Sugar-sweetened beverages (SSBs) are beverages that contain added caloric sweeteners or fruit-juice concentrates. Over the past few decades, consumption of SSBs around the world has tripled, especially among young adults...
A SURVEY ON THE DIVERSITY OF MITES INHABITING THE ORNAMENTAL AND FRUIT PLANTS IN SOUTH BENGAL, INDIA.
Mites are akin to spiders and most of them are inhabitant of plants. Phytophagous mites cause depletion in quality and quantity of ornamental and floricultural as well as fruit plants and thus causing substantial economi...
VON WILLEBRAND DISEASE: A REVIEW OF 2 CASE REPORTS.
VWD is an inherited bleeding disorder. Von WillebrandFactor(VWF) levels are decreased along with normal or decreased factor viii levels. Clinical symptoms are ?platelet-like?bleeding and bleeding similar to factor viii d...
GINGIVAL CHARACTERIZATION WITH PHOTOPOLYMERIZABLE RESIN IN TOTAL PROSTHESES: CLINICAL CASE REPORT.
Despite the advances in dentistry in relation to prevention, there are still many total edentulous patients who seek functional and aesthetic treatments. The present work presents an alternative technique for total dentu...