Evaluation of errors in clinical hematology practice
Journal Title: Medpulse International Journal of Pathology - Year 2017, Vol 4, Issue 1
Abstract
Background: Medical laboratory errors are one of the major factors that affect the diagnosis and future clinical course of management. These errors have a tremendous impact on patient safety and can translate into the risk of adverse events for patients. Errors still prevail despite automated innovations in the field of laboratory science. Aim: We conducted this study to evaluate and identify pre-analytical, analytical, and post-analytical laboratory errors with regard to our practice in clinical hematology and their effect on patient health care. Materials and Methods: A total of 47, 800 samples were received in to the laboratory from both in patients and out patients between January 2015 to December 2017. Out of which 22,800 were received from in patients while 25,000 were received from out patients. Results: A total of 1200 errors were detected from the total of 47,800 samples with the error rate of 2.5%.Of all the total errors, pre-analytical errors were most common, with a frequency of 82%, followed by post-analytical at9.1% and analytical at16.6%.The total number of errors recorded on inpatient samples were 1081 out of the 22,800 tests, with an error rate of 4.7%, while the total number of errors on outpatient samples were 119 out of the 25,000 tests (an error rate of 0.4%). Conclusions: There is every need for the lab to establish a reliable policy on error recording, possibly through informatics aids and settle universally agreed “laboratory sentinel events” throughout the total testing process, which would allow gaining important information about serious incidents and thereby holding both providers and stakeholders accountable for patient safety.
Authors and Affiliations
Pavani B, Sri Manvitha V
Keywords
Related Articles
- EP ID EP260189
- DOI -
- Views 90
- Downloads 0
Histomorphological correlation of apoptotic index with ER/PR Status in breast
Background: Carcinoma breast is globally the most common cancer in women and second most common cause of cancer death worldwide. Predictive and prognostic indicators are used to select best treatment options. Assessment...
Clinico-pathological study of male breast lesions
Background: Male breast lesions are less common than female breast lesions, which include non-neoplastic inflammatory, benign and malignant neoplastic lesions. Aim: To study the clinico-pathological characteristics of br...
Comparative evaluation study between cytological and histopathological grading of Breast carcinoma
Background and Objectives: Assigning cytological grade to breast carcinoma guide neo adjuvant chemotherapy and prognosis. To grade the breast carcinoma on Fine needle aspiration cytology using Robinson grading system and...
Histopathological study of lesions of nose, paranasal sinuses and nasopharynx at tertiary care centre
Background: A variety of non-neoplastic and neoplastic conditions involving the nasal cavity, paranasal sinuses (PNS), and nasopharynx are commonly encountered in clinical practice. Due to anatomical proximity of these d...
Study of various hematological disorders by bone marrow aspiration and trephine biopsy
Bone marrow examination is useful for diagnosis of hematological and non-hematological disoders by bone marrow aspiration and trephine biopsy. Out of 52 cases, trephine biopsy was requested in 30 cases and other 22 cases...