The use of indicators in the pre-analytical phase as a laboratory management tool

Introduction:Efficient laboratory services are the basis of modern health systems. Scientific innovations have contributed to substantial improvements in the laboratory environment, but errors still persist. These errors are classified as pre-analytical, analytical and post-analytical, according to...

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Detalhes bibliográficos
Autores: Codagnone,Fabio Triachini, Alencar,Sibelle Mattos Flores, Shcolnik,Wilson, Chaves,Sergio Roberto da Silva, Silva,Luciano Andrade, Henriques,Victor Hugo Oliveira, Spitz,Luana Carrilho
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Recursos:Sociedade Brasileira de Patologia (SBP)
Repositorio:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
Idioma:inglés
OAI Identifier:oai:scielo:S1676-24442014000200100
Acesso em linha:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442014000200100
Access Level:acceso abierto
Palavra-chave:laboratory error
clinical laboratory
quality
laboratory indicators
Descrição
Resumo:Introduction:Efficient laboratory services are the basis of modern health systems. Scientific innovations have contributed to substantial improvements in the laboratory environment, but errors still persist. These errors are classified as pre-analytical, analytical and post-analytical, according to the time of occurrence.Objective:To evaluate the frequency of pre-analytical errors in the clinical laboratory service of a military hospital.Methods:A total of 329,582 tests were performed in the clinical laboratory of Hospital Naval Marcílio Dias (HNMD) from August to October 2012, and pre-analytical errors were documented.Results:The most frequent cause of the observed pre-analytical errors was hemolysis (27.54%), followed by samples not received (25.43%) and insufficient sample volume (18.49%). The samples from the Integrated Home Care Service (SIAD) showed the highest frequency of errors (3.38%), followed by those from the inpatient (0.76%) and the outpatient departments (0.21%).Conclusion:Our study demonstrates the importance of managing laboratory pre-analytical quality in order to ensure service excellence.