Banks Peter, Brown Richard, Laslowski Alex, Daniels Yvonne, Branton Phil, Carpenter John, Zarbo Richard, Forsyth Ramses, Liu Yan-Hui, Kohl Shane, Diebold Joachim, Masuda Shinobu, Plummer Tim, Dennis Eslie
Medical Affairs, Ventana Medical Systems Inc., Tucson, AZ.
Laboratory Services, Memorial Hermann Southeast Hospital, Houston, TX.
Lab Med. 2017 May 1;48(2):195-201. doi: 10.1093/labmed/lmw068.
Anatomic pathology laboratory workflow consists of 3 major specimen handling processes. Among the workflow are preanalytic, analytic, and postanalytic phases that contain multistep subprocesses with great impact on patient care. A worldwide representation of experts came together to create a system of metrics, as a basis for laboratories worldwide, to help them evaluate and improve specimen handling to reduce patient safety risk.
Members of the Initiative for Anatomic Pathology Laboratory Patient Safety (IAPLPS) pooled their extensive expertise to generate a list of metrics highlighting processes with high and low risk for adverse patient outcomes.
: Our group developed a universal, comprehensive list of 47 metrics for patient specimen handling in the anatomic pathology laboratory. Steps within the specimen workflow sequence are categorized as high or low risk. In general, steps associated with the potential for specimen misidentification correspond to the high-risk grouping and merit greater focus within quality management systems. Primarily workflow measures related to operational efficiency can be considered low risk.
Our group intends to advance the widespread use of these metrics in anatomic pathology laboratories to reduce patient safety risk and improve patient care with development of best practices and interlaboratory error reporting programs.
解剖病理学实验室工作流程由3个主要标本处理过程组成。在该工作流程中，包括分析前、分析和分析后阶段，这些阶段包含多个对患者护理有重大影响的子过程。来自世界各地的专家齐聚一堂，创建了一个指标体系，作为全球实验室的基础，以帮助他们评估和改进标本处理，降低患者安全风险。
解剖病理学实验室患者安全倡议组织（IAPLPS）的成员汇聚其广泛的专业知识，生成了一份指标清单，突出了对患者不良结局风险高和低的过程。
我们小组制定了一份通用、全面的清单，包含47个解剖病理学实验室患者标本处理指标。标本工作流程序列中的步骤分为高风险或低风险。一般来说，与标本误识别可能性相关的步骤属于高风险类别，在质量管理体系中应给予更多关注。主要与运营效率相关的工作流程措施可被视为低风险。
我们小组打算推动这些指标在解剖病理学实验室中的广泛应用，通过制定最佳实践和实验室间错误报告程序来降低患者安全风险，改善患者护理。
