大型学术医疗中心校正后实验室结果的回顾性分析。
A Retrospective Analysis of Corrected Laboratory Results in a Large Academic Medical Center.
机构信息
Master of Science Clinical Laboratory Management Program, Rush University, Chicago, IL.
Core Laboratory, Department of Pathology, Rush University Medical Center, Chicago, IL.
出版信息
Am J Clin Pathol. 2019 Jul 5;152(2):200-206. doi: 10.1093/ajcp/aqz036.
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.
目的
评估由于检验前、检验中和检验后分析阶段的错误而导致的纠正实验室结果的总数，并确定改善患者护理的领域。
方法
对 6 个月的时间内的修订实验室结果进行回顾性审查。根据部门和导致错误的阶段对修订结果的总数进行分类。
结果
在可报告的 1,278,783 次检测中，共注意到 156 次修订。错误主要发生在检验的检验后阶段；所有修订中有 57.69%（n = 156）被电话通知并记录在护理提供者的病历中。
结论
监测修订后的实验室结果是一个重要的质量指标，有助于确定实验室中需要改进的领域。教育、培训和持续的流程改进举措是实验室质量管理系统的重要组成部分，以限制未来修订的总数。
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