Department of Laboratory Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Department of Laboratory Medicine, Chungnam National University Hospital, Daejeon, Korea.
Ann Lab Med. 2023 Sep 1;43(5):493-502. doi: 10.3343/alm.2023.43.5.493. Epub 2023 Apr 21.
The quality of laboratory test results is crucial for accurate clinical diagnosis and treatment. Pre-analytical errors account for approximately 60%-70% of all laboratory test errors. Laboratory test results may be largely impacted by pre-analytical phase management. However, primary care clinics currently do not have pre-analytical quality management audit systems. We aimed to understand the current status of pre-analytical quality management in laboratory medicine in Korean primary care clinics.
Questionnaires were designed to focus on essential components of the pre-analytical process of primary care clinics. An online survey platform was used to administer the survey to internal medicine or family medicine physicians in primary care clinics.
A total of 141 physicians provided a complete response to the questionnaire. In 65.2% of the clinics, patient information was hand-labeled rather than barcoded on the specimen bottles; 14.2% of clinics displayed only one piece of patient information (name or identification number), and 19.9% of clinics displayed two pieces of information. Centrifuges were not available in 29.1% of the clinics. Institutions carrying out the National Health Screening Program (NHSP) used more barcode system and had more centrifuges than institutions that did not carrying out the NHSP.
Pre-analytical quality management is inadequate in many primary clinics. We suggest implementation of a mandatory management system, allowing for a pre-analytical quality management to be carried out in primary care clinics.
实验室检验结果的质量对于准确的临床诊断和治疗至关重要。分析前误差约占所有实验室检验误差的 60%-70%。实验室检验结果可能会受到分析前阶段管理的很大影响。然而，初级保健诊所目前没有分析前质量管理审核系统。我们旨在了解韩国初级保健诊所检验科分析前质量管理的现状。
问卷设计重点关注初级保健诊所分析前过程的基本组成部分。使用在线调查平台向初级保健诊所的内科或家庭医学医师进行调查。
共有 141 名医师完整回答了问卷。在 65.2%的诊所中，标本瓶上的患者信息是手写标签而不是条形码；14.2%的诊所只显示一条患者信息（姓名或身份证号），19.9%的诊所显示两条信息。29.1%的诊所没有离心机。参与国家健康筛查计划（NHSP）的机构比不参与 NHSP 的机构使用更多的条形码系统和更多的离心机。
许多初级诊所的分析前质量管理不足。我们建议实施强制性管理系统，允许在初级保健诊所进行分析前质量管理。
