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临床检验前分析误差一览:来源与控制措施

Preanalytical Errors in Clinical Laboratory Testing at a Glance: Source and Control Measures.

作者信息

Nordin Nani, Ab Rahim Siti Nadirah, Wan Omar Wan Farhana Azwanee, Zulkarnain Sarah, Sinha Susmita, Kumar Santosh, Haque Mainul

机构信息

Pathology, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Kuala Lumpur, MYS.

Physiology, Khulna City Medical College and Hospital, Khulna, BGD.

出版信息

Cureus. 2024 Mar 30;16(3):e57243. doi: 10.7759/cureus.57243. eCollection 2024 Mar.

Abstract

The accuracy of diagnostic results in clinical laboratory testing is paramount for informed healthcare decisions and effective patient care. While the focus has traditionally been on the analytical phase, attention has shifted towards optimizing the preanalytical phase due to its significant contribution to total laboratory errors. This review highlights preanalytical errors, their sources, and control measures to improve the quality of laboratory testing. Blood sample quality is a critical concern, with factors such as hemolysis, lipemia, and icterus leading to erroneous results. Sources of preanalytical errors encompass inappropriate test requests, patient preparation lapses, and errors during sample collection, handling, and transportation. Mitigating these errors includes harmonization efforts, education and training programs, automated methods for sample quality assessment, and quality monitoring. Collaboration between laboratory personnel and healthcare professionals is crucial for implementing and sustaining these measures to enhance the accuracy and reliability of diagnostic results, ultimately improving patient care.

摘要

临床实验室检测中诊断结果的准确性对于明智的医疗决策和有效的患者护理至关重要。虽然传统上重点一直放在分析阶段,但由于其对总实验室误差有重大影响,现在注意力已转向优化分析前阶段。本综述强调了分析前误差、其来源以及提高实验室检测质量的控制措施。血样质量是一个关键问题,溶血、脂血和黄疸等因素会导致错误结果。分析前误差的来源包括不适当的检测申请、患者准备失误以及样本采集、处理和运输过程中的错误。减轻这些误差包括协调工作、教育和培训计划、样本质量评估的自动化方法以及质量监测。实验室人员与医疗专业人员之间的合作对于实施和维持这些措施以提高诊断结果的准确性和可靠性至关重要,最终可改善患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/10981510/831f51f006cd/cureus-0016-00000057243-i01.jpg

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