Comparison of previous reports in indoor patients-a potential tool for internal quality assurance in clinical biochemistry

Parveen Bansal

Abstract


Laboratory testing is an important and integral part of the decision-making process and strongly influences medical diagnosis and therapies. Normally the extraneous results in a clinical report raise a doubt towards the quality assurance program of a laboratory. This communication is intended to highlight the potential use of previous reports of indoor patient in an indoor hospital laboratory as a tool for quality assurance. In this study approximately 10% of the doubtful reports were picked up randomly and the results were compared with the earlier reports of the patient retrieved from database. The study revealed that there was a significant reduction of more than 80% in the test repeats resulting in decrease in expenses on repeat tests (80%).There was a significant average reduction of time and human resource investment, decrease in the instrument working hours and increased workflow efficiency due to reduction in the test repeats. Moreover there was an increase in the confidence level of consultant towards quality control program and authenticity of the reports.

Keywords


Clinical Diagnosis; Therapies; Databases.

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References


Raslich MA, Markert RJ, Stutes SA, Selecting and interpreting diagnostic tests, Biochem Med., 2007, 17, 151-161.

Singh B, Goswami B, Gupta V, Chawla R, Mallika V, Application of Sigma Metrics for the Assessment of Quality Assurance in Clinical Biochemistry Laboratory in India: A Pilot Study, Indian Journal of Clinical Biochemistry, 2011, 26(2), 131-135.

Chhillar N, Khurana S, Agarwal R, Singh N, Effect of Pre-Analytical Errors on Quality of Laboratory Medicine at a Neuropsychiatry Institute in North India, Indian Journal of Clinical Biochemistry, 2011, 26(1), 46-49.

Plebani M, Lippi G, to err is human. To misdiagnose might be deadly, Clin Biochem., 2010, 43, 1-3.

Plebani M, Errors in clinical laboratories or errors in laboratory medicine? Clin Chem Lab Med., 2006, 44(6), 750-759.

Lippi G, Guidi GC, Mattiuzzi C, Plebani M, Preanalytical variability: the dark side of the moon in laboratory testing, Clin Chem Lab Med., 2006, 44, 358-365.

Lippi G, Guidi GC, Risk management in the preanalytical phase of laboratory testing, Clin Chem Lab Med., 2007, 45, 720-727.

Lippi G, Governance of preanalytical variability: travelling the right path to the bright side of the moon? Clin Chim Acta, 2009, 404, 32-36.

Plebani M, Laboratory errors: How to improve pre- and post-analytical phases? Biochem Med., 2007, 17, 5-9.

Favaloro EJ, Lippi G, Adcock DM, Preanalytical and postanalytical variables: the leading causes of diagnostic error in hemostasis? Semin Thromb Hemost, 2008, 34, 612-634.

Plebani M, The detection and prevention of errors in laboratory medicine, Ann Clin Biochem., 2010, 47, 101-110.

Bonini PA, Plebani, M, Ceriotti F, Rubboli F, Errors in laboratory medicine, Clin. Chem., 2002, 48, 691-698.

Lippi G, Guidi GC, Mattiuzzi C, Plebani M, Pre-analytical variability: the dark side of the moon in laboratory testing, Clin. Chem. Lab. Med., 2006a, 44, 358-365.

Lippi G, Bassi A, Brocco G, Montagnana M, Salvagno GL, Guidi GC, Preanalytical error tracking in a laboratory medicine department: Results of a 1 year experience, Clin. Chem., 2006b, 52, 1142-1143.

Da Rin G, Pre-analytical workstations: a tool for reducing laboratory errors, Clin Chim Acta., 2009, 404(1), 68-74.

Manochiopinij S, Sirisali K, Leelahakul P, Effects of non-analytical factors on the quality of laboratory results, Southeast Asian J Trop Med Public Health, 1999, 30(3), 50-53.

Hagemann P, The importance of pre-analytics, Ther Umsch, 2008, 65(9), 539-544.

Stolz H, Dobler B, Keller F, Steigerwald U, Workflow and cost analysis on modular analytics, Clin. Lab., 2003, 49(3-4), 99-102.




DOI: http://dx.doi.org/10.21746/ijbio.2012.10.005

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