Ten years of preanalytical monitoring and control: Synthetic Balanced Score Card Indicator

Preanalytical control and monitoring continue to be an important issue for clinical laboratory professionals. The aim of the study was to evaluate a monitoring system of preanalytical errors regarding not suitable samples for analysis, based on different indicators; to compare such indicators in different phlebotomy centres; and finally to evaluate a single synthetic preanalytical indicator that may be included in the balanced scorecard management system (BSC). We collected individual and global preanalytical errors in haematology, coagulation, chemistry, and urine samples analysis. We also analyzed a synthetic indicator that represents the sum of all types of preanalytical errors, expressed in a sigma level. We studied the evolution of those indicators over time and compared indicator results by way of the comparison of proportions and Chi-square. There was a decrease in the number of errors along the years (P<0.001). This pattern was confirmed in primary care patients, inpatients and outpatients. In blood samples, fewer errors occurred in outpatients, followed by inpatients. We present a practical and effective methodology to monitor unsuitable sample preanalytical errors. The synthetic indicator results summarize overall preanalytical sample errors, and can be used as part of BSC management system..

Medienart:

Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Biochemia medica - 25(2015), 1, Seite 49-56

Sprache:

Englisch

Beteiligte Personen:

Salinas, Maria [VerfasserIn]
López-Garrigós, Maite [Sonstige Person]
Flores, Emilio [Sonstige Person]
Santo-Quiles, Ana [Sonstige Person]
Gutierrez, Mercedes [Sonstige Person]
Lugo, Javier [Sonstige Person]
Lillo, Rosa [Sonstige Person]
Leiva-Salinas, Carlos [Sonstige Person]

Links:

Volltext
www.ncbi.nlm.nih.gov

Themen:

Clinical Laboratory Techniques - methods
Clinical Laboratory Techniques - standards
Diagnostic Errors - prevention & control
Forms and Records Control - standards
Medical Records - standards

doi:

10.11613/BM.2015.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC1962126625