Reducing preanalytical laboratory sample errors through educational and technological interventions英文电子书.pdf

Clin. Lab. 2012;58:XXX-XXX ©Copyright ORIGINAL ARTICLE Reducing Preanalytical Laboratory Sample Errors Through Educational and Technological Interventions ROSA LILLO 1 MARÍA SALINAS 1 MAITE LOPEZ-GARRIGÓS 1 , , , YURENA NARANJO-SANTANA 1 MERCEDES GUTIÉRREZ 1 MARIA DOLORES MARÍN 1 , , , MANUEL MIRALLES 1, JOAQUÍN URIS 2 1 Clinical Laboratory Department, University Hospital of San Juan, Alicante, Spain 2 Department of Public Health, University of Alicante, Alicante, Spain SUMMARY Background: A correct preanalytical phase procedure is critical to get an adequate sample and consequently to achieve the most reliable laboratory results, promoting patient safety. Continuous laboratory staff changes create the need to establish improvement strategies to reduce the error risk. The objective was to show how the numbers of preanalytical errors related to unsuitable samples in a hospital setting decrease following two improvement strategies related to new technology and educational actions and how their effects were measured by monitoring indicators. Methods: Samples were drawn by the laboratory and other hospital departments’ nurses without previous patient appointment, therefore, prior tube preparation was not available before the phlebotomy. Corrective measures for these activities were established: educational program for nurses and a system of custom labels, which correlate each laboratory test in the Lab