Improving clinical outcome - risk management of the preanalytical process in the ISO 15189 accredited medical biochemistry laborator (CROSBI ID 633371)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Flegar-Meštrić, Zlata ; Perkov, Sonja ; Radeljak, Andrea ; Kardum Paro, Mirjana Mariana
engleski
Improving clinical outcome - risk management of the preanalytical process in the ISO 15189 accredited medical biochemistry laborator
Background: Improving quality and patient safety in the medical biochemistry laboratory accredited according to the International Standard (ISO 15189:2012) requires patient-centred evaluation of errors based on implementation of quality indicators (QIs) across the total testing process. Our main goal was risk management of the preanalytical process in a emergency laboratory which had the highest error rate. Methods:. Failure Mode and Effects Analysis (FMEA) was applied to analyse predefined preanalytical QIs and score laboratory failures for the Failure Demerit Value (FDV) Probabality of Failure(FDV) and Probabability of Failure Remedy (PFR). Based on obtained scores (on a 10-point scale) risk priority numbers (RPNs) were calculated. Results: A total of 5 failure modes were identified in the pre-analytic phase. The calculated risks were "sample hemolysis" (RPN, 168), " misidentified samples" (RPN, 162), " samples clotted" (RPN, 90), "sample volume error" (RPN, 72), and "samples transported at inappropriate temperature" (RPN, 24). The activation of corrective risk-reducing measures for failure modes with RPN≥30 resulted in quality improvement with significant decrease in reevaluated RPNs. Conclusions: Observation of evidence–based QIs and patient-centred evaluation of errors through risk analysis with regular tailored education can effectively reduce preanalytical errors in emergency laboratory and improve clinical outcome.
patient outcome; risk management; FMEA; preanalytical process; quality indicators
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Podaci o prilogu
14-14.
2016.
objavljeno
Podaci o matičnoj publikaciji
Quality refelction in Laboratory Medicine
Henk Goldschmidt
Antverpen: Foundation DCT, PO box 4201, 5004 JE Tilburg, The Netherlands
Podaci o skupu
Quality in the Spotlight Conference, 2016
poster
14.03.2016-15.03.2016
Antwerpen, Belgija