Naslov
The quality of the extra-analytical phase of laboratory practice in some less developed European countries and Mexico – multicentric study

Autori
Šimundić, Ana-Maria ; Bilić-Zulle, Lidija ; Nikolac, Nora ; Šupak-Smolčić, Vesna ; Honović, Lorena ; Avram, Sanja ; Beregovaja, Elena ; Dobreanu, Minodora ; Guimaraes, Joao-Tiago ; Kovacs, Gabor L. ; Majkić Singh, Nada ; Sierra-Amor, Rosa Isabel ; Sypniewska, Grazyna ; Zima, Tomas

Izvornik
Clinical chemistry and laboratory medicine (1434-6621) 49 (2011), 2; 215-228

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
errors; extra-analytical quality; laboratory testing; quality; survey

Sažetak
This cross-sectional multicentric survey study aimed to assess the quality of the extra-analytical phase of laboratory activities in some developing European countries and Mexico. We assessed the quality of the extra-analytical practices in participating laboratories regarding the: a) sample acceptance criteria ; b) phlebotomy procedures ; c) test results reporting and d) recording nonconformities. Survey was performed during the April-May 2009. A total of 15 clinical laboratories from the following countries were included: Bosnia, Croatia, Czech Republic, Hungary, Mexico, Poland, Portugal, Romania, Serbia and Ukraine. Questions were scored (scores from 1-4) and average scores was calculated for each category. The overall score for all respondents (N=443) was 3.10±0.33. The average score was 3.11±0.56 for sample acceptance criteria, 2.76±0.58 for phlebotomy and 3.34±0.53, for test results reporting (F=116.49 ; P<0.001). Laboratory accreditation was associated with better practices and higher overall quality of the extra-analytical procedures (F=16.62 ; P<0.001). Moreover, highest scores for sample acceptance criteria (F=8.32 ; P<0.001), phlebotomy procedures (F=13.28 ; P<0.001) and for reporting nonconformities (F=33.62 ; P<0.001) were observed for accredited laboratories or laboratories under preparation for accreditation. The overall quality of the extra-analytical practices in countries in this survey is not satisfactory. Phlebotomy practices are the most critical extra-analytical activity. Since laboratory accreditation was associated with better practices and higher overall quality of the extra-analytical procedures, we believe that the most significant improvement could be made by implementing the total quality management system and standardizing the laboratory procedures.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA