Vega-Salinas C, Marín-Ponce C, Alliende-Mac-Niven R

Language: Spanish
References: 3
Page: 16-19
PDF size: 228.36 Kb.

ABSTRACT

Introduction: The diversity of variables in the preanalytical phase of laboratory testing makes the control and reduction of errors a very complex process that may result in patient risks. Objective: To highlight the key elements for achieving improvements in the preanalytical phase through the analysis of sample rejection indicators. Materials and methods: This is a descriptive, retrospective study based on information obtained from the Dávila Clinic laboratory during a period of nine years. Results: The continuity in monitoring the indicator allowed objectifying information, reaching an improvement from a rejection rate of 5% in 2005 to a rate of 1.16% in 2013, with significant variations after each improvement intervention. The registry was optimized, from a total of 102 in 2008 to 1,984 in 2013, along with the training of 817 employees and the incorporation of inpatient services in the use of closed sampling system. Conclusions: The decrease in the rejection rate is due to the continued monitoring, and we state that the gap between inpatient and outpatient rejection rate is determined by the use of the vacuum system.

REFERENCES

1. Galban G, Misino S, Van Der WM, Tomassini L, Suarez M. Errores Pre-analíticos (EPA) en el Laboratorio de Guardia del Hospital Interzonal Especializado Materno Infantil (HIEMI) de la Ciudad de Mar del Plata. Bioanálisis. 2007; (13): 1.

2. Norma ISO 15189 versión 2012, Laboratorios Clínicos -Requisitos Particulares para la Calidad y Competencia. Instituto Nacional de Normalización. p. 36.

3. Manual del Estándar General de Acreditación para prestadores institucionales de atención cerrada. Superintendencia de Salud; 2009. p. 82.