Mario Plebani, MD

More documents

Recommendations

Info

No. Of missing resultsType of error Inpatients OutpatientsHemolyzed sample 8494 256Insufficient sample 3256 102Incorrect sample 1824 289Clotted sample 792 80Incorrect identification 287 2Lack of signature (blood group) 266 -Empty tube 238 8Lack or wrong compilation of theaccompanying module 120 -Sample not on ice 75 6Tube broken in the centrifuge 57 36Test not reserved 31 -Urine not acidified 24 -Open container 20 13Module without signature 14 -Urine volume not indicate 5 -
Total errors 64,000• Pre --analytical steps 52%• Analytical steps 5%• Post-analytical steps 43%Bachner P, Boone DJ, et al., 1991
Page 2 and 3: Kohn L.T., Corrigan J.M., Donaldson
Page 4 and 5: ♦ The number of deaths that are r
Page 6 and 7: ♦ The literature on errors in lab
Page 8 and 9: ♦ Most of the studies focus simpl
Page 10 and 11: ♦ Apart from a reluctance in repo
Page 13 and 14: ♦ The new pathophysiologic insigh
Page 15 and 16: LapworthGoldschmidtNuttingPlebani a
Page 17: N° %• Total test requisitions ex
Page 21 and 22: NumberEffectononRiskofpatient carec
Page 23 and 24: (all other testing sites vs hospita
Page 25 and 26: Errors exclusively inside the labor
Page 27 and 28: Wrong Wristband1.1%Illegible Wristb
Page 29 and 30: Missing ID Differing ID Incomplete
Page 31 and 32: DRIVE - Drug in Virtual EnterpriseL
Page 33 and 34: ♦ CBC/Diff reports have become in
Page 36 and 37: Managing the risk of organizational
Page 38 and 39: ♦ There is a need for better defi
Page 40 and 41: ♦ A standard for laboratory error
Page 42 and 43: ♦ An appropriate error detection
Page 44: Scientific SocietiesLaboratory Prof

Mario Plebani, MD

Create successful ePaper yourself

Delete template?

Save as template?