Izvorni znanstveni članak

https://doi.org/10.11613/BM.2015.005

Ten years of preanalytical monitoring and control: Synthetic Balanced Score Card Indicator

Maria Salinas ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Maite López-Garrigós ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Emilio Flores ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Ana Santo-Quiles ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Mercedes Gutierrez ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Javier Lugo ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Rosa Lillo ; Clinical Laboratory, Hospital Universitario de San Juan, San Juan de Alicante, Spain
Carlos Leiva-Salinas ; Department of Radiology, University of Virginia, Charlottesville, VA, USA

Sažetak

Introduction: Preanalytical control and monitoring continue to be an important issue for clinical laboratory professionals. The aim of the study was to evaluate a monitoring system of preanalytical errors regarding not suitable samples for analysis, based on different indicators; to compare such indicators in different phlebotomy centres; and finally to evaluate a single synthetic preanalytical indicator that may be included in the balanced scorecard management system (BSC).
Materials and methods: We collected individual and global preanalytical errors in haematology, coagulation, chemistry, and urine samples analysis. We also analyzed a synthetic indicator that represents the sum of all types of preanalytical errors, expressed in a sigma level. We studied the evolution of those indicators over time and compared indicator results by way of the comparison of proportions and Chi-square.
Results: There was a decrease in the number of errors along the years (P < 0.001). This pattern was confirmed in primary care patients, inpatients and outpatients. In blood samples, fewer errors occurred in outpatients, followed by inpatients.
Conclusion: We present a practical and effective methodology to monitor unsuitable sample preanalytical errors. The synthetic indicator results summarize overall preanalytical sample errors, and can be used as part of BSC management system.

Ključne riječi

Preanalytical phase; errors in laboratory medicine; balanced scorecard; patient safety

Hrčak ID:

139257

URI

https://hrcak.srce.hr/139257

Datum izdavanja:

15.2.2015.

Posjeta: 1.340 *