Biochemia Medica, Vol. 20 No. 1, 2010.
Izvorni znanstveni članak
Self reported routines and procedures for the extra-analytical phase of laboratory practice in Croatia - cross-sectional survey study
Lidija Bilić-Zulle
orcid.org/0000-0002-4497-6457
; Clinical Department of Laboratory Diagnostics, Rijeka Clinical Hospital Centre, Rijeka, Croatia
Ana-Maria Šimundić
; University Department of Chemistry, Sestre Milosrdnice University Hospital, Zagreb, Croatia
Vesna Šupak Smolčić
; Clinical Department of Laboratory Diagnostics, Rijeka Clinical Hospital Centre, Rijeka, Croatia
Nora Nikolac
; University Department of Chemistry, Sestre Milosrdnice University Hospital, Zagreb, Croatia
Lorena Honović
; Laboratory of Cinical Chemistry, Pula General Hospital, Pula, Croatia
Sažetak
Introduction: Extra-analytical phase is the source of most of the errors in laboratory practice. A cross-sectional survey study was performed among members of Croatian Chamber of Medical Biochemists (CCMB) aimed to investigate the status of extra-analytical phase in Croatia. Materials and methods: Results were collected from members of CCMB (N = 538) using anonymous questionnaire with 20 Likert scaled questions testing self-reported frequency (never = 1, rarely = 2, often = 3, always = 4) of procedures of the pre-analytical phase. Answers were expressed as average score ranging from 1.00 to 4.00 for all questions. Questions were further divided in three groups, which average score was calculated accordingly: criteria of acceptance of sample, procedures of phlebotomy, test results reporting. Question on recording of nonconformities was separately evaluated. Results: The response rate was 27%. Subject were 93% women, 58% medical biochemists with master degree and 42% specialist in medical biochemistry. Type of institution and informatics skills were also recorded. The average overall score was (mean ± standard deviation) 3.12 ± 0.38. There was no difference regarding type of laboratory institution, professional degree or computer skills and no correlation between score and age. Procedures of phlebotomy score (2.83 ± 0.46) achieved the lowest (P < 0.001) out of the three scores calculated (criteria of acceptance of sample: 3.33 ± 0.49; reporting of results 3.19 ± 0.48). Twenty one percent of participants never or rarely record nonconformities, whereas 79% often or always do. Conclusion: Results clearly highlight the urgent need for improving activities in the extra-analytical phase, especially phlebotomy procedures. Reinforced education of all the personnel involved, appropriate recording and monitoring of extra-analytical phase is necessary to reach high quality standards.
Ključne riječi
clinical chemistry tests; extra-analytical phase; quality of health care; questionnaire
Hrčak ID:
47851
URI
Datum izdavanja:
1.2.2010.
Posjeta: 1.882 *