LABORATORY ERRORS - IMPLICATIONS ON CLINICAL CARE
Dr.T.V.Rao MD
Post graduate topic for discussion in Laboratory Medicine and Critical Care Medicine in Afro Asian web resources
DEFINING LABORATORY ERROR – as Dictionary by FARLEX
Any error made by the personnel in a clinical laboratory in performing a test, interpreting data, or reporting or recording the results. Laboratory error must always be considered a possible explanation for findings that are at variance with the composite clinical condition of the patient or are widely divergent from previous laboratory tests. The general procedure is to repeat the test when an abnormal result is found.
Although tens of thousands of people around the world suffer harm, many times disabling, and even die because of unsafe acts in health care, in the past the Clinicians were taking much responsibility and matters of omission and commission was lying with treating physicians we as laboratory personal had little infrastructure and resources to do many investigations, with progress of clinical care, the treating physicians must dependent on laboratory investigations taking critical decisions. Since many decades western medicine identified that laboratories are source of scientific information and made a great impact on the developed countries, Laboratory medicine is a substantial part of health care systems. It is essential for many decision-making tasks by doctors, nurses and other health professionals, and is related to prevention, diagnosis, treatment, management of illnesses and patients' rehabilitation. WHAT IS A LABORATORY ERROR IN CLINICAL CARE - Error is the difference between the true result (or accepted true result) and the measured result? If the error in an analysis is large, serious consequences may result. A patient may undergo expensive and even dangerous medical treatment based on an incorrect laboratory result may implement costly and incorrect modifications to process because of an analytical error. To initiate the Mattress, the science is a progressing a true reality, it just means the matters are never perfect and so also the laboratory which are based on scientific fundamentals, however we do so many investigations in the laboratories some are good, many imprecise and few certainly wrong to the circumstances we work,
Matter need a better understanding in every laboratory
wrong sample collected
sample mislabeled or unlabeled
sample stored inappropriately before testing
sample transported inappropriately
reagents or test kits damaged by improper storage-examination errors What matters to many in the health care, As Laboratory data are extensively used in medical practice; consequently, laboratory errors have a tremendous impact on patient safety. Therefore, programs designed to identify and reduce laboratory errors, as well as, setting specific strategies are required to minimize these errors and improve patient safety,
WHAT BEST WE CAN DO - The laboratory should:
employ an active process for occurrence management and take a positive approach.
try to detect problems early, and take immediate remedial and corrective action.
seek opportunities to identify potential error, thus preventing its occurrence.
keep good records of all problems, investigations, and actions taken.
I we do not focus on errors many litigation and career repercussions happens
Laboratory error is an occurrence or an event that has a negative impact on Laboratory, which includes personnel, product, equipment, or the environment. And interpersonal litigation in the Hospitals we work
UNSUPERVISED LABORATORIES ARE TRUE THREAT IN PATIENT CARE
References – 1Changing trends in laboratory medicine and human care training manual in health care
2 Errors in clinical laboratories or errors in laboratory medicine? Plebani M Clin Chem Lab Med. 2006; Pub Med
Dr.T.V.Rao. MD
Dr.T.V.Rao MD
Post graduate topic for discussion in Laboratory Medicine and Critical Care Medicine in Afro Asian web resources
DEFINING LABORATORY ERROR – as Dictionary by FARLEX
Any error made by the personnel in a clinical laboratory in performing a test, interpreting data, or reporting or recording the results. Laboratory error must always be considered a possible explanation for findings that are at variance with the composite clinical condition of the patient or are widely divergent from previous laboratory tests. The general procedure is to repeat the test when an abnormal result is found.
Although tens of thousands of people around the world suffer harm, many times disabling, and even die because of unsafe acts in health care, in the past the Clinicians were taking much responsibility and matters of omission and commission was lying with treating physicians we as laboratory personal had little infrastructure and resources to do many investigations, with progress of clinical care, the treating physicians must dependent on laboratory investigations taking critical decisions. Since many decades western medicine identified that laboratories are source of scientific information and made a great impact on the developed countries, Laboratory medicine is a substantial part of health care systems. It is essential for many decision-making tasks by doctors, nurses and other health professionals, and is related to prevention, diagnosis, treatment, management of illnesses and patients' rehabilitation. WHAT IS A LABORATORY ERROR IN CLINICAL CARE - Error is the difference between the true result (or accepted true result) and the measured result? If the error in an analysis is large, serious consequences may result. A patient may undergo expensive and even dangerous medical treatment based on an incorrect laboratory result may implement costly and incorrect modifications to process because of an analytical error. To initiate the Mattress, the science is a progressing a true reality, it just means the matters are never perfect and so also the laboratory which are based on scientific fundamentals, however we do so many investigations in the laboratories some are good, many imprecise and few certainly wrong to the circumstances we work,
Matter need a better understanding in every laboratory
wrong sample collected
sample mislabeled or unlabeled
sample stored inappropriately before testing
sample transported inappropriately
reagents or test kits damaged by improper storage-examination errors What matters to many in the health care, As Laboratory data are extensively used in medical practice; consequently, laboratory errors have a tremendous impact on patient safety. Therefore, programs designed to identify and reduce laboratory errors, as well as, setting specific strategies are required to minimize these errors and improve patient safety,
WHAT BEST WE CAN DO - The laboratory should:
employ an active process for occurrence management and take a positive approach.
try to detect problems early, and take immediate remedial and corrective action.
seek opportunities to identify potential error, thus preventing its occurrence.
keep good records of all problems, investigations, and actions taken.
I we do not focus on errors many litigation and career repercussions happens
Laboratory error is an occurrence or an event that has a negative impact on Laboratory, which includes personnel, product, equipment, or the environment. And interpersonal litigation in the Hospitals we work
UNSUPERVISED LABORATORIES ARE TRUE THREAT IN PATIENT CARE
References – 1Changing trends in laboratory medicine and human care training manual in health care
2 Errors in clinical laboratories or errors in laboratory medicine? Plebani M Clin Chem Lab Med. 2006; Pub Med
Dr.T.V.Rao. MD
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