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Types and frequency of preanalytical errors in haematology lab
Shashi Upreti1, Sanjay Upreti2, Rani Bansal3
1Assistant Professor , Department of Pathology, Subharti Medical College , Meerut, U.P., India .
Insights
Preanalytical errors in haematology labs occur in approximately 1% of samples. Misidentification was the most frequent error, leading to sample rejection.
Area of Science:
- Clinical Laboratory Science
- Hematology
- Quality Management
Background:
- Preanalytical errors significantly impact laboratory test results and patient care.
- Identifying and quantifying these errors is crucial for improving laboratory efficiency and accuracy.
Purpose of the Study:
- To determine the frequency of preanalytical errors in a clinical haematology laboratory.
- To identify the most common types of preanalytical errors leading to sample rejection.
Main Methods:
- A retrospective analysis of one year of data from a haematology laboratory.
- Inclusion of data from both inpatient (IPD) and outpatient (OPD) departments.
- Systematic scanning and categorization of preanalytical variables.
Main Results:
- A total of 135,808 samples were analyzed.
- Preanalytical errors were identified in 1,339 samples, representing approximately 1% of all samples.
- The highest rejection rate was due to sample misidentification (0.35%), while sample dilution accounted for the least (0.04%).
Conclusions:
- Preanalytical errors represent a significant challenge in haematology laboratory workflows.
- Sample misidentification is a primary driver of preanalytical errors and sample rejections.
- Targeted interventions focusing on sample identification are essential for reducing preanalytical error rates.
Aim:
This study was conducted to evaluate the frequency of the preanalytical errors occurring in a haematology laboratory.
Material And Methods:
A retrospective study was conducted by collecting and analyzing data in duration of one year in the haematology section of the laboratory. Data for all the preanalytical variables according to the predefined categories were scanned. Both IPD and OPD patients were segregated.
Result:
A total of 135808 samples were received in haematology lab during this period, out of which in 1339 samples, preanalytical errors were found, which approximately constituted 1 % of all samples.
Conclusion:
Highest number of samples were rejected due to misidentification, that is 0.35 % and least number were rejected due to dilution of the samples, that is 0.04 %.
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