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Aseptic Laboratory Techniques: Volume Transfers with Serological Pipettes and Micropipettors
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Surreptitious pipetting errors on a vendor-programmed liquid handler.

Kelly Britt-Rodriquez1, Jamie Daniel1, Joshua Hayden2

  • 1Medical Technologist, CPA, Louisville, KY, USA.

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|June 3, 2024
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Automated liquid handlers (LHs) can still mis-pipette samples, leading to critical errors. Rigorous laboratory validation is essential to catch these errors and prevent patient harm.

Keywords:
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Area of Science:

  • Laboratory Automation
  • Clinical Diagnostics
  • Biotechnology

Background:

  • Liquid handlers (LHs) are widely adopted in clinical and academic labs for sample preparation.
  • These automated systems aim to reduce errors, particularly mis-pipetting, compared to manual methods.

Observation:

  • This report details two cases of incorrect pipetting by vendor-programmed LHs.
  • The actual pipetted volumes did not match the generated worklists in both instances.

Findings:

  • These discrepancies represent significant near misses with potential for serious patient harm.
  • The errors were not detected during the laboratories' initial validation of the LH systems.

Implications:

  • Laboratories must be vigilant about the potential for mis-pipetting errors with LHs.
  • LH vendors should improve software to ensure worklists accurately reflect pipetted actions.
  • End-users need to implement comprehensive validation protocols covering diverse real-world scenarios.