预分析阶段错误构成了临床实验室测试中绝大多数错误
Yanchun Lin1, Nicholas C Spies1, Kimberly Zohner2
1Department of Pathology and Immunology, Washington University in St. Louis, St. Louis, MO, USA.
Clinical chemistry and laboratory medicine
|May 1, 2025
概括
临床实验室错误,特别是分析前的错误,仍然是一个重大问题. 这项研究强调了高频率的预分析错误,强调了在实验室测试中需要改进检测和缓解策略的必要性.
科学领域:
- 临床实验室科学 临床实验室科学
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 临床实验室错误可能会危及患者的安全.
- 预分析错误一直被认为是最常见的实验室错误类型.
- 了解当代实践中的错误模式对于质量改进至关重要.
研究的目的:
- 确定临床实验室测试中错误的类型和频率.
- 分析错误在分析前,分析后和分析后阶段的分布.
- 在核心实验室环境中识别最常见的错误类型.
主要方法:
- 从2022年1月到2023年5月,对核心实验室错误的回顾性分析.
- 通过技术干预,事故报告和实验室信息系统 (LIS) 报告收集数据.
- 错误被分为分析前,分析后和分析后阶段; 评估了总体测试量.
主要成果:
- 分析了超过3700万个可计费结果和1100万个标本,记录了87,317个错误.
- 预分析错误占所有错误的98.4%,其中血液溶解是最常见的 (69.6%).
- 除了血液溶解外,分析前的错误仍然占剩余错误的94.6%.
结论:
- 该研究证实,预分析错误是临床实验室测试中占主导地位的错误类型.
- 这些发现与以前的研究一致,强调了分析前变异性持续存在的挑战.
- 加强工具和策略是必要的,以有效地检测和减轻预分析错误.
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