| Autor: |
Lapworth, Ruth, Teal, Teresa K |
| Zdroj: |
Annals of Clinical Biochemistry; January 1994, Vol. 31 Issue: 1 p78-84, 7p |
| Abstrakt: |
Blunders which occurred over a 1 year period in the clinical chemistry departments of two health districts were recorded and categorized according to type and detection stage. A blunder was defined as an incident leading to an incorrect result/set of results either being reported or detected at the final checking-out stage in the laboratory. Of the total of 120 blunders—which is a blunder rate of less than 0·1% of requests—53 (44%) were detected at the final checking-out stage. Blunders detected after the report had left the laboratory were divided into those subsequently picked up by laboratory personnel (23); those detected by clinicians (19); and those by external quality assessment schemes (21). The types of blunder were fairly equally distributed between the booking-in (36), analysis (38), and reporting (35) stages of the laboratory process. A formal review of blunders detected in laboratories is a valuable aid to overall performance. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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