The effectiveness of clinician education on the adequate completion of laboratory test request forms at a tertiary hospital
| Autor: | O Afolabi, ID Osegbe, Chinelo P Onyenekwu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Laboratory audit business.industry Clinician education General Medicine Audit 030204 cardiovascular system & hematology Laboratory quality Test (assessment) 03 medical and health sciences Laboratory test 0302 clinical medicine Nursing Family medicine medicine Educational strategy Chemical pathology Original Article Laboratory.test request Laboratory test request forms 030212 general & internal medicine University teaching Clinician education Laboratory audit Laboratory quality Laboratory test request forms Preanalytical errors business Preanalytical errors |
| Zdroj: | Annals of Medical and Health Sciences Research Annals of Medical and Health Sciences Research; Vol 6, No 2 (2016); 90-94 |
| ISSN: | 2141-9248 |
| Popis: | Background: Inadequately completed laboratory test request forms contribute to preanalytical errors and limit the advice of pathologists when interpreting laboratory test results. Educating clinicians about this has been proposed by several studies as a strategy to reduce the occurrence.Aim: We aimed to determine the effectiveness of such education on the prevalence ofadequately completed laboratory test request forms.Subjects and Methods: This was a quasi‑experimental study conducted at the chemical pathology laboratory of the Lagos University Teaching Hospital, Nigeria. Incoming laboratory request forms were audited for a period of 1 month looking out for eight data variables. Subsequently, intensive clinician education was undertaken via seminars, publications, and orientation programs on 670 clinicians for 6 weeks duration. After that, a repeat audit for the same data variables was conducted for another period of 1 month. A Z‑test of significance for the comparison of independent proportions was conducted for form errors pre‑ and post‑intervention. Results: Error rates for missing variables pre‑ and post‑clinician education were: Name pre = 0 (0%), post = 0 (0%); age pre = 330 (21.6%), post = 28 (1.9%), P < 0.001; gender pre = 64 (4.2%), post = 53 (3.6%), P = 0.37; hospital number pre = 848 (55.6%), post = 524 (35.3%), P < 0.001; clinician name pre = 165 (10.8%), post = 64 (4.3%), P < 0.001; ward/clinic pre = 311 (20.4%), post = 235 (15.8%), P < 0.01; clinical diagnosis pre = 220 (14.4%), post = 33 (2.2%), P < 0.001; specimen type pre = 169 (11.1%), post = 116 (7.8%), P < 0.01, respectively. Conclusion: There was an improvement in the inadequate completion of laboratory request forms after clinicians were educated on proper completion using various interactive media, showing that it is an effective strategy. However, further studies are required to identify which educational strategy is most effective in reducing error rates in laboratory test request forms.Keywords: Clinician education, Laboratory audit, Laboratory quality, Laboratory test request forms, Preanalytical errors |
| Databáze: | OpenAIRE |
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