Patient Safety &amp; Post-analytical Error

Walz, Stacy E.; Darcy, Teresa P.

doi:10.1016/j.cll.2012.10.001

Cited by 24 publications

(18 citation statements)

References 38 publications

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“…First, in laboratory medicine, quality control of the postanalytic phase has to cover result reporting. 2 There must be the system to validate the correctness of the results in the IT system. Second, privacy and data protection become important issues.…”

Section: Re: Patient Preferences For Receiving Reports Of Test Resultsmentioning

confidence: 99%

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Re: Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care

Kessler

Hitt

2016

The Journal of the American Board of Family Medicine

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Section: Re: Patient Preferences For Receiving Reports Of Test Resultsmentioning

confidence: 99%

“…As we try to identify the core elements of integrated behavioral care, there are those who suggest that co-locating a clinician in a primary care practice is necessary, but is not sufficient to be considered integrated care. 2,3 There The authors of the original article are in agreement with the authors and declined to comment.…”

mentioning

confidence: 97%

Re: Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care

Kessler

Hitt

2016

The Journal of the American Board of Family Medicine

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“…To provide services across a broad continuum and to perform increasingly complex tests, laboratories require sophisticated medical technologies and highly qualified staff [1]. Faced with this growing complexity, treating physicians must be able to rely on consistent clinical support provided by laboratory medicine specialists, much like radiologists and pathologists [5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Missing laboratory results may have considerable consequences for patients and are due to several factors: (1) the systems and practices used to monitor test results, (2) the management of critical results, and (3) care transitions across settings [10]. To prevent medical errors [8], medical laboratories have deployed laboratory information systems (LIS) with user-friendly interfaces, etracking tools and electronic alerts [5,11], computerized physician order entry (CPOE), and clinical decision support capabilities [12]. These systems empower laboratory specialists to enhance the interpretation of test results in order to better support physicians in their quest for better and safer patient care [5].…”

Section: Introductionmentioning

confidence: 99%

Advancing laboratory medicine in hospitals through health information exchange: a survey of specialist physicians in Canada

Raymond

Maillet

Trudel

et al. 2020

BMC Med Inform Decis Mak

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Background: Laboratory testing occupies a prominent place in health care. Information technology systems have the potential to empower laboratory experts and to enhance the interpretation of test results in order to better support physicians in their quest for better and safer patient care. This study sought to develop a better understanding of which laboratory information exchange (LIE) systems and features specialist physicians are using in hospital settings to consult their patients' laboratory test results, and what benefit they derive from such use. Methods: As part of a broader research program on the use of health information exchange systems for laboratory medicine in Quebec, Canada, this study was designed as on online survey. Our sample is composed of 566 specialist physicians working in hospital settings, out of the 1512 physicians who responded to the survey (response rate of 17%). Respondents are representative of the targeted population of specialist physicians in terms of gender, age and hospital location.Results: We first observed that 80% of the surveyed physicians used the province-wide interoperable electronic health records (iEHR) system and 93% used a laboratory results viewer (LRV) to consult laboratory test results and most (72%) use both systems to retrieve lab results. Next, our findings reveal important differences in the capabilities available in each type of system and in the use of these capabilities. Third, there are differences in the nature of the perceived benefits obtained from the use of each of these two systems. Last, the extent of use of an LRV is strongly influenced by the IT artefact itself (i.e., the hospital's LRV available capabilities) while the use of the provincial iEHR system is influenced by its organizational context (i.e. the hospital's size and location). Conclusions:The main contribution of this study lies in its insights into the role played by context in shaping physicians' choices about which laboratory information exchange systems to adopt and which features to use, and the different perceptions they have about benefits arising from such use. One related implication for practice is that success of LIE initiatives should not be solely assessed with basic usage statistics.

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“…Occurrence of the errors at the pre-and post-analytical phases currently appears to be more vulnerable than the analytical phase [2]. Studies revealed that 46%-68.2% of laboratory errors predominated in the pre-analytical phase, and 18.5%-47% errors recorded in the post-analytical phase of the laboratory testing process [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of continuous quality improvement of tuberculosis and HIV diagnostic services in Amhara Public Health Institute, Ethiopia

Shiferaw¹,

Misganaw

2020

PLoS ONE

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BackgroundUnreliable laboratory results lead to unnecessary tests, procedures or treatments which may harm the patient. Continuous quality improvement (CQI) is a useful objective tool to improve processes and services. The use of quality indicators that meet requirements for effectiveness is an important quality improvement tool. However, the quality of critical aspects of pre-examination, examination, and post-examination processes have not been evaluated in Ethiopia including our setting. Hence, this study aimed to assess the performance of continuous quality improvement of TB and HIV laboratory tests in the Amhara Public Health Institute (APHI). MethodsA cross-sectional study was conducted to evaluate the quality indicators of advanced TB and HIV related laboratory tests in APHI from 01 January to 30 September 2019. HIV viral load, exposed infant diagnosis (EID), GeneXpert and TB culture quality indicators data were used as a quality improvement tool and evaluated in comparison to established targets. Data were extracted from excel database and record review of patient information, and entered and analyzed using SPSS V20 software. ResultsA total of 26,487 samples were received from 01 January to 30 September 2019. The overall specimen rejection rate was 0.43% (115/26,487). Specifically, viral load and TB culture had 0.43% and 1.14% rejection rates, respectively. The highest monthly rejection was documented for TB culture (5.3%) and viral load (2.4%) in September 2019. Centrifugation problems (46.1% [53/115]) and the use of the wrong container (40.9% [47/115]) were the main reasons for the rejections. Moreover, EID test was interrupted for a total of 54 days and 22 days due to reagent stock out and equipment down time, respectively. Similarly, about 82% PLOS ONEPLOS ONE | https://doi.org/10. ConclusionsThere were high rates of TB culture and viral load specimen rejection, and EID test interruptions. The TAT of viral load and EID tests were longer than the targeted goal (10 days) average TAT. Hence, training of sample collectors, functional equipment maintenance systems and supply chain management are recommended for continuous quality improvement. PLOS ONEQuality improvement of tuberculosis and HIV diagnostic services in APHI PLOS ONE | https://doi.org/10.

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Patient Safety & Post-analytical Error

Cited by 24 publications

References 38 publications

Re: Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care

Re: Electronic Health Record Challenges, Workarounds, and Solutions Observed in Practices Integrating Behavioral Health and Primary Care

Advancing laboratory medicine in hospitals through health information exchange: a survey of specialist physicians in Canada

Evaluation of continuous quality improvement of tuberculosis and HIV diagnostic services in Amhara Public Health Institute, Ethiopia

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