Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals

In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laborato...

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Main Authors: John C. Lam, Deirdre L. Church
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Clinical Infection in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590170224000050
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author John C. Lam
Deirdre L. Church
author_facet John C. Lam
Deirdre L. Church
author_sort John C. Lam
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description In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement.
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spelling doaj.art-e4e05755472a4865bd12e36753aab44e2024-03-05T04:30:54ZengElsevierClinical Infection in Practice2590-17022024-01-0121100345Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionalsJohn C. Lam0Deirdre L. Church1Division of Infectious Diseases, Department of Medicine, University of California Los Angeles, Los Angeles, CA, United States; Corresponding author at: Division of Infectious Diseases, Department of Medicine, 911 Broxton Avenue, Suite 301, Los Angeles, CA 90024, United States.Division of Infectious Diseases, Department of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, CanadaIn 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement.http://www.sciencedirect.com/science/article/pii/S2590170224000050ErrorQualityPatient safetyLaboratory medicineLaboratory-associated errors
spellingShingle John C. Lam
Deirdre L. Church
Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
Clinical Infection in Practice
Error
Quality
Patient safety
Laboratory medicine
Laboratory-associated errors
title Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
title_full Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
title_fullStr Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
title_full_unstemmed Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
title_short Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
title_sort preventing laboratory error and improving patient safety the role of non laboratory trained healthcare professionals
topic Error
Quality
Patient safety
Laboratory medicine
Laboratory-associated errors
url http://www.sciencedirect.com/science/article/pii/S2590170224000050
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