Laboratory Service Process Checklist: Preventive Measures to Increase Blood Glucose Test Accuracy
DOI:
https://doi.org/10.21776/ub.jkb.2021.031.02.15sKeywords:
Laboratory checklist, test accuracy, patient safety.Abstract
The accuracy of the blood glucose test results is an important measure for hospital quality due to its effect on treatment plan, decision and outcome. This study aims to develop checklists model to improve the laboratory results accuracy. The development of the checklist was based on laboratory services process: pre-analytic, analytic, and post-analytic which further implemented for all requests for blood glucose tests during study period (65 examination) in the first week of October 2020. After the implementation, result showed no incidence of test in-accuracy when conformed with patient clinical information. Staff express that the checklist is fast and easy to complete (3-5 minutes), and beneficial. Problem occurs when the workload is high because of limited number of staff at night shift or high patient volume leading to delay in checklist completeness. Therefore, regular monitoring and evaluation was suggested to ensure compliance, in addition to dividing the checklist performed in 2 stages. The pre-analytic stage is carried out first for all patients followed by the analytical and post-analytic stages because these two activities were located in different floor. It can be concluded that the use of checklists is effective as preventive measure increase the conformity of laboratory examination results with patient clinical information.
Keywords: Laboratory checklist, test accuracy, patient safety.
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References
Hawkins R. Managing The Pre- And Post-Analytical Phases Of The Total Testing Process. Annals of Laboratory Medicine. 2012;32(1):5–16.
Dewi DR, and Swastini DA. Clinical Pathology And Majalah Patologi Klinik Indonesia Dan Laboratorium Medik. Indonesian Journal of Clinical Pathology and Medical Laboratory [Internet]. 2010;16(3):136–9.
Agarwal R. Quality-Improvement Measures As Effective Ways Of Preventing Laboratory Errors. Laboratory Medicine. 2014;45(2):e80–8.
Pitchaikaran Arul, Magesh Pushparaj, Kanmani Pandian, Lingasamy Chennimalai, Karthika Rajendran, Eniya Selvaraj SM. Prevalence And Types Of Preanalytical Error In Hematology Laboratory Of A Tertiary Care Hospital In South India. Journal of Laboratory Physicians. 2018;5(1):85–8.
Goswami B, Singh B, Chawla R, and Mallika V. Evaluation Of Errors In A Clinical Laboratory: A One-Year Experience. Clinical Chemistry and Laboratory Medicine. 2010;48(1):63–6.
Da Rin G. Pre-Analytical Workstations: A Tool For Reducing Laboratory Errors. Clinica Chimica Acta [Internet]. 2009;404(1):68–74.
Ashavaid TF, Dandekar SP, Keny B, and Bhambhwani VR. Influence Of Blood Specimen Collection Method On Various Preanalytical Sample Quality Indicators. Indian Journal of Clinical Biochemistry. 2008;23(2):144–9.
Maharjana IBN, Kuswardhani T, and Purwaningsih CII. Checklist Usage As A Guidance On Read-Back Reducing The Potential Risk Of Medication Error. Indonesian Journal of Clinical Pharmacy. 2014;3(2):37–43.
W. A. van Klei, MD, PhD, R. G. Hoff, MD, PhD, E. E. H. L. van Aarnhem M, R. K. J. Simmermacher, MD, PhD, L. P. E. Regli, MD, PhD, T. H. Kappen, MD, L. van Wolfswinkel, MD P, and C. J. Kalkman, MD, PhD, W. F. Buhre, MD, PhD, and L. M. Peelen P. Effects Of The Introduction Of The WHO “ Surgical Safety Checklist †On In-Hospital Mortality. Annals o Surgery. 2012;255(1).
Rizkika S. Hubungan Pengetahuan Dan Sikap Petugas Laboratorium Patologi Klinik Terhadap Penerapan Standard Operating Procedure (SOP) Penanganan Bahan Infeksius Di RSUD Arifin Achmad Provinsi Riau. JOM FK. 2014;1(2).
Natasia N, and Kurniawati J. Faktor Yang Mempengaruhi Kepatuhan Pelaksanaan SOP Asuhan Keperawatan Di ICU-ICCU RSUD Gambiran Kota Kediri Factors Affecting Compliance On Nursing Care SOP Implementation In ICU -ICCU Gambiran Hospital Kediri. Jurnal Kedokteran Brawijaya. 2016;28(1):21–5.
Hidayat T. Analisa Faktor Yang Memengaruhi Kepatuhan Petugas Kusta Dalam Pelaksanaan SOP Pelayanan Kusta Di Puskesmas Kabupaten Sampang Analysis Of Factors Affecting Obedience Officer Leprosy In The Implementation Of Leprosy SOP Services District Puskesmas Sampang. Jurnal Administrasi dan Kebijakan [Internet]. 2012;10(2):68–72.
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