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(P)Laboratory Diagnostic Errors Flashcards

1
Q

depend heavily on laboratory test results, yet errors can occur at any at any stage

A

Medical Diagnoses

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2
Q

TOF

Knowing the causes
and types of errors can help reduce their occurrence.

A

T

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3
Q

Occurs before testing

A

Pre-analytic errors

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4
Q

Occur during testing

A

Analytical Errors

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5
Q

Occur after tasting

A

kabaklaan (Post-Analytical Errors)

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6
Q

Accounts for 46-68% laboratory errors

A

Pre-analytic errors

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7
Q

Accounts for 7-13% laboratory errors

A

Analytic errors

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8
Q

Accounts for 18-47% lab errors

A

Post-analytic errors

ranks second (pre ang first)

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9
Q

CAUSES OF LABORATORY DIAGNOSTIC ERRORS

inaccurate patient identification;
ordering the wrong test

A

Pre-Analytical Errors

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10
Q

CAUSES OF LABORATORY DIAGNOSTIC ERRORS

improper specimen collection & transportation, and receipt handling and preparation of sample

A

Pre-Analytical Errors

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11
Q

CAUSES OF LABORATORY DIAGNOSTIC ERRORS

instrumentation problems and
human errors during testing

A

Analytical Errors

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12
Q

CAUSES OF LABORATORY DIAGNOSTIC ERRORS

inappropriate samples e.g. incorrect blood tubes for particular analyses, calibration errors, instrument malfunctions, the presence of interfering substances, and the failure to verify the results

A

Analytical Errors

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13
Q

CAUSES OF LABORATORY DIAGNOSTIC ERRORS

result interpretation and communication errors reports being sent to the wrong health care provider

A

Post-Analytical Errors

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14
Q

CAUSES OF LABORATORY DIAGNOSTIC ERRORS

  • long turnaround times,
  • missing reports,
  • improper interpretation of test results by healthcare providers
A

Post-Analytical Errors

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15
Q

In one particular study that was done in hematology and the chemical pathology section or the chemistry section, what was the number 1 pre-analytic error observed?

A

unlabeled sample

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16
Q

List other errors observed in the study done in hematology and chemical pathology apart from unlabeled samples

A
  • clotted sample
  • samples that are diluted
  • wrong medical record number
  • samples that are
    hemolyzed
  • incorrect tube/ QNS
  • wrong anticoagulant to blood ratio
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17
Q

In the article presented, how many diagnostic errors are recorded each year?

A

18 million/yr

slay purr

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18
Q

TOF

Diagnostic errors are not a major concern and shouldn’t be addressed

A

F

sis?

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19
Q

COMMON ERRORS IN PRE-ANALYTICAL PHASE

E-request, Label (Bar Coding) All
Sample

match the preventive act with the error

A

Missing sample and
or test result

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20
Q

COMMON ERRORS IN PRE-ANALYTICAL PHASE

  • Proper ID of patient
  • Use Patient or Hospital Name Tag
  • Ask for Assistance from nurse or Patient’s Watcher

match the preventive act with the error

A

Wrong or missing
identification of
patient

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21
Q

COMMON ERRORS IN PRE-ANALYTICAL PHASE

Monitor blood transfusion

match the preventive act with the error

A

Contamination from
infusion route

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22
Q

COMMON ERRORS IN PRE-ANALYTICAL PHASE

  • Trained phlebotomist
  • Clean and dry test tube and use
    disposable syringe

match the preventive act with the error

A

Hemolyzed, Clotted,
and insufficient
sample

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23
Q

COMMON ERRORS IN PRE-ANALYTICAL PHASE

  • Use the Right test tube with appropriate anticoagulant with the right test requested
  • Use a sterile container if required

match the preventive act with the error

A

Inappropriate
Containers

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24
Q

COMMON ERRORS IN PRE-ANALYTICAL PHASE

  • Check the vacuum of the test tube
  • Fill-in the test-tube with blood according to the required amount

match the preventive act with the error

A

Inappropriate blood
to anticoagulant
ratio

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25
# COMMON ERRORS IN PRE-ANALYTICAL PHASE Appropriate handling and storage of sample | match the preventive act with the error
Inappropriate transport and storage conditions
26
Actual performance of the laboratory test
ANALYTICAL PHASE
27
Validation of the result and the release of the result for review.
ANALYTICAL PHASE
28
# TOF Advances in pre-analytical techniques, laboratory instrumentation, and automation have improved analytical quality resulting in a significant increase in error rates
F * advances in analytical techniques * significant decrease in error rates
29
# ANALYTICAL ERRORS errors such as incorrect manual pipetting
Technologist Errors
30
# ANALYTICAL ERRORS Important for accurate results. Failure to do this activity properly can lead to inaccuracies.
Instrument Calibration
31
# ANALYTICAL ERRORS Proper quality control of reagents is essential to ensure accurate lab results.
Reagent Quality Control
32
# COMMON ERRORS IN ANALYTICAL PHASE Familiarize
Sample Lost Sample Mix up Equipment Failure Analytical Error Invalid Result and No delta check done
33
# PRE/ANA/POST? Sample Lost
Ana
34
# PRE/ANA/POST? Sample Mix up
Ana
35
# PRE/ANA/POST? Equipment failure
Ana
36
# PRE/ANA/POST? Invalid Result and No delta check done
Ana
37
The final phase of the total testing process
POST-ANALYTICAL PHASE
38
Involves evaluation of laboratory test results
POST-ANALYTICAL PHASE
39
* Release of test results in a timely manner to appropriate individuals * Particularly critical results
Post Analytical Phase
40
Modification, annotations, or revocation of results as necessary to support clinical decision-making
POST-ANALYTICAL PHASE
41
# PRE/ANA/POST? Test Result lost
POST
42
# PRE/ANA/POST? Turnaround time
POST
43
# PRE/ANA/POST? Transcription error
Post
44
# PRE/ANA/POST? Incorrect interpretation
Post
45
# STARTEGIES FOR ERROR PREVENTION includes effective internal audits, which helps detect and prevent errors.
Implementing Quality Control Measure
46
# STARTEGIES FOR ERROR PREVENTION increases staff knowledge and abilities, reducing the risk of errors.
Regular Training and Competency Assessments
47
# STARTEGIES FOR ERROR PREVENTION Enhancing the communication of laboratory results to healthcare providers can improve patient care and safety
Improves Communication within the Healthcare Team
48
# STARTEGIES FOR ERROR PREVENTION can help prevent errors and increase efficiency in the lab.
Using Advance Technologies
49
# TOF Involvement of regulatory agencies in laboratory operations limits compliance with quality standards
F (can help ensure compliance)
50
# QUALITY ASSURANCE AND ACCREDITATION What are the accreditation programs that can enable laboratories to establish and maintain quality systems.
CLIA and ISO 15189
51
# IMPORTANCE OF QUALITY CONTROL AND STANDARIZATION IN LABORATORIES A crucial component of lab work to ensure accurate results.
QC
52
# IMPORTANCE OF QUALITY CONTROL AND STANDARIZATION IN LABORATORIES Discourages variability between different laboratories and ensures that results can be compared.
Standardization
53
# IMPORTANCE OF QUALITY CONTROL AND STANDARIZATION IN LABORATORIES International organizations have taken significant steps to promote quality control and standardization in laboratories
National and Global Initiatives
54
# IMPORTANCE OF QUALITY CONTROL AND STANDARIZATION IN LABORATORIES What are the significant steps undertaken by int'l organization to promote QC and standardization in labs?
establishing standard operating procedures (SOPs) and reference materials.
55
# FUTURE OF DIAGNOSING WITH THE IMPLEMENTATION TECHNOLOGY Technology can more accurately and efficiently analyze large amounts of data and images.
Improved accuracy and efficiency
56
# FUTURE OF DIAGNOSING WITH THE IMPLEMENTATION TECHNOLOGY Objective and consistent results of the operator or location
Reduced Variability
57
# FUTURE OF DIAGNOSING WITH THE IMPLEMENTATION TECHNOLOGY An early study has proposed that theimplementation of AI technology in pathology could reduce error rates down to 0.5%.
Reduced diagnostic errors
58
gz dis last card if u concrete sequential learner like me and nath.
OA D PA TAPOS CHECK MO LAST TABLE SA SENIOR TRANSES MWAH
59
#CONSEQUENCES OF DIAGNOSTIC ERRORS# Diagnostics errors can lead to inappropriate treatment, delayed diagnosis, and unnecessary procedures.
Patient Harm
60
#CONSEQUENCES OF DIAGNOSTIC ERRORS# Diagnostic errors result in the misuse of healthcare resources, resources, including unnecessary medical tests and procedures.
Financial cost
61
#CONSEQUENCES OF DIAGNOSTIC ERRORS# Diagnostic errors can leave patients feeling dismissed or let down.
Psychological Impact

Lab Man (8 decks)

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