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Analytical & Postanalytical Lab Errors

This document discusses errors that can occur in the analytical and post-analytical phases of laboratory testing. It identifies factors that can influence the analytical phase like personnel proficiency, reagent quality and stability, equipment reliability, and documentation. Common analytical errors mentioned include not calibrating test systems, reporting results when controls are out of range, and measurement/preparation errors. The post-analytical phase involves result review, reporting, interpretation and storage. Post-analytic errors can arise from transcription mistakes, sending reports to the wrong location, or not sending reports. The document emphasizes monitoring and maintaining all phases to ensure reliable test results.

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Haitham Ahmed
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448 views15 pages

Analytical & Postanalytical Lab Errors

This document discusses errors that can occur in the analytical and post-analytical phases of laboratory testing. It identifies factors that can influence the analytical phase like personnel proficiency, reagent quality and stability, equipment reliability, and documentation. Common analytical errors mentioned include not calibrating test systems, reporting results when controls are out of range, and measurement/preparation errors. The post-analytical phase involves result review, reporting, interpretation and storage. Post-analytic errors can arise from transcription mistakes, sending reports to the wrong location, or not sending reports. The document emphasizes monitoring and maintaining all phases to ensure reliable test results.

Uploaded by

Haitham Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Analytical&Postanalytical

Lab errors
[Link] Osama Khalil
Analytical phase
Actual performance of the test.

Analytic activities
• Specific reagents .
• Test kits .
• Proper patient information.
• Proper interpretation- include disclaimers.
Factors influencing analytic activities

• Proficiency of personnel.
• Stability, integrity and reliability of
reagents .
• Equipment reliability,
• Specificity and sensitivity of tests .
• Use of appropriate controls .
• Documentation .
• Assessment.
Components of Analytic phase
Monitor, evaluate and maintain this phase
for ensuring reliability of results. This can
be done by :
 Equipment – reliability and maintainence
 Examination procedures
 Quality of examination procedure
Equipment

• Proper installation
• Calibration
• Validation
• Regular maintainance
• Train the operator
Examination procedure

• Standard procedures
• In house – to be validated – references,
interlab comparisons
• Review of all procedures periodically
Analytical Errors
 Test system not calibrated
 Results reported when control results
out of range
 Improper measurements of specimens
and/or reagents
 Reagents prepared incorrectly
 Reagents stored inappropriately or used
after expiration date
 Dilution and pipetting errors
Post Analytical phase
 Results and data review
 Reports
 Interpretation
 Communicate reports to physician
 Storage of specimen
Post analytic activities
Review and evaluate the following:

 Accuracy and completeness of results and


reports
 Disposition of unacceptable specimens
 Referral specimens and their reports
 Corrected reports
Reporting of results
 Release of reports only to the authorized
person
 Timely release of provisional and final
report
 Any value which exceeds the normal limit
must be clearly published, understood and
verbally, electronically or printed form -
when, where, what and to whom was
reported - document it.
Result format:

 Name and address of lab


 Name of patient with gender
 Lab ID number
 Date and time of receipt of sample
 Type of sample
 Name of test requested
 Result with the units
 The normal or reference range of the test
 Interpretation and explanation of the value of result
 Value added textual comments
 Name of the person authorising the release of the
report
 Signature of the person releasing the report
Post-Analytical Error
 Transcription errors in reporting
 Report sent to the wrong location
 Report illegible
 Report not sent
Summary
 Pre-Analytical Errors  Analytical Errors
• 46 – 68.2% • 7 – 13.3 %
• Insufficient sample. • Equipment Malfunction
• Sample condition. • Sample Mix up
• Sample handling. • Interference
• Incorrect Identification.  Post-Analytical
• Incorrect sample. • 18.5 – 47 %
• Reporting and
Interpreting
• Improper date entry

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