I have been preaching this for decades. Yes, labs do make mistakes, but by far the worst and the most mistakes happen before the lab gets the specimen and after the result is reported. Regulatory organizations like the Federal government and the College of American Pathologists pay only a homeopathic level of attention to these glaring defects in the system. From the article: Close to 75% of mistakes occurred in the pre-analytic stage, which #ECRI Institute defined as the time frame in which tests are selected and ordered, specimens are identified and transported, and patients are prepared. These mistakes were more likely to be associated with labels that had the wrong patients name, the wrong specimen ordered, and incomplete or missing information. The other 22% of mistakes occurred in the post-analytic stage, when results were interpreted, reported or stored. Negative events were associated with either missing results, or a delay in getting results to the staff member who ordered them. Thanks to Judy Dilworth for finding and posting this piece. #patientsafety
Posted on: Sun, 27 Apr 2014 17:55:31 +0000
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