Assessing the Total Testing Process in the Clinical Biochemistry Laboratory at Tertiary Care Hospital, Chengalpattu District- A Cross sectional Study

Main Article Content

Preethi S.
Ravi Prasad D.
Ramya S.
V. V. Anantharaman
Kaveri P.

Abstract

Background: In the current healthcare industry, laboratory services have been cited as one of the key processes promoting safe patient care. The diagnostic decision-making process, however, is hampered by errors that occur in the overall testing processes. This study's goal was to evaluate testing errors across the board in the Clinical Bio-Chemistry Laboratory of the Tertiary Care Hospital Laboratory, Chengalpattu.


Methodlogy: A cross-sectional investigation was carried out in the laboratory of a tertiary care hospital, Chengalpattu. Known quality indicators were used to gather all the necessary data. In order to evaluate the data, SPSS version for windows 26 was used. The descriptive data and chi-square were presented using frequencies and cross-tabulations.


Results: 206 samples in total, along with associated lab request forms, were received for examination. Pre-analytical errors made up 4.40 percent of the total errors, and post-analytical errors made up 2.64 percent, according to the examination of the overall distribution of errors. The most frequent pre-analytical errors were incomplete request form filling, followed by patient location and clinical detail. The primary flaw in the post-analytical step of quality assurance is excessive turnaround time.


Conclusion: The current research revealed a comparatively high frequency of errors, raising concerns about the necessity of using quality indicators to gauge errors throughout the entire testing process. Utilizing laboratory standards, hospital laboratory should evaluate the error and implement the necessary corrective action.

Article Details

How to Cite
Preethi S., Ravi Prasad D., Ramya S., V. V. Anantharaman, & Kaveri P. (2022). Assessing the Total Testing Process in the Clinical Biochemistry Laboratory at Tertiary Care Hospital, Chengalpattu District- A Cross sectional Study. Journal of Coastal Life Medicine, 10(3), 557–564. Retrieved from https://www.jclmm.com/index.php/journal/article/view/231
Section
Articles

References

Ambachew S, Adane K, Worede A, Melak T, Asmelash D, Damtie S, et al. Errors in the Total Testing Process in the Clinical Chemistry Laboratory at the University of Gondar Hospital, Northwest Ethiopia. Ethiop J Health Sci. 2018 Mar 1;28(2):235–44.

Chhillar N, Khurana S, Agarwal R, Singh NK. Effect of pre-analytical errors on quality of laboratory medicine at a neuropsychiatry institute in north India. Indian Journal of Clinical Biochemistry. 2011 Jan;26(1):46–9.

Kaur V, Kumar Kare P, Madaan H. Quality Control in a Clinical Laboratory Quality Control in a Clinical Laboratory Advances in Biochemistry & Applications in Medicine [Internet]. Available from: https://www.researchgate.net/publication/335830829

Goswami B, Singh B, Chawla R, Gupta VK, Mallika V. Turn Around Time (TAT) as a benchmark of laboratory performance. Indian Journal of Clinical Biochemistry. 2010;25(4):376–9.

Atay A, Demir L, Cuhadar S, Saglam G, Unal H, Aksun S, et al. Clinical biochemistry laboratory rejection rates due to various types of preanalytical errors. Biochemia Medica. 2014;24(3):376–82.

Plebani M, Astion ML, Barth JH, Chen W, de Oliveira Galoro CA, Escuer MI, et al. Harmonization of quality indicators in laboratory medicine. A preliminary consensus. Clinical Chemistry and Laboratory Medicine. 2014;52(7):951–8.

Agarwal R, Chaturvedi S, Chhillar N, Goyal R, Pant I, Tripathi CB. Role of Intervention on Laboratory Performance: Evaluation of Quality Indicators in a Tertiary Care Hospital. Indian Journal of Clinical Biochemistry. 2012 Jan 7;27(1):61–8.

Olayemi E, Asiamah-Broni R. Evaluation of request forms submitted to the haematology laboratory in a Ghanaian tertiary hospital. Pan African Medical Journal. 2011 Oct 26;8(1).

Malik MF, Khan DA, Ansari WM, Khan FA. Injudicious use of laboratory facilities in tertiary care hospitals at rawalpindi, pakistan: a cross-sectional descriptive study. BMC Health Services Research. 2013 Dec 26;13(1):495.

Addis Z, Wondimagegn T, Tachebele B. Types and frequency of pre-analytical errors at University of Gondar hospital laboratory. El Mednifico Journal. 2015;2:363–5.

Oladeinde BH, Omoregie R, Osakue EO, Onifade AA. Evaluation of laboratory request forms for incomplete data at a rural tertiary hospital in Nigeria. New Zealand Journal of Medical Laboratory Science. 2012;66:39.

Jegede F, Mbah HA, Dakata A, Gwarzo DH, Abdulrahman SA, Kuliya-Gwarzo A. Evaluating laboratory request forms submitted to haematology and blood transfusion departments at a hospital in Northwest Nigeria. African Journal of Laboratory Medicine. 2016 Feb 1;5(1).

Stark A, Jones BA, Chapman D, Well K, Krajenta R, Meier FA, et al. Clinical Laboratory Specimen Rejection—Association With the Site of Patient Care and Patients’ Characteristics: Findings From a Single Health Care Organization. Archives of Pathology & Laboratory Medicine. 2007 Apr 1;131(4):588–92.

Molla H. Frequency Of Specimen Rejection And Associated Factors At St. Paul Hospital Millennium Medical College, Addis ABABA, ETHIOPIA [Internet]. 2014 [cited 2022 Jul 30]. Available from: http://etd.aau.edu.et/handle/123456789/4898

Chawla R, Goswami B, Singh B, Chawla A, Gupta VK, Mallika V. Evaluating Laboratory Performance With Quality Indicators. Labmedicine. 2010;41:297–300.

Ricós C, García-Victoria M, Fuente B de la. Quality indicators and specifications for the extra-analytical phases in clinical laboratory management. Clinical Chemistry and Laboratory Medicine (CCLM). 2004 Jan 7;42(6).

Carraro P, Plebani M. Errors in a Stat Laboratory: Types and Frequencies 10 Years Later. Clinical Chemistry. 2007 Jul 1;53(7):1338–42.