ISSN 2348-313X (Print) International Journal of Life Sciences Research ISSN 2348-3148 (online) Vol. 10, Issue 3, pp: (14-18), Month: July - September 2022, Available at: www.researchpublish.com
Reduce Rejected Laboratory Samples and Enhance Specimen Acceptability Yasir A. Ahmed1, Areej Khaled Al-Zahrani2, Reem Abdallah Al-Qhamdi3, Ziyad Fahad Al-Otaibi4, Monerah Mater Wallbi5, Ahlam Abdulrahman Al-Harbi6, Eman Ahmed Sunyur7, Areej Nasser AlRami8, Ahmed Hattan Hattan9, Abdulrhman Mohammed Twhari10, Alanood Khalid Alsaffi11, Buthaynah Abdalrahman Alodhayb12, Dalal Abdullah Alshaikhi13, Abdeah Ebrahim Beshi14 1Corresponding 2
Author, Senior Lab Tech, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
Phlebotomist Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
3 Phlebotomist 4 Pharmacist 5
assistant I, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
Phlebotomist Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA 6
7
Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
Phlebotomist Specialist, KFMC, Riyadh 11525 P.O. Box 59046, KSA
Phlebotomist Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA 8Lab
Tech, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
9Lab
Tech, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
10Lab
Technologist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
11Nurse
Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
12
Phlebotomist Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
13
Phlebotomist Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
14
Phlebotomist Specialist, KFMC PCLM, Riyadh 11525 P.O. Box 59046, KSA
Affiliations: Pathology and Clinical Laboratory Medicine Administration (PCLMA), King Fahad Medical City, Second Central Healthcare Cluster (C2), Riyadh 11525 P.O. Box 59046, Kingdom of Saudi Arabia. DOI: https://doi.org/10.5281/zenodo.6948538
Published Date: 03-August-2022
Abstract: Background: Clinical chemistry specimen rejections cause a delay in the availability of findings, which might affect patient care. The study's objective is to assess sample rejection. Methods: The study measured specimen rejection rates and the contributions of different rejection reasons. The study undertook an intervention to reduce specimen rejection during 2019 intervention period. It compared rejections rates, number of months with rejection rates 1.2%, and distribution of rejection reasons between the two year-long intervals. The study also determined the origin for specimens rejected for the most common rejection reason during one month in the second period. Results: The most common reasons for rejection in hematology and biochemistry areas were clotted blood specimen, improperly labeled specimen containers and hemolyzed blood samples. Conclusions: Using Qualitative Methodology helped to formulate efficient plans to target this issue. reduce the rate of rejected samples. Moreover, the model shed the light on how crucial the pre-analytical phase for laboratory quality improvement process, its effect on cost reduction, and the importance of staff competency and utilization. Keywords: Rejection, Blood samples, pre-analytic error; quality indicators; specimen insufficient; specimen rejections.
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