Systematic Assessment of Culture Review As a Tool to Assess Errors in the Clinical Microbiology Laboratory (Report)

Systematic Assessment of Culture Review As a Tool to Assess Errors in the Clinical Microbiology Laboratory (Report)

The detection of clinically significant errors is central to hospital quality improvement efforts. Identification of errors, analysis of their causes, and interventions to prevent recurrence are fundamental principles of improving patient safety. The Joint Commission’s National Patient Safety Goals and Sentinel Event Policy are examples of national efforts designed to improve the quality of patient care. (1) Accurate and timely clinical laboratory test results are essential factors in providing quality patient care. The Joint Commission requires daily supervisory review of patient results (Laboratory Standard QC.1.90); however, review of every result is not required. (1) Laboratories may design their own algorithms to determine which results to review. Although supervisory review of all laboratory results is not required by the College of American Pathologists Laboratory Accreditation Program, it can be used to address the College of American Pathologists phase II question (Microbiology Checklist Question MIC.11100): “Is there a documented system in operation to detect and correct significant clerical and analytical errors, and unusual laboratory results, in a timely manner?” (2) Automated laboratory instruments may have computerized systems for result review; however, human review is required in many circumstances. In the microbiology laboratory, this frequently takes the form of daily review of reported and/or intermediate culture or other test results for completeness and accuracy. The reviewer is often a supervisor or experienced microbiologist.

Systematic Assessment of Culture Review As a Tool to Assess Errors in the Clinical Microbiology Laboratory (Report)

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