University of Khartoum

Assessment of the Pre- analytical Stage in the Haematology Laboratory at Soba University Hospital

Assessment of the Pre- analytical Stage in the Haematology Laboratory at Soba University Hospital

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Title: Assessment of the Pre- analytical Stage in the Haematology Laboratory at Soba University Hospital
Author: Babiker, Nehal Omer Abuelhassan
Abstract: Background: Data for monitoring laboratory medicine including haematology in the Sudan is deficient. Audits of practices in haematology laboratories are important in order to provide a sufficient practice and devise strategies that would result in improved quality of health care services. The aim of this study was to assess the pre-analytical stage of laboratory investigations including phlebotomist procedures, Laboratory request forms, specimen handling and processing in the haematology laboratory. Methods: This descriptive cross sectional study was done in August 2014 at haematology laboratory (Soba University Hospital) on 1008 laboratory request forms and blood containers. An international standard checklist was used as guidance for completion of data required . Both interviews and observations to detect defects in the pre analytical phase were conducted. Results :Age and sex of the patients were missing in 12.3% and 13.7% of the forms respectively. Hospital location of the patients was missing in12.2% of the request forms . No clinical details were provided in 39.2% of the forms. Doctors signature( 80.5% ) were more available than doctors name (65.6%).Labeling of specimens was poorly done by phlebotomists/clinicians in all of the specimens containers. 8.2% of the blood samples delivered in the hematology laboratory did not contain the recommended volume of blood, and no use of standardized methods according to International Organization of standardization concerning handling and transportation . Conclusion: This study demonstrated that, the standards of completion of most request forms and blood specimen containers were poor. Essential information required on the forms was often missing. This can lead to limited advice given by the pathologist and may increase the potential for errors. On the other hand; provision of all the information needed on the forms and containers will aid laboratory diagnosis, enhance patient care and save time and resources. There should be closer interaction between clinicians and laboratory personnel to improve quality of services. Rejection of incomplete request forms and samples should be applied, Education of laboratory staff on standard guidelines is recommended.
Description: 72 Pages72 Pages
URI: http://khartoumspace.uofk.edu/123456789/22041


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