Optimizing Laboratory Processes: A Path to Reduced Sample Rejection in Oncology.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sara Ali AlSheidi, Omar Ayaad, Rawan Ibrahim, Salim Nasser AlDhahli, Mohamad Majed, Haitham Mahfoodh AlWaheibi, Razzan Othman Abdullah Al Zadjali, Ossayed Al Awor, Balaqis Hamed Sulaiman Al Faliti, Anjum Osman, Huda Shinoon AlAwaisi, Abdulhamid Mustafa A Turkomani, Ibrahim Hassan Al Haddabi, Khalid Al Baimani
{"title":"Optimizing Laboratory Processes: A Path to Reduced Sample Rejection in Oncology.","authors":"Sara Ali AlSheidi, Omar Ayaad, Rawan Ibrahim, Salim Nasser AlDhahli, Mohamad Majed, Haitham Mahfoodh AlWaheibi, Razzan Othman Abdullah Al Zadjali, Ossayed Al Awor, Balaqis Hamed Sulaiman Al Faliti, Anjum Osman, Huda Shinoon AlAwaisi, Abdulhamid Mustafa A Turkomani, Ibrahim Hassan Al Haddabi, Khalid Al Baimani","doi":"10.18502/ijph.v54i1.17587","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>We aimed to enhance the quality of cancer care by reducing the rate of sample rejection and lowering the incidence of sample mislabeling at the Sultan Qaboos Comprehensive Cancer Care and Research Centre in Muscat, Oman.</p><p><strong>Methods: </strong>We adopted a one-group pretest-posttest quasi-experimental design from the second quarter of 2022 to the first quarter of 2023, assessing key performance indicators related to sample rejection and mislabeling on quarterly basis before and after implementing targeted interventions. The project utilized the FOCUS PDCA framework for systematic implementation and evaluation. Four FOCUS PDCA sessions were conducted involving a multidisciplinary team of ten participants comprising oncologists, nurses, laboratory technicians, quality management experts, and informatics and cyber security department staff. Ethical clearance was obtained from the Institutional Review Board, ensuring adherence to ethical protocols. Interventions included five educational sessions for nurses and physicians, process modifications, and improved communication protocols.</p><p><strong>Results: </strong>Analysis revealed a significant decrease in the rate of rejected samples, declining from 20.85% during Pre-Intervention to 6.05% in the Post Intervention phase. Similarly, the mislabeling rate exhibited a substantial reduction, decreasing from 1.68% to 0.25% over the same period. Statistical analysis using ANOVA confirmed significant differences between intervention phases for both the rejected samples rate (F-value = 12.3458, <i>P-</i>value = 0.002) and the mislabeling rate (F-value = 57.1875, <i>P</i>-value < 0.001).</p><p><strong>Conclusion: </strong>These results underscored the effectiveness of the interventions in improving blood sample collection and management processes, thereby enhancing the reliability of study outcomes.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"155-165"},"PeriodicalIF":1.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787847/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18502/ijph.v54i1.17587","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: We aimed to enhance the quality of cancer care by reducing the rate of sample rejection and lowering the incidence of sample mislabeling at the Sultan Qaboos Comprehensive Cancer Care and Research Centre in Muscat, Oman.

Methods: We adopted a one-group pretest-posttest quasi-experimental design from the second quarter of 2022 to the first quarter of 2023, assessing key performance indicators related to sample rejection and mislabeling on quarterly basis before and after implementing targeted interventions. The project utilized the FOCUS PDCA framework for systematic implementation and evaluation. Four FOCUS PDCA sessions were conducted involving a multidisciplinary team of ten participants comprising oncologists, nurses, laboratory technicians, quality management experts, and informatics and cyber security department staff. Ethical clearance was obtained from the Institutional Review Board, ensuring adherence to ethical protocols. Interventions included five educational sessions for nurses and physicians, process modifications, and improved communication protocols.

Results: Analysis revealed a significant decrease in the rate of rejected samples, declining from 20.85% during Pre-Intervention to 6.05% in the Post Intervention phase. Similarly, the mislabeling rate exhibited a substantial reduction, decreasing from 1.68% to 0.25% over the same period. Statistical analysis using ANOVA confirmed significant differences between intervention phases for both the rejected samples rate (F-value = 12.3458, P-value = 0.002) and the mislabeling rate (F-value = 57.1875, P-value < 0.001).

Conclusion: These results underscored the effectiveness of the interventions in improving blood sample collection and management processes, thereby enhancing the reliability of study outcomes.

优化实验室流程:减少肿瘤样本排斥的途径。
背景:在阿曼马斯喀特的苏丹卡布斯综合癌症护理和研究中心,我们旨在通过降低样本拒收率和降低样本错误标签的发生率来提高癌症护理的质量。方法:采用一组前测后测准实验设计,时间为2022年第二季度至2023年第一季度,在实施针对性干预前后,按季度评估样本拒收和误贴相关关键绩效指标。本项目利用FOCUS PDCA框架进行系统的实施和评价。四次FOCUS PDCA会议涉及一个由10名参与者组成的多学科团队,包括肿瘤学家、护士、实验室技术人员、质量管理专家以及信息学和网络安全部门的工作人员。获得了机构审查委员会的伦理许可,确保遵守伦理协议。干预措施包括针对护士和医生的五次教育课程、流程修改和改进沟通协议。结果:分析显示,拒绝率显著下降,从干预前的20.85%下降到干预后的6.05%。同样,在同一时期内,误标率也大幅下降,从1.68%降至0.25%。方差分析证实不同干预阶段拒绝样本率(f值= 12.3458,p值= 0.002)和错标率(f值= 57.1875,p值< 0.001)存在显著差异。结论:这些结果强调了干预措施在改善血样采集和管理过程中的有效性,从而提高了研究结果的可靠性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信