公共卫生实验室在分析前阶段确定的不符合项

Q4 Medicine
Roberta Kelly L. Souza, Etienne W. Coan, M. I. Anghebem
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引用次数: 2

摘要

导言:在送到中央公共卫生实验室(Lacen)的实验室检测的分析前阶段发现的不合格,最终导致对公共卫生非常重要的流行病学数据的丢失,并不利于卫生监测。本研究旨在确定Lacen/PR记录的最常见的分析前不符合项,以及初级和区域卫生单位在实验室环境管理(GAL)系统中注册检查时遇到的主要困难。结果:2017年对paran GAL系统数据的分析发现,在同一时期进行的132567次测试中,有9723个不一致的样本被丢弃。最常见的不符合项是:由于筛选期过期而被GAL管理层取消了要求(28%),以及样品不适合要求的分析(28%)。讨论:在确定流程这一阶段的漏洞之后,发现的最大困难是请求正确的测试。结论:数据表明需要加强培训和改进前分析流程,以确保患者安全和流行病学数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonconformities in the pre-analytical phase identified in a public health laboratory
Introduction: The nonconformities detected in the pre-analytical phase of laboratory tests sent to the Central Public Health Laboratories (Lacen) culminate in the loss of epidemiological data of great importance for public health and are detrimental to health surveillance. This study aimed to identify the most frequent pre-analytical nonconformities recorded by Lacen/PR and the major difficulties encountered by the primary and regional health units in the registration of exams in the Laboratory Environment Manager (GAL) system. Results: The analysis of data from the Paraná GAL system in 2017 identified 9,723 discards for disagreeing samples in a total of 132,567 tests performed in the same period. The most frequent nonconformities were: request canceled by the GAL management due to expiration of the screening period (28%), and sample unsuitable for the requested analysis (28%). Discussion: After identifying the vulnerabilities of this stage of the process, the greatest detected difficulty was requesting the correct test. Conclusion: Data indicate the need to strengthen training and improve the pre-analytical process in order to ensure patient safety and epidemiological data.
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来源期刊
Jornal Brasileiro de Patologia e Medicina Laboratorial
Jornal Brasileiro de Patologia e Medicina Laboratorial Health Professions-Medical Laboratory Technology
CiteScore
1.30
自引率
0.00%
发文量
0
审稿时长
20 weeks
期刊介绍: The Jornal Brasileiro de Patologia e Medicina Laboratorial (Brazilian Journal of Pathology and Laboratory Medicine), a continuation of Jornal Brasileiro de Patologia (Brazilian Journal of Pathology), and published quarterly (March, June, September and December) is directed towards the publication of scientific articles that contribute to the development of the area of Laboratory Medicine (Clinical Pathology, Pathology, Cytopathology). It accepts the following categories of articles: original articles, review articles, case reports, short communications, updating articles, letters to editors and reviews.
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