Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals

In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laborato...
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Autor*in:	John C. Lam [verfasserIn] Deirdre L. Church [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Error Quality Patient safety Laboratory medicine Laboratory-associated errors

Übergeordnetes Werk:	In: Clinical Infection in Practice - Elsevier, 2020, 21(2024), Seite 100345-
Übergeordnetes Werk:	volume:21 ; year:2024 ; pages:100345-

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.clinpr.2024.100345

Katalog-ID:	DOAJ095552685

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allfields	10.1016/j.clinpr.2024.100345 doi (DE-627)DOAJ095552685 (DE-599)DOAJe4e05755472a4865bd12e36753aab44e DE-627 ger DE-627 rakwb eng RC109-216 John C. Lam verfasserin aut Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement. Error Quality Patient safety Laboratory medicine Laboratory-associated errors Infectious and parasitic diseases Deirdre L. Church verfasserin aut In Clinical Infection in Practice Elsevier, 2020 21(2024), Seite 100345- (DE-627)1685154093 25901702 nnns volume:21 year:2024 pages:100345- https://doi.org/10.1016/j.clinpr.2024.100345 kostenfrei https://doaj.org/article/e4e05755472a4865bd12e36753aab44e kostenfrei http://www.sciencedirect.com/science/article/pii/S2590170224000050 kostenfrei https://doaj.org/toc/2590-1702 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 21 2024 100345-
spelling	10.1016/j.clinpr.2024.100345 doi (DE-627)DOAJ095552685 (DE-599)DOAJe4e05755472a4865bd12e36753aab44e DE-627 ger DE-627 rakwb eng RC109-216 John C. Lam verfasserin aut Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement. Error Quality Patient safety Laboratory medicine Laboratory-associated errors Infectious and parasitic diseases Deirdre L. Church verfasserin aut In Clinical Infection in Practice Elsevier, 2020 21(2024), Seite 100345- (DE-627)1685154093 25901702 nnns volume:21 year:2024 pages:100345- https://doi.org/10.1016/j.clinpr.2024.100345 kostenfrei https://doaj.org/article/e4e05755472a4865bd12e36753aab44e kostenfrei http://www.sciencedirect.com/science/article/pii/S2590170224000050 kostenfrei https://doaj.org/toc/2590-1702 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 21 2024 100345-
allfields_unstemmed	10.1016/j.clinpr.2024.100345 doi (DE-627)DOAJ095552685 (DE-599)DOAJe4e05755472a4865bd12e36753aab44e DE-627 ger DE-627 rakwb eng RC109-216 John C. Lam verfasserin aut Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement. Error Quality Patient safety Laboratory medicine Laboratory-associated errors Infectious and parasitic diseases Deirdre L. Church verfasserin aut In Clinical Infection in Practice Elsevier, 2020 21(2024), Seite 100345- (DE-627)1685154093 25901702 nnns volume:21 year:2024 pages:100345- https://doi.org/10.1016/j.clinpr.2024.100345 kostenfrei https://doaj.org/article/e4e05755472a4865bd12e36753aab44e kostenfrei http://www.sciencedirect.com/science/article/pii/S2590170224000050 kostenfrei https://doaj.org/toc/2590-1702 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 21 2024 100345-
allfieldsGer	10.1016/j.clinpr.2024.100345 doi (DE-627)DOAJ095552685 (DE-599)DOAJe4e05755472a4865bd12e36753aab44e DE-627 ger DE-627 rakwb eng RC109-216 John C. Lam verfasserin aut Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement. Error Quality Patient safety Laboratory medicine Laboratory-associated errors Infectious and parasitic diseases Deirdre L. Church verfasserin aut In Clinical Infection in Practice Elsevier, 2020 21(2024), Seite 100345- (DE-627)1685154093 25901702 nnns volume:21 year:2024 pages:100345- https://doi.org/10.1016/j.clinpr.2024.100345 kostenfrei https://doaj.org/article/e4e05755472a4865bd12e36753aab44e kostenfrei http://www.sciencedirect.com/science/article/pii/S2590170224000050 kostenfrei https://doaj.org/toc/2590-1702 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 21 2024 100345-
allfieldsSound	10.1016/j.clinpr.2024.100345 doi (DE-627)DOAJ095552685 (DE-599)DOAJe4e05755472a4865bd12e36753aab44e DE-627 ger DE-627 rakwb eng RC109-216 John C. Lam verfasserin aut Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement. Error Quality Patient safety Laboratory medicine Laboratory-associated errors Infectious and parasitic diseases Deirdre L. Church verfasserin aut In Clinical Infection in Practice Elsevier, 2020 21(2024), Seite 100345- (DE-627)1685154093 25901702 nnns volume:21 year:2024 pages:100345- https://doi.org/10.1016/j.clinpr.2024.100345 kostenfrei https://doaj.org/article/e4e05755472a4865bd12e36753aab44e kostenfrei http://www.sciencedirect.com/science/article/pii/S2590170224000050 kostenfrei https://doaj.org/toc/2590-1702 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_21 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 21 2024 100345-
language	English
source	In Clinical Infection in Practice 21(2024), Seite 100345- volume:21 year:2024 pages:100345-
sourceStr	In Clinical Infection in Practice 21(2024), Seite 100345- volume:21 year:2024 pages:100345-
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Error Quality Patient safety Laboratory medicine Laboratory-associated errors Infectious and parasitic diseases
isfreeaccess_bool	true
container_title	Clinical Infection in Practice
authorswithroles_txt_mv	John C. Lam @@aut@@ Deirdre L. Church @@aut@@
publishDateDaySort_date	2024-01-01T00:00:00Z
hierarchy_top_id	1685154093
id	DOAJ095552685
language_de	englisch
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callnumber-first	R - Medicine
author	John C. Lam
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topic_title	RC109-216 Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals Error Quality Patient safety Laboratory medicine Laboratory-associated errors
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title	Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
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title_sort	preventing laboratory error and improving patient safety – the role of non-laboratory trained healthcare professionals
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title_auth	Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
abstract	In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement.
abstractGer	In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement.
abstract_unstemmed	In 2023, the World Health Organization estimates that 1 in every 10 patients experiences harm from unsafe care, with 3 million deaths occurring yearly from the same. Over half the cases of patient harm are preventable and resultant from errors. As 70% of medical decision making involves the laboratory, laboratory medicine is looked upon to improve patient safety. However, laboratory errors are not isolated and unpredictable entities, but rather reflective of the overall healthcare system. Laboratory errors often occur outside the laboratory, as medical testing and procedures are performed by individuals with various levels of quality control training. We describe a case of a specimen labeling error which prolonged a patient’s hospitalization, hindered the medical team’s clinical decision making and increased healthcare cost utilization. We review categories of laboratory errors, outline steps to prevent pre-analytical laboratory errors (defined as those that occur before, during or after specimen collection) and describe metrics to measure quality improvement.
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title_short	Preventing laboratory error and improving patient safety – The role of non-laboratory trained healthcare professionals
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