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KMID : 1100720230430050493
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Annals of Laboratory Medicine
2023 Volume.43 No. 5 p.493 ~ p.502
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Status of Pre-analytical Quality Management of Laboratory Tests at Primary Clinics in Korea
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Chang Jeong-Hyun
Lim Jin-Sook
Chung Jae-Woo
Sohn Yong-Hak
Jang Min-Joong
Kim Soll-Ip
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Abstract
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Background: The quality of laboratory test results is crucial for accurate clinical diagnosis and treatment. Pre-analytical errors account for approximately 60%?70% of all laboratory test errors. Laboratory test results may be largely impacted by pre-analytical phase management. However, primary care clinics currently do not have pre-analytical quality management audit systems. We aimed to understand the current status of pre-analytical quality management in laboratory medicine in Korean primary care clinics.
Methods: Questionnaires were designed to focus on essential components of the pre-analytical process of primary care clinics. An online survey platform was used to administer the survey to internal medicine or family medicine physicians in primary care clinics.
Results: A total of 141 physicians provided a complete response to the questionnaire. In 65.2% of the clinics, patient information was hand-labeled rather than barcoded on the specimen bottles; 14.2% of clinics displayed only one piece of patient information (name or identification number), and 19.9% of clinics displayed two pieces of information. Centrifuges were not available in 29.1% of the clinics. Institutions carrying out the National Health Screening Program (NHSP) used more barcode system and had more centrifuges than institutions that did not carrying out the NHSP.
Conclusions: Pre-analytical quality management is inadequate in many primary clinics. We suggest implementation of a mandatory management system, allowing for a pre-analytical quality management to be carried out in primary care clinics.
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KEYWORD
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Quality management, Pre-analytical phase, Primary care, Survey, Laboratory medicine
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