Volume 26, Issue 9 (12-2019)                   RJMS 2019, 26(9): 102-111 | Back to browse issues page

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Momenizadeh E, Riahi L, Nazarimanesh L. The effect of controlling clinical laboratory errors on patients' safety in Markazi province laboratories. RJMS 2019; 26 (9) :102-111
URL: http://rjms.iums.ac.ir/article-1-5659-en.html
Islamic Azad University, Tehran, Iran , l.riahi@srbiau.ac.ir
Abstract:   (4371 Views)
Background: One of the most approaches to coping with medical laboratory errors is the FMEA. The purpose study was to determine the effect of clinical laboratory error on the basis of FMEA on patient safety in laboratories in Markazi province.
Material and Method: The present study was an applied-objective type in terms of quasi-experimental interventional method and for collecting pre-lateral data. The instrument was a standard questionnaire of the WHO patient safety checklist. The statistical population of the study was technical experts of clinical laboratories, which were counted in two groups of intervention and control groups and 71 persons in each group. Data were analyzed by descriptive statistics and Spearman correlation test for correlating variables before, after intervention and Wilcoxon test to determine the effect of clinical laboratory error control on patients' safety.
Results: Using SPSS22 software and according to Spearman, there is a significant correlation between the dimensions of patient's safety before and after intervention (p<0.05). According Wilcoxon test, the effect of clinical laboratory error control on patients' safety and its dimensions, ie, governance and safety of patients (p=0.001, z=6.73), involvement of patients and society (z=-5.83, p=0.001), safe and evidence-based clinical services (p=0.001, z=-6.60) and safe environment (p=0.001, z=-6.109) were approved.
Conclusion: Regarding the effect of controlling laboratory errors on patients' safety, it is suggested that the managers of the laboratories of Markazi province focus on the implementation of the FMEA in order to achieve significant results in long run.
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Type of Study: Research | Subject: Laboratory Sciences

1. 1. Kachalia A, Kaufman SR, Boothman R, Anderson S, Welch K, Saint S, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Int Med. 2010;(4):213-21.
2. 2. Feleming M, Wentzell N. Patient safety culture improvement tool: Development and guidelines for use. Health Care Quart J. 2008;7(3):10-5.
3. 3. Jabbari A, Raisi A, Rostami V. Patient Safety Status in Selected Training Hospitals Affiliated with Isfahan University of Medical Sciences. Health Inf Manage. 2015;12(1):108. [Persian]
4. 4. Nasiripour AA, Raeissi P, Ghaffari F, Maleki M, Jafari M. Designing A Medical Errors Control Model For Tehran University Of Medical Science Hospitals. Payavard. 2014;8(1):44-56. [Persian]
5. 5. Movahhednia S, Partovy SZ, Bastani M, Mahmoodi F. Nurse Managers' perspectives about Reasons for not reporting medical errors in Firoozgar Hospital: 2012. Razi J Med Sci. 2014;21(125):110-118. [Persian]
6. 6. Khalooei A, Malakootian M, Mehdipour Rabouri M. Environmental Health Situation of Public and Private Medical Diagnostic Laboratories in Kerman, 2014. J Saf Promot Inj Prev. 2016;4(1):1338-1342. [Persian]
7. 7. Sorra J, Nieva VF. Hospital Survey on Patient Safety Culture, 2012. 2012 User Comparative Database Report Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0017.
8. 8. Grober ED, Bohnen JM. Defining medical error. Can J Surg. 2005;48:39-44.
9. 9. Kohn L, Corrigan JM, Donaldson MS. To Err Is Human: Building a Safer Health System. Washington, D.C: National Academy Press; 2000. .pp: 10.
10. 10. Carraro P, Plebani. Errors in a stat laboratory: Types and frequencies 10 years later. Clin Chem. 2007;53(1):1338–1342.
11. 11. Chawla R, Goswami B, Tayal D, Mallika V, 2009. Identification of the Types of Preanalytical Errors in the Clinical Chemistry Laboratory. Department of Biochemistry.Pant Hospital, New Delhi, India.
12. 12. Frank HW. Clinical laboratory tests: Which, why, and what do the results mean? Lab Med J. 2009;40(2):105-113.
13. 13. Shams S, Haghi Ashtiani MT, Mohseni A, Irani H, Moradi Z, Tabatabai MA, et al. The rate and causes of post-analytical errors in clinical laboratory of children’s medical center. Razi J Med Sci. 2012;19(96):12-19. [Persian]
14. 14. Plebani M. The detection and prevention of errors in laboratory medicine. Ann Clin Biochem. 2010;47:101–110.
15. 15. Sciacovelli L, Lippi G, Sumarac Z, West J, Garcia Del Pino Castro I, Furtado Vieira K, et al. The IFCC Working Group on laboratory errors and patient safety. Clin Chim Acta. 2009;404(1):79-85.
16. 16. Allen L. Role of a quality management system in improving patient safety—Laboratory aspects. Clin Biochem. 2013;46:1187–1193
17. 17. Capunzo M, Cavallo P, Boccia G, Brunetti L, Pizzuti S. A FMEA Clincal Laboratory Case Study: How to Make Problems and Improvemenets Measurable. Clin Leadersh Manag Rev. 2006;18:37-41.
18. 18. Siddiqi S, Elasady R, Khorshid I, Fortune T, Leotsakos A, Letaief M, et al. Patient Safety Friendly Hospital Initiative: from evidence to action in seven developing country hospitals. Int J Qual Health Care. 2012;24(2):144-51.
19. 19. Asefzade S, Mehrabian F, Nikpey A, Kianmehr S. Assessment of Patient Safety Based on Standards of Patient Safety Friendly Hospitals in Education and Treatment Centers of Rasht City in 2013. RME. 2013;5(1):36-44. [Persian]
20. 20. González Lao E, Salas García A, Figuerola M, Moreno E, Paraire A. Errors of Clinical Laboratory and Its Impact on Patient Safety. Open J Soc Sci. 2017;5(1):243-253.
21. 21. Kavosi Z, Setoodehzadeh F, Fardid M, Gholami M, Khojastefar M, Hatam M, et al. Risk Assessment of the Processes of Operating Room Department using the Failure Mode and Effects Analysis (FMEA) Method. J Hosp. 2017;16(3):57-70. [Persian]

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