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You receive a urine specimen in the laboratory with a request for a complete uri

ID: 715584 • Letter: Y

Question


You receive a urine specimen in the laboratory with a request for a complete urinalysis. The cup is labeled and you begin your testing. You finish testing and report the results to the ward. Several minutes later, you receive a telephone call from the floor informing you that the urine was reported on the wrong patient. You are told that the cup was labeled incorrectly before it was brought to the laboratory. Answer the following questions:

What is the problem in this case, and what phase of testing did it occur during?

   Would your laboratory’s QC system be able to detect or prevent this type of problem? Why or why not?

Explanation / Answer

THE PROBLEM IN THE CASE ARISES BECAUSE OF THE WRONG LABELLING OF THE CUP IN WHICH ANALYSIS SAMPLE WAS BROUGHT UP.THESE TYPE OF MISTAKES COULD BE AVOIDED IF DOUBLE CHECKING OF THE SAMPLE ARE DONE BEFORE AND AFTER COMPLETION OF THE TEST,TO CHECK WHETHER THE SAMPLE BELONG TO THE SAME PERSON OR NOT.

IT COULD ALSO BE AVOIDED BY GIVING SPECIFIC CODE TO EACH PATIENT INSTEAD OF USING THESE NAME AND USING THAT SPECIFIC CODE IN EACH PROCESS OF SAMPLING AND TESTING.

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