Status of Pre-analytical Quality Management of Laboratory Tests at Primary Clinics in Korea
10.3343/alm.2023.43.5.493
- Author:
Jeonghyun CHANG
1
;
Jinsook LIM
;
Jae-Woo CHUNG
;
Yong-Hak SOHN
;
Min Joong JANG
;
Sollip KIM
Author Information
1. Department of Laboratory Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea
- Publication Type:Original Article
- From:Annals of Laboratory Medicine
2023;43(5):493-502
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
