Clinical consequences of specimen rejection: a College of American Pathologists Q-Probes analysis of 78 clinical laboratories

Archives of Pathology & Laboratory Medicine
Donald S Karcher, Christopher M Lehman

Abstract

Clinical laboratory specimens may be rejected as unsuitable for analysis for a variety of reasons and specimen rejection may have significant clinical consequences. To quantify the clinical consequences of specimen rejection and determine the impact of laboratories' policies and practices on these consequences. Participants prospectively reviewed consecutive blood and urine specimens submitted to the chemistry and/or hematology laboratories to identify rejected specimens. For each rejected specimen, the patient's age, specimen type, testing priority, rejection reason, time from specimen receipt to receipt of recollected/relabeled specimen, recollection method, and test result time were recorded. Specimen/test abandonment was determined by failure to recollect or relabel a rejected specimen. Each laboratory's policy regarding relabeling of incorrectly labeled specimens was recorded, along with how many relabeled specimens were subsequently discovered to be mislabeled. Specimen rejection led to a (1) high rate of specimen recollection, (2) delay in result availability (median of 65 minutes), and (3) high rate of specimen/test abandonment. Longer test result delay was associated with higher hospital bed size; and higher test aband...Continue Reading

References

Nov 9, 2012·The New England Journal of Medicine·Dean F Sittig, Hardeep Singh

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Citations

Aug 30, 2014·Archives of Pathology & Laboratory Medicine·Peter J HowanitzDonald S Karcher
Jun 2, 2015·Archives of Pathology & Laboratory Medicine·Fernando Gomez
May 12, 2016·Clinica Chimica Acta; International Journal of Clinical Chemistry·Liyun CaoQing H Meng
May 17, 2015·Clinical Chemistry·Christina Ellervik, Jim Vaught
Sep 23, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·María Antonia LlopisMaría Jesús Alsina
Nov 2, 2016·Clinical Chemistry and Laboratory Medicine : CCLM·Mario Plebani
Mar 7, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Caleb ChengShelly De Peralta
Jul 14, 2018·Clinical Chemistry and Laboratory Medicine : CCLM·Ana-Maria SimundicUNKNOWN Working Group for Preanalytical Phase (WG-PRE), of the European Federation of Clinical Chemistry and Laboratory Medicine (EF
Nov 16, 2018·Biochemia Medica·Yuanyuan YeZhiguo Wang
Jan 19, 2021·Journal of Clinical Laboratory Analysis·Fengfeng KangZhiming Shan
Oct 21, 2020·Clinical Chemistry and Laboratory Medicine : CCLM·Thabo MagwaiVerena Gounden
Jun 7, 2021·Joint Commission Journal on Quality and Patient Safety·Poonam GuptaMawahib El Hassan

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