Mislabled lab specimens
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- This topic has 6 replies, 6 voices, and was last updated 14 years, 2 months ago by
annon.
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April 8, 2008 at 4:05 pm #25619
Has anyone done a recent Lean or Six Sigma proejct looking at mislabled lab specimens? One of our Black Belts did a PDCA in 2005 related to mislabeling of specimens and our numbers are creepping up and many of the processes have changes. We are at the early stages of reveiwing data. Any feedback or assistance would be greatly appreciated.
Thank you!0April 9, 2008 at 7:49 pm #61942
sixsigma78Member@sixsigma78Include @sixsigma78 in your post and this person will
be notified via email.I was involved with a similar project and we have the same problem creep every once in a while. Is your problem related to new people or new hires coming in and causing mis-labeling? that was one of the factors for us
0April 10, 2008 at 1:28 pm #61945Our lab folks are looking at the data, I am not sure at this point if it is realted to new hires. If you have any action plans that you put in place, we would greatly appreciate the help.
Thank you!0April 23, 2008 at 5:27 pm #61963
Kate GillespieParticipant@Kate-GillespieInclude @Kate-Gillespie in your post and this person will
be notified via email.We are starting a DFSS around phlebotomy model of Care due to our % of mislabeled specimens and specimen integrity. Data shows us that the highest percent of occurances are specimens drawn by nursing and non lab assistants. We are kicking off this project in the next couple of weeks.
0April 23, 2008 at 6:13 pm #61964
mark palmerParticipant@mark-palmerInclude @mark-palmer in your post and this person will
be notified via email.I did an FMEA on this a few years ago. We had a significant drop in mislabeled specimens and continue to hold down errors. Please call me sometime and i can explain. 773 880 3079
0April 26, 2008 at 1:49 am #61966There is technology out there to help you with your efforts. Check out http://www.lattice.com. This technology works with your IS to print specimen labels at the bedside to prevent any possibility of labeling errors. The system can also be used for med adminstration and transfusion services.
0April 28, 2008 at 2:19 am #61969I would start be reviewing the control plan in the original CI effort and determine if has been followed and appropriate metrics monitored and controlled. If none is in place, I would go back to root cause analysis before implementing someome’s action/control plan that is not specific to your investigative efforts. Good luck.
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