Formato Vancouver:
Parés-Pollán L, González-Quintana A, Docampo-Cordeiro J, Vargas-Gallego C, García-Álvárez G, Ramos-Rodríguez V et al. Utilidad del análisis modal de fallos y efectos para la detección de errores en el transporte de muestras al laboratorio clínico. Rev Calid Asist. 2014 Jul-Aug;29(4):197-203.

PMID: 24725518

Contiene 17 referencias

Objective: Owing to the decrease in values of biochemical glucose parameter in some samples from external extraction centres, and the risk this implies to patient safety; it was decided to apply an adaptation of the «Health Services Failure Mode and Effects Analysis» (HFMEA) to manage risk during the pre-analytical phase of sample transportation from external centres to clinical laboratories.
Materials and methods: A retrospective study of glucose parameter was conducted during two consecutive months. The analysis was performed in its different phases: to define the HFMEA topic, assemble the team, graphically describe the process, conduct a hazard analysis, design the intervention and indicators, and identify a person to be responsible for ensuring completion of each action.
Results: The results of glucose parameter in one of the transport routes, were significantly lower (P=.006). The errors and potential causes of this problem were analysed, and criteria of criticality and detectability were applied (score≥8) in the decision tree. It was decided to: develop a document management system; reorganise extractions and transport routes in some centres; quality control of the sample container ice-packs, and the time and temperature during transportation.

Conclusions: This work proposes quality indicators for controlling time and temperature of transported samples in the pre-analytical phase. Periodic review of certain laboratory parameters can help to detect problems in transporting samples. The HFMEA technique is useful for the clinical laboratory.