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Error evaluation in the laboratory testing process and laboratory information systems

2021; De Gruyter; Volume: 41; Issue: 1 Linguagem: Croata

10.5937/jomb0-31382

1452-8258

Azila Arifin, Maryati Mohd Yusof,

Quality and Safety in Healthcare

The laboratory testing process consist of five analysis phases featuring the total testing process framework. Activities in laboratory process, including those of testing are error-prone and affect the use of laboratory information systems. This study seeks to identify error factors related to system use and the first and last phases of the laboratory testing process using a proposed framework known as total testing process-laboratory information systems.We conducted a qualitative case study evaluation in two private hospitals and a medical laboratory. We collected data using interviews, observations, and document analysis methods involving physicians, nurses, an information technology officer, and the laboratory staff. We employed the proposed framework and Lean problem solving tools namely Value Stream Mapping and A3 for data analysis.Errors in laboratory information systems and the laboratory testing process were attributed to failure to fulfill user requirements, poor cooperation between the information technology unit and laboratory, inconsistency of software design in system integration, errors during inter-system data transmission, and lack of motivation in system use. The error factors are related to system development elements, namely, latent failures that considerably affected the information quality and system use. Errors in system development were also attributed to poor service quality.Complex laboratory testing process and laboratory information systems require rigorous evaluation in minimizing errors and ensuring patient safety. The proposed framework and Lean approach are applicable for evaluating the laboratory testing process and laboratory information systems in a rigorous, comprehensive, and structured manner.Proces laboratorijskog ispitivanja sastoji se iz pet analitičkih faza u ukupnom procesu analiziranja. Aktivnosti u laboratorijskom procesu uključuju i one koje se odnose na utvrđivanje grešaka i utiču na laboratorijski informacioni sistem. Ovo izučavanje ima za cilj identifikaciju grešaka u odnosu na primenu sistema od prve do poslednje faze ispitivanja u laboratorijskom procesu primenom poznatog informacionog sistema za celokupni proces ispitivanja.Primenili smo kvalitativno izučavanje procesa u dve privatne bolnice i medicinske laboratorije. Podatke smo sakupljali putem intervijua, na osnovu posmatranja i dokumentovanih metoda analiziranja uključuju i lekare, sestre, informacionog stručnjaka i laboratorijsko osoblje. Primenili smo poznati LEAN proces za rešavanje problema koji je poznat kao Value Stream Mapping i A3 za analizu podataka.Greške u laboratorijskom informacionom sistemu i laboratorijskom procesu ispitivanja javljaju se uglavnom zbog loše saradnje između jedinice za informacione tehnologije i laboratorije, zbog lošeg informacionog sistema, prenosa podataka i motivacije za primenu sistema. Greške nastaju i zbog problema u razvoju samog kvaliteta informacionog sistema. Takođe greške su posledica lošeg servisiranja sistema.Kompleksan laboratorijski proces ispitivanja i laboratorijski informacioni sistem iziskuju rigoroznu procenu i kontrolu grašaka i osgiranje sigurnosti pacijenata. Predloženi okvir i primena LEAN postupka su neohodni za procenu procesa laboratorijskog ispitivanja i laboratorijskog informacionog sistema koji moraju da budu rigorozni i sveobuvatni.