Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)

Introduction: Erroneous laboratory results due to pre-analytical errors may significantly affect patient’s safety and care. In diagnostic laboratory practice, stringent rejection criteria are therefore necessary. On the other hand, sample rejection may delay the turnaround time and decision for pati...

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Main Authors:	Abdullah, Nor Zamzila, Muhammad, Naznin, Santosa, Rahajoe Imam, A.Talib, Norlelawati, Hamdan, Asma Hanim, Mohd Sahir, Anirawati, Sazali, Mohd Zikri, Wan Ahmad, Wan Amirul Afiq, Asri, Nuralisa, Mohamad Rashid, Nor Khalidah
Format:	Conference or Workshop Item
Language:	English English
Published:	2017
Subjects:	RB Pathology
Online Access:	http://irep.iium.edu.my/62204/ http://irep.iium.edu.my/62204/1/MACB%20Conference%202017%20Dr%20Nor%20Zamzila%20pdf.pdf http://irep.iium.edu.my/62204/7/62204_%2027th%20MACB%20Conference%2C%208-9%20May%202017.pdf

id	iium-62204
recordtype	eprints
spelling	iium-622042018-05-18T02:26:51Z http://irep.iium.edu.my/62204/ Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC) Abdullah, Nor Zamzila Muhammad, Naznin Santosa, Rahajoe Imam A.Talib, Norlelawati Hamdan, Asma Hanim Mohd Sahir, Anirawati Sazali, Mohd Zikri Wan Ahmad, Wan Amirul Afiq Asri, Nuralisa Mohamad Rashid, Nor Khalidah RB Pathology Introduction: Erroneous laboratory results due to pre-analytical errors may significantly affect patient’s safety and care. In diagnostic laboratory practice, stringent rejection criteria are therefore necessary. On the other hand, sample rejection may delay the turnaround time and decision for patient care. Inexperience staff combined with unfamiliarity with new hospital setting may contribute to escalate the pre-analytical errors. This is one of the challenges faced by our new hospital. Objective: The aim of this study was to determine the rate, type, cause and time of sample rejections at our laboratory since its operation in October 2016. Material & Methods: All samples received at the common specimen receiving counter, Department of Pathology and Laboratory Medicine, IIUMMC were included. The records of sample rejection were retrieved from the Laboratory Information System and analysed. Results: A total number of 1419 samples were received from October 2016 to March 2017, with 54 rejections (3.8%). The rate of sample rejection showed an upward trend each month (0%, 0%, 2.4%, 2.6%, 3.6% and 5.18% respectively from October 2016 to March 2017). Chemistry profiles and coagulation studies were among the commonest types of samples rejected (37% and 22.2% of the rejected samples respectively). Haemolysed sample was found to be the commonest cause of rejection (44.4%), followed by insufficient samples (35.2%). Most of the samples were rejected during morning working hours from 8.00am – 1.00pm (61.1%). Conclusion: The increasing rejection rate in our newly established Pathology laboratory warrants further investigation and improvement on proper sample collection and handling. 2017-05-07 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/62204/1/MACB%20Conference%202017%20Dr%20Nor%20Zamzila%20pdf.pdf application/pdf en http://irep.iium.edu.my/62204/7/62204_%2027th%20MACB%20Conference%2C%208-9%20May%202017.pdf Abdullah, Nor Zamzila and Muhammad, Naznin and Santosa, Rahajoe Imam and A.Talib, Norlelawati and Hamdan, Asma Hanim and Mohd Sahir, Anirawati and Sazali, Mohd Zikri and Wan Ahmad, Wan Amirul Afiq and Asri, Nuralisa and Mohamad Rashid, Nor Khalidah (2017) Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC). In: 27th MACB Conference, 8-9 May 2017, Royale Chulan Hotel, Seremban. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RB Pathology
spellingShingle	RB Pathology Abdullah, Nor Zamzila Muhammad, Naznin Santosa, Rahajoe Imam A.Talib, Norlelawati Hamdan, Asma Hanim Mohd Sahir, Anirawati Sazali, Mohd Zikri Wan Ahmad, Wan Amirul Afiq Asri, Nuralisa Mohamad Rashid, Nor Khalidah Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)
description	Introduction: Erroneous laboratory results due to pre-analytical errors may significantly affect patient’s safety and care. In diagnostic laboratory practice, stringent rejection criteria are therefore necessary. On the other hand, sample rejection may delay the turnaround time and decision for patient care. Inexperience staff combined with unfamiliarity with new hospital setting may contribute to escalate the pre-analytical errors. This is one of the challenges faced by our new hospital. Objective: The aim of this study was to determine the rate, type, cause and time of sample rejections at our laboratory since its operation in October 2016. Material & Methods: All samples received at the common specimen receiving counter, Department of Pathology and Laboratory Medicine, IIUMMC were included. The records of sample rejection were retrieved from the Laboratory Information System and analysed. Results: A total number of 1419 samples were received from October 2016 to March 2017, with 54 rejections (3.8%). The rate of sample rejection showed an upward trend each month (0%, 0%, 2.4%, 2.6%, 3.6% and 5.18% respectively from October 2016 to March 2017). Chemistry profiles and coagulation studies were among the commonest types of samples rejected (37% and 22.2% of the rejected samples respectively). Haemolysed sample was found to be the commonest cause of rejection (44.4%), followed by insufficient samples (35.2%). Most of the samples were rejected during morning working hours from 8.00am – 1.00pm (61.1%). Conclusion: The increasing rejection rate in our newly established Pathology laboratory warrants further investigation and improvement on proper sample collection and handling.
format	Conference or Workshop Item
author	Abdullah, Nor Zamzila Muhammad, Naznin Santosa, Rahajoe Imam A.Talib, Norlelawati Hamdan, Asma Hanim Mohd Sahir, Anirawati Sazali, Mohd Zikri Wan Ahmad, Wan Amirul Afiq Asri, Nuralisa Mohamad Rashid, Nor Khalidah
author_facet	Abdullah, Nor Zamzila Muhammad, Naznin Santosa, Rahajoe Imam A.Talib, Norlelawati Hamdan, Asma Hanim Mohd Sahir, Anirawati Sazali, Mohd Zikri Wan Ahmad, Wan Amirul Afiq Asri, Nuralisa Mohamad Rashid, Nor Khalidah
author_sort	Abdullah, Nor Zamzila
title	Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)
title_short	Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)
title_full	Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)
title_fullStr	Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)
title_full_unstemmed	Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)
title_sort	analysis of sample rejection at newly established pathology laboratory of the international islamic university malaysia medical centre (iiummc)
publishDate	2017
url	http://irep.iium.edu.my/62204/ http://irep.iium.edu.my/62204/1/MACB%20Conference%202017%20Dr%20Nor%20Zamzila%20pdf.pdf http://irep.iium.edu.my/62204/7/62204_%2027th%20MACB%20Conference%2C%208-9%20May%202017.pdf
first_indexed	2023-09-18T21:28:12Z
last_indexed	2023-09-18T21:28:12Z
_version_	1777412333536018432

Analysis of sample rejection at newly established pathology laboratory of the International Islamic University Malaysia Medical Centre (IIUMMC)

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