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Title: Preanalytical errors: a preliminary approach to the point of view of primary health care givers.
Authors: Gómez-Salgado, Juan
Romero, Adolfo
Caparrós, Isabel S
Barba, M Carmen
Reina, Margarita
Ruiz-Frutos, Carlos
metadata.dc.contributor.authoraffiliation: [Gómez-Salgado,J] Primary Care District Huelva Costa Condado Campiña, Huelva, Andalucía, Spain. [Romero,A; Caparrós,IS] Haematology Department, University Hospital Virgen de la Victoria, Málaga, Andalucía, Spain. [Barba,MC; Reina,M] Primary Care District Málaga, Andalucía, Spain. [Ruiz-Frutos,C] Environmental Health Department, University of Huelva, Spain.
Keywords: Preanalytical mistakes;Primary care;Qualitative approach;Errores diagnósticos;Humanos;Atención primaria de salud;Técnicas de laboratorio clínico
metadata.dc.subject.mesh: Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Medical Errors
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Clinical Laboratory Techniques
Issue Date: Feb-2015
Publisher: De Gruyter
Citation: Gómez-Salgado J, Romero A, Caparrós IS, Barba MC, Reina M, Ruiz-Frutos C. Preanalytical errors: a preliminary approach to the point of view of primary health care givers. Clin. Chem. Lab. Med.. 2015; 53(2):225-9
Abstract: BACKGROUND The presence of errors in the preanalytical phase is a widely studied topic. However, information regarding the perspective of those professionals involved is rather scant. METHODS Two focus groups of professionals from Primary Care involved in the preanalytical phase (general practitioners [GP], community nurses [CN], and other auxiliary health workers, including administrative personnel [AHW]) were convened. A qualitative analysis with a phenomenological approach was performed by using the structure of SWOT (Strengths, Weaknesses, Opportunities and Threats) analysis as a guide, and results were categorized by grouping the resultant dimensions according to this structure. RESULTS Overall, 12 professionals (3 GP, 6 CN, and 3 AHW) were distributed in two groups. Age and gender distribution were similar between groups. The most commented strengths were organizational capability and teamwork. The main weakness was the workload increase (compared to the short time spent on sample collection). Opportunities were related to workload optimization through on-line analytical requests. Threats were related to the long time elapsed between sample drawing at Primary Care and delivery to the Central Laboratory. CONCLUSIONS The phenomenological approach allows revealing those aspects that cannot be entirely elucidated by objective data measurement. Attitudes considered as positive can be exploited by the institution, whereas those considered as negative alert us to possible future problems. Primary Care professionals offered a different point of view to laboratory staff, but both recognized high workload as the main threat and on-line analytical request as the best opportunity. These perspectives may help to improve detection and decrease the number of errors.
Description: Journal Article; Research Support, Non-U.S. Gov't;
metadata.dc.identifier.doi: 10.1515/cclm-2014-0576
ISSN: 1437-4331 (Online)
1434-6621 (Print)
Appears in Collections:01- Artículos - DAP Condado-Campiña
01- Artículos - DAP Huelva Costa
01- Artículos - DAP Málaga
01- Artículos - Hospital Virgen de la Victoria

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