Pre-Analytical Variables Muhsen Alkurdi Medical Affairs Consultant BD
The total testing cycle
Specimen Workflow
Specimen management process: causes errors
Factors contributing to increase the pre-analytical errors
Pre-analytical factors
Fixed pre-analytical factors
Variable pre-analytical factors
Specimen Identification and Labeling
Identification errors in Clinical Laboratory
Practices that reduce specimen Identification errors
Specimen labeling issues
Label misalignment can cause increased cost
Cost of specimen relabeling
Impact of collection and processing practices
Specimen quality: Syringe vs Evacuated tube
Specimen quality: IV catheter vs Evacuated tube
Correlation of hemolysis with the catheter dimension
Order of draw
Specimen mixing
Transport related causes
Reasons for rejection chemistry and hematology specimens
Hemolyzed specimens
Incomplete clotting
Insufficient quantity
Cost of poor specimen quality
Impact of pre-analytical variables on patient safety
Pre-analytical variables have to be managed