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