Analysis of the performance level of pre-analytical indicators in the areas of clinical chemistry and hematology at the Laboratory of the Inmaculada Concepción District Hospital in Caaguazú, Paraguay
DOI:
https://doi.org/10.53732/rccsalud/2024.e6150Keywords:
quality of health care, laboratories, pre-analytical phaseAbstract
Introduction. The pre-analytical phase is a vital component of the clinical analysis algorithm. This involves a series of steps and procedures. Objective. To describe the level of compliance with the preanalytical indicators in the areas of chemistry and haematology of the clinical laboratory at a local Hospital in Caaguazú. Materiales y método. A non-experimental design and a mixed cross-sectional approach were applied. Three biochemists and one hundred patients were includer. Results. Our data was obtained by structured observation to patients and semi-structured interviews to three biochemists. The level of performance of the biochemists about the pre-analytical indicators presents both positive and negative aspects, of which the positive aspect stands out in 61% and 39% corresponds to aspects considered as deficient. The existing difficulties are the correct identification of the patient and the communication between the treating physician and/or technician, most of whom are unaware of the conditions in which they should present themselves for a medical examination. Conclusion. The correct performance, as well as their quality, in the pre-analytical phase, is directly related to the results obtained, which the requesting professionals will later use for decision-making, so it is an initial link that affects the entire subsequent process and must always be considered essential.
References
Laboratorio de análisis clínicos. Requisitos particulares para la calidad y competencia. Instituto Nacional de Tecnología, Normalización y Metrología (INTN). Proyecto de Norma en Aplicación PNA-NM ISO 15189. Julio, 2011. Primera Edición. https://normas.intn.gov.py/cgi-bin/koha/opac-detail.pl?biblionumber=668
Hernández ÁG. Principios de Bioquímica Clínica y Patología Molecular. 3a ed. Elsevier. 2019. https://inspectioncopy.elsevier.com/book/details/9788491133896
Suardiaz ME, Aguirre Guillot J, Garciarena Peñate Q, Alonso Rodirguez CA. Importancia de la fase preanalítica para el laboratorio clínico. ECIMED. 2021;22(1):e167. https://www.medigraphic.com/pdfs/actamedica/acm-2021/acm211j.pdf
Salinas M, López-Garrigós M, Yago M, Ortuño M, Carratala A, Aguado C, et al. Evaluación de la calidad en el laboratorio en la fase preanalítica: un estudio multicéntrico. Rev Calid Asist. 2011;26(4):264–8. http://dx.doi.org/10.1016/j.cali.2011.03.008
Guevara Arismendy NM, Tangarife-Castaño VJ. Fase preanalítica: punto crítico en las pruebas de diagnóstico hematológico. Medicina y laboratorio. 2016;22(9):9-10. https://dialnet.unirioja.es/servlet/articulo?codigo=8741568
Hernández Sampieri R, Mendoza Torres CP. Metodología de la investigación: las rutas cuantitativa, cualitativa y mixta. McGraw-Hill, inc; 2018. https://biblioteca.ucuenca.edu.ec/digital/s/biblioteca-digital/ark:/25654/2140#?c=0&m=0&s=0&cv=0
Rosen RK, Gainey M, Nasrin S, Garbern SC, Lantini R, Elshabassi N, et al. Use of framework matrix and thematic coding methods in qualitative analysis for mHealth: The FluidCalc app. Int J Qual Methods. 2023;22. http://dx.doi.org/10.1177/16094069231184123
Panunzio A; Molero T; Cruz S. Desempeño de indicadores preanalíticos en laboratorios clínicos. Enfermería Investiga. 2022;7(2):5-11. https://doi.org/10.31243/ei.uta.v7i2.1607.2022
Ballesteros Ugarte V, Trunzo CG. Errores preanalíticos en el laboratorio clínico: enfoque desde la gestión de enfermería. Salud Cienc Tecnol. 2021;1:27. https://revista.saludcyt.ar/ojs/index.php/sct/article/view/33
Salinas M, López-Garrigós M, Yago M, Ortuño M, Carratala A, Aguado C, et al. Evaluación de la calidad en el laboratorio en la fase preanalítica: un estudio multicéntrico. Rev Calid Asist. 2011;26(4):264–8. http://dx.doi.org/10.1016/j.cali.2011.03.008
Lorenzo Campos KN. “Nivel de conocimientos acerca de la toma de muestra sanguínea venosa en estudiantes del 9no y 10mo ciclo de la escuela de tecnología médica en laboratorio clínico de la universidad Norbert Wiener [Tesis de Grado]. Lima.” Universidad Privada Norbert Wiener. 2021. https://repositorio.uwiener.edu.pe/bitstream/handle/20.500.13053/5938/T061_40240085_T.pdf?sequence=1&isAllowed=y
Iso/tc CT. ISO 15189:2022(es) Laboratorios clínicos — Requisitos para la calidad y la competencia. 2022. https://www.iso.org/obp/ui/es/#iso:std:iso:15189:ed-4:v1:es
Villalta L, Escobar J, Andrade T. Mejora de la calidad en el preanálisis de la Unidad Técnica de Patología Clínica. 2019;18(1):63-69. https://docs.bvsalud.org/biblioref/2019/08/1015163/revista_cambios_enero_junio_2019_n18_1_63-69.pdf
Unger G, Benozzi SF, Girardi R, Pennacchiotti GL. Evaluation of four quality indicators of the Pre-Analytical Phase External Quality Assessment Subprogram of the Fundación Bioquímica Argentina. EJIFCC. 2023;34(3):203. https://pubmed.ncbi.nlm.nih.gov/37868086/
Mary A Q, Das S, Chaudhary N, Raju K. Analysis of the six sigma principle in pre-analytical quality for
hematological specimens. Cureus. 2023;15(7). http://dx.doi.org/10.7759/cureus.42434