Assessment of laboratory test request forms for completeness

 
 
 
  • Abstract
  • Keywords
  • References
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  • Abstract


    Background: Laboratory test request forms usually accompany patient’s samples to the laboratory, providing biodata and clinical details of the patient. This information is for purposes of identification and guiding pathologists to accurately interpret patient’s result. Clinicians however do not usually provide all the required information, thus making interpretation difficult. The frequency of such incompleteness is assessed in this study.

    Methods: Laboratory request forms received at the Chemical Pathology laboratory between July and September 2020 were assessed for completeness of all the required parameters. Parameters analyzed in this study included age, gender, hospital number, location, clinical information, name of requesting physician and the date of request. Frequency of missing parameters were expressed as proportions (%) of the total omissions.

    Results: There were 1906 request forms received during the course of this study and 789 (41.4%) of them had at least one missing parameter. Apart from patients’ names, nature of sample and the requested investigation, all other parameters were omitted at one time or the other making a total of 1117 omissions. Age (287; 25.7%) hospital number (264; 23.6%) and clinical information (246; 22%) were the most commonly omitted parameters. Majority of the omissions (69%) were from the outpatient clinics, 20% were from the wards while 10% of the forms had no ward or clinic indicated.

    Conclusion: Incomplete filling of laboratory test request forms is a regular occurrence among clinicians. Effort must be made to continually sensitize them of the importance of each of the required parameters to ensure a visible improvement.

     

     


  • Keywords


    Assessment; Clinical Information; Incompleteness; Laboratory; Request Forms.

  • References


      [1] Lippi G, Becan-McBride K, Behulova D, Bowen RA, Church S, Delanghe J. Pre-analytical quality improvement: in quality we trust. Clin Chem Lab Med 2013; 51(1): 229- 41. https://doi.org/10.1515/cclm-2012-0597.

      [2] Barak M, Jaschek R. A new and effective way of preventing preanalytical laboratory errors. Clin Chem Lab Med 2013; 50(4): 1-4.

      [3] Njoroge SW, Nichols JH. Risk management in Clinical Laboratory. Ann Lab Med 2014; 34(4): 274- 8. https://doi.org/10.3343/alm.2014.34.4.274.

      [4] Teshome M, Worede A, Asmelash D. Total Clinical Chemistry Laboratory Errors and Evaluation of the Analytical Quality Control Using Sigma Metric for Routine Clinical Chemistry Tests. Journal of Multidisciplinary Healthcare 2021; 14: 125. https://doi.org/10.2147/JMDH.S286679.

      [5] Stankovic AK. The laboratory is a key partner in assuring patient safety. Clinics in laboratory medicine 2004; 24(4): 1023-35. https://doi.org/10.1016/j.cll.2004.05.017.

      [6] Lippi G, Chance JJ, Church S, et al. Preanalytical quality improvement: from dream to reality. Clin Chem Lab Med 2011; 49: 1113-26. https://doi.org/10.1515/CCLM.2011.600.

      [7] Olaniru BO, Alla OJ, Michael E P., et al. Assessment of Patients’ Medical Laboratory Request Forms for Compliance in Jos University Teaching Hospital, Jos-Nigeria. Am J Biomed Sci & Res 2019; 6(4): AJBSR.MS.ID.001056. https://doi.org/10.34297/AJBSR.2019.06.001056.

      [8] Schroeder LF, T. A. Medical laboratories in sub- Sahara Africa that meet international quality standards. Am J Clin Pathol 2014; 141(6): 791-5. https://doi.org/10.1309/AJCPQ5KTKAGSSCFN.

      [9] WHO. World Health Organisation. Laboratory quality stepwise implementation tool: develop a request form for laboratory testing. www. extranet.who.int/lqsi/content/develop-request-form-laboratory-testing. Accessed on the 7th July 2021.

      [10] Wians FH. Clinical laboratory tests: which, why, and what do the results mean? Laboratory Medicine 2009; 40(2): 105-13. https://doi.org/10.1309/LM404L0HHUTWWUDD.

      [11] Nutt L, Zemlin AE, T. ER. Incomplete laboratory request forms: the extent and impact on critical results at a tertiary hospital in South Africa. Ann Clin Biochem 2008; 45: 463- 6. https://doi.org/10.1258/acb.2008.007252.

      [12] Imoh L, Onyenekwu C, Inaku K, et al. Multicenter Survey of Physicians’ Perception of Interpretative Commenting and Reflective Testing in Nigeria. EJIFCC 2021; 32: 85-97.

      [13] Adamu S, Mohammed A, El-Bashir JM, Abubakar J, Mshelia D. Incomplete patient data on chemical pathology laboratory forms in a Tertiary Hospital in Nigeria. Annals of Tropical Pathology 2018; 9(1): 47. https://doi.org/10.4103/atp.atp_44_17.

      [14] Adu M. The lab requisition form: A vital tool for quality patient care. Annals of Biomedical Sciences 2020; 19(2): 105-8.

      [15] Levinson W, Lesser CS, Epstein RM. Developing physician communication skills for patient-centered care. Health Affairs 2010; 29(7): 1310- 8. https://doi.org/10.1377/hlthaff.2009.0450.

      [16] Vasikaran S. Interpretative commenting. The Clinical Biochemist Reviews 2008; 29(Suppl 1): S99.

      [17] Jegede F, Abdulrahman SA, Mbah HA, Dakata A, Gwarzo DH, Kuliya-Gwarzo A. Evaluating laboratory request forms submitted to haematology and blood transfusion departments at a hospital in Northwest Nigeria. African journal of laboratory medicine 2016; 5(1): 1-6. https://doi.org/10.4102/ajlm.v5i1.381.

      [18] Kipkulei JC, Lotodo TC. Evaluation of the completeness in the filling of laboratory request forms submitted to the haematology laboratory at a Tertiary Hospital in Kenya. Health 2019; 11(7): 862-8. https://doi.org/10.4236/health.2019.117069.

      [19] Adegoke OA, Idowu AA, Jeje OA. Incomplete laboratory request forms as a contributory factor to preanalytical errors in a Nigerian teaching hospital. African Journal of Biochemistry Research 2011; 5(3): 82-5.

      [20] Alagoa PJ, Udoye EP. Laboratory Request Forms- How Well do Doctors Fill Them? A Look at the Practice at the Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria. Nigerian Health Journal 2015; 15(1): 14-7.

      [21] Verboeket-van de Venne WP, Aakre KM, Watine J, Oosterhuis WP. Reflective testing: adding value to laboratory testing. Clinical chemistry and laboratory medicine 2012; 50(7): 1249-52. https://doi.org/10.1515/cclm-2011-0611.

      [22] Bank TW. Physicians per 1000 people - sub-Sahara Africa. World Health Organization's Global Health Workforce Statistics, OECD, supplemented by country data.http:// data.worldbank.org/indicator/SH.MED.PHYS.ZS?locations=ZG. Accessed 7th July 2021.

      [23] Naicker S, Plange-Rhule J, Tutt RC, Eastwood JB. Shortage of healthcare workers in developing countries--Africa. Ethnicity & disease 2009; 19(1): 60.

      [24] Marshall WJ, Challand GS. Provision of interpretative comments on biochemical report forms. Annals of clinical biochemistry 2000; 37(6): 758-63. https://doi.org/10.1258/0004563001900066.

      [25] Plebani M. Laboratory errors: How to improve pre-and post-analytical phases? Biochemia Medica 2007; 17(1): 5-9. https://doi.org/10.11613/BM.2007.001.

      [26] Jastania R. How laboratory information system improves patient safety. Am J Lab Med 2019; 4: 97-100. https://doi.org/10.11648/j.ajlm.20190406.12.

      [27] Balas EA. Information systems can prevent errors and improve quality. BMJ Group BMA House, Tavistock Square, London, WC1H 9JR; 2001.


 

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Article ID: 31692
 
DOI: 10.14419/ijm.v9i2.31692




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