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O laboratório clínico e os erros pré-analíticos: implementação de um sistema de registo em contexto laboratorial
| Name: | Description: | Size: | Format: | |
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| 1.55 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Os testes laboratoriais são fundamentais nos cuidados de saúde, mas erros na fase pré-analítica, que representam 60-70% dos erros laboratoriais, comprometem a qualidade dos resultados. A implementação de sistemas de registo para identificar e documentar erros é essencial para a melhoria contínua, sendo a usabilidade desses sistemas um fator determinante para a sua eficácia. Com esse intuito, este estudo desenvolveu e avaliou um sistema de registo de erros pré-analíticos no Hospital de Portimão, com o objetivo de identificar falhas, analisar a sua frequência e avaliar a usabilidade da ferramenta. A fase pré-analítica revelou-se especialmente suscetível a erros no Serviço de Urgência, onde o fluxo de trabalho imprevisível resultou numa elevada incidência de hemólises. A formação dos profissionais foi identificada como essencial para mitigar estas falhas. O sistema de registo implementado demonstrou elevada usabilidade e adesão, contribuindo para a melhoria contínua da qualidade laboratorial. No entanto, algumas limitações foram identificadas, como dificuldades no preenchimento e a ausência de um limitador de tempo, que impactou o tempo de registo. Para otimizar o sistema, recomenda-se formação contínua, monitorização regular e possível integração do laboratório em avaliações externas de qualidade. O sistema desenvolvido mostrou-se eficaz na identificação e documentação de erros pré-analíticos, promovendo uma cultura de segurança e melhoria contínua nos serviços laboratoriais.
ABSTRACT: Laboratory tests are essential in healthcare, but errors in the pre-analytical phase, which account for 60-70% of laboratory errors, jeopardize the quality of results. The implementation of recording systems to identify and document errors is essential for continuous improvement, and the usability of these systems is a determining factor in their effectiveness. To this end, this study developed and evaluated a system for recording pre-analytical errors at Portimão Hospital, to identify faults, analyze their frequency, and assess the tool's usability. The pre-analytical phase proved to be especially susceptible to errors in the Emergency Department, where the unpredictable workflow resulted in a high incidence of hemolysis. Professional training was identified as essential to mitigate these failures. The recording system implemented was highly usable and adhered to, contributing to the continuous improvement of laboratory quality. However, some limitations were identified, such as difficulties in filling it out and the absence of a time limiter, which impacted recording time. To optimize the system, ongoing training, regular monitoring, and possible integration of the laboratory into external quality assessments are recommended. The system developed proved to be effective in identifying and documenting pre-analytical errors, promoting a culture of safety and continuous improvement in laboratory services.
ABSTRACT: Laboratory tests are essential in healthcare, but errors in the pre-analytical phase, which account for 60-70% of laboratory errors, jeopardize the quality of results. The implementation of recording systems to identify and document errors is essential for continuous improvement, and the usability of these systems is a determining factor in their effectiveness. To this end, this study developed and evaluated a system for recording pre-analytical errors at Portimão Hospital, to identify faults, analyze their frequency, and assess the tool's usability. The pre-analytical phase proved to be especially susceptible to errors in the Emergency Department, where the unpredictable workflow resulted in a high incidence of hemolysis. Professional training was identified as essential to mitigate these failures. The recording system implemented was highly usable and adhered to, contributing to the continuous improvement of laboratory quality. However, some limitations were identified, such as difficulties in filling it out and the absence of a time limiter, which impacted recording time. To optimize the system, ongoing training, regular monitoring, and possible integration of the laboratory into external quality assessments are recommended. The system developed proved to be effective in identifying and documenting pre-analytical errors, promoting a culture of safety and continuous improvement in laboratory services.
Description
Mestrado em Gestão e Avaliação de Tecnologias em Saúde
Keywords
Patologia clínica Erros pré-analíticos Sistema de registo Usabilidade Hemólise MGATS