ࡱ> 130[ bjbj 4"ΐΐ TT,08::::::g>::O88 I@t$e0::T ]: DETERMINATION OF ERRORS THAT COMPROMISE THE QUALITY OF LABORATORY SERVICE DELIVERY AT KENYATTA NATIONAL HOSPITAL, Nairobi Kenya Kimengech KK1, Onyuka O. J. H, 2 Waithaka S.K2, Sekadde-Kigondu C.B.3 ABSTRACT Introduction: Clinical Laboratory testing is a highly complex process that entails numerous procedures. Although it has been known that laboratory testing services are safe, it is increasingly becoming a common knowledge that they are not that safe. Studies have indicated that there are a number of errors that occur due to laboratory testing processes. These errors may not be realized easily during the testing process, but they make significant impact on the results given. Objective: To determine the levels of pre-analytical, analytical, and post analytical errors found in the analysis of Clinical Laboratory specimen at Kenyatta National Hospital. Setting: The study was carried out at Clinical Chemistry Laboratory, Department of Laboratory Medicine, Kenyatta National Hospital. Design: Descriptive research design Methodology: A total of 346 request forms, specimens/samples and dispatch of results were scrutinized and errors documented as per the different variables in the different phases, over a period of three months prospective study at the Clinical Chemistry Laboratory. Results: Results of the study showed that Preanalytical errors were most common with a frequency of 148(42.8%), followed by analytical errors 114 (32.9%) and post analytical errors 84 (24.3%), respectively. Conclusions: The study concludes that pre-analytical, analytical, and post analytical errors are errors that compromise the quality of laboratory service delivery, which impacts on the patient management and diagnosis. Clinical laboratory error can be minimized if due diligence and professionalism is adhered in the laboratory. 2Dr. Stanley Kinge Waithaka, PhD School of Health Sciences Department of Medical Sciences Mount Kenya University, Kenya 2Jackson H. O. Onyuka, PhD School of Health Sciences Department of Medical Sciences Mount Kenya University, Kenya 3Prof. Christine Kigondu, PhD; F C Path (ECSA) Clinical Chemistry Thematic Unit School of Medicine College of Health Sciences University of Nairobi, Kenya Corresponding author 1Kenneth Kipruto Kimengech Department of Laboratory Medicine Clinical Chemistry Laboratory Kenyatta National Hospital P.o Box 2036 code 00202 Nairobi Kenya Cell phone : +254723944772 Email : kiprutokenneth@yahoo.com p˻yiYyGY7hrh5k5CJOJQJaJ"hshs5CJH*OJQJaJhEhw~g5CJOJQJaJhrhw~gCJH*OJQJaJhs5CJOJQJaJhw~g5CJOJQJaJhrhE5CJOJQJaJhrCJOJQJaJhw~gCJOJQJaJhrhECJH*OJQJaJhrh45CJOJQJaJ hw~g5CJOJPJQJ\aJ&hrh45CJOJPJQJ\aJ e f p q   !   ) * $a$gds $da$gdr c e f o p q о򱢓xhXI:hXhY"hmpCJOJQJaJhY"hsCJOJQJaJhY"hmp5CJOJQJaJhY"hs5CJOJQJaJhhmpCJOJQJaJhsCJOJQJaJhhsCJOJQJaJhshsCJOJQJaJhmp5CJOJQJaJ"hshE5CJH*OJQJaJ"hshs5CJH*OJQJaJhrh5k5CJOJQJaJhs5CJOJQJaJq     ! 0    & ' ( ) * :<=>?ƹƬreXh&D5CJOJQJaJhE5CJOJQJaJh~m9hs5CJOJQJaJhhmpCJOJQJaJhmpCJOJQJaJh~m9hsCJOJQJaJhs5CJOJQJaJhmp5CJOJQJaJhY"hs5CJOJQJaJhY"hmpCJOJQJaJhY"hsCJOJQJaJhsCJOJQJaJ! <=>?@a|-.]~  d*$gd&D d*$gd&D $da$gd&D dgd&D $da$gdr $a$gds?@Aa./]Z[ɸ{k[L=.hw~ghw~gCJOJQJaJhw~ghrCJOJQJaJhw~ghECJOJQJaJhw~ghrCJH*OJQJaJhw~ghw~g5CJOJQJaJhw~g5CJOJQJaJh&Dhw~gCJOJQJaJh&DCJOJQJaJnHtH!h&D5CJOJQJaJnHtH!h&DCJH*OJQJaJnHtHh&DCJOJQJaJh&D5CJOJQJaJh&DCJH*OJQJaJhrh&D5CJOJQJaJ ?\tgd&Dgdw~gdgdE [\h&Dhw~gCJOJQJaJh&DCJOJQJaJhw~gCJOJQJaJ21h:pW*/ =!"#$% j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ OJPJQJ_HmH nH sH tH J`J W*Normal dCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List 22 V yiv5077669010D`D  No Spacing*$CJ_HaJtHF/F No Spacing CharCJ_HaJtHPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ptheme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! 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