Evaluation and interventions to reduce errors in HIV-2 testing.
When patients are evaluated for human immunodeficiency virus (HIV) infection, the possibility of HIV type 2 (HIV-2) infection should be considered in individuals who may have acquired infection in West Africa or from an individual from that area. A 45.6% error rate in HIV-2 test ordering was observed among patients at the Cleveland Clinic Foundation, this was attributed in large part to the order entry screen, which may have confused ward clerks who were entering HIV testing ordered by clinicians. Modification of the order entry screen and consultation with clinical laboratory personnel for diagnostic HIV-2 testing were effective in reducing the rate of errors tenfold, to 4.3%.
Baghdasarian
Sarkis B
SB
Cleveland Clinic Foundation, Cleveland, OH, USA.
Gordon
Steven M
SM
Yen-Lieberman
Belinda
B
D015492:AIDS Serodiagnosis / Q000592:standards*; D000554:Ambulatory Care Facilities / Q000592:standards; D002984:Clinical Laboratory Information Systems / Q000592:standards; D003951:Diagnostic Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D004797:Enzyme-Linked Immunosorbent Assay / Q000592:standards*; D006123:Group Practice / Q000592:standards; D015658:HIV Infections / Q000175:diagnosis*; D015498:HIV-2 / Q000276:immunology*; D006801:Humans; D009820:Ohio; D011785:Quality Assurance, Health Care / Q000379:methods*; D013597:Systems Analysis