[Incidents at the Central Blood Center of Hirosaki University Hospital, Hirosaki University School of Medicine & Hospital, Clinical Laboratory Division].
As part of an initiative to expand the activities of the Clinical Laboratory Division at Hirosaki University School of Medicine & Hospital, the Central Blood Center, which is located within the division, began providing blood collection services to outpatients in collaboration with the nursing department from April 2000. The number of blood samples collected has tended to rise each year, and while the aim has been to enhance pre-consultation tests, the increase in the number of such tests has led to an increase in the number of associated incidents. Two recent illustrative cases are: (1) a patient becoming angry about the long wait caused by a doctor's oversight regarding a test order, and (2) oversight concerning a test due to the time lag between a revised test order time and the time the patient arrived at the hospital. A factor contributing to both cases was the busy work schedule of doctors. Ensuring that patients are satisfied with their treatment requires institutional measures; therefore, it is necessary to explore methods for reducing human error in the support service for consultations. The present study introduces representative cases, and examines their contexts and measures for dealing with them.
Saito
Junko
J
Department of Laboratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki 036-8562, Japan.
Inoue
Fumio
F
Kojima
Keiya
K
Sugimoto
Kazuhiro
K
Yasujima
Minoru
M
D001800:Blood Specimen Collection / Q000523:psychology / Q000706:statistics & numerical data; D002984:Clinical Laboratory Information Systems; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D007564:Japan; D007755:Laboratories, Hospital / Q000706:statistics & numerical data*; D019300:Medical Errors / Q000517:prevention & control; D017060:Patient Satisfaction; D012017:Referral and Consultation; D012577:Schools, Medical; D000078329:Workforce