title: Types and Frequency of Errors during Different Phases of Testing At a Clinical Medical Laboratory of a Teaching Hospital in Tehran, Iran.
abstract: BACKGROUND
  According to official data, 60-70% of clinical decisions about hospitalization and discharge are based on laboratory results.
  
  
  OBJECTIVE
  The objective of this study is to examine the frequency of errors before, during, and after analysis in a major medical laboratory.
  
  
  METHODS
  This descriptive, cross-sectional study was conducted throughout 2012 (January-December 2012). Errors are recorded by the Quality Control Committee in a specially designed record.
  
  
  RESULTS
  A total of 303,866 samples, 2,430,928 tests were received for analysis. The total number of errors was 153,148 (6.3%) (116,392 for inpatients and 36,756 for outpatients). Analysis of the results revealed that about 65.09% of the errors occur across preanalytical phase, whereas 23.2% and 11.68% are related to analytical and postanalytical phase, respectively.
  
  
  CONCLUSIONS
  More than half of the laboratory errors are related to preanalytical phase; therefore, proper training and knowledge of intervening factors are essential for reducing errors and optimizing the quality.
authors.affiliation: Department of Clinical Pathology, Central Laboratory, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Abdollahi
authors.affiliation: Department of Clinical Pathology, Central Laboratory, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Hiva
authors.initials: H
authors.lastname: Saffar
authors.affiliation: Department of Clinical Pathology, Central Laboratory, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Hana
authors.initials: H
authors.lastname: Saffar
keywords: Different Pphases of Ttesting; errors; laboratory medicine