Status of Pre-analytical Quality Management of Laboratory Tests at Primary Clinics in Korea

Ann Lab Med. 2023 Sep 1;43(5):493-502. doi: 10.3343/alm.2023.43.5.493. Epub 2023 Apr 21.

Abstract

Background: The quality of laboratory test results is crucial for accurate clinical diagnosis and treatment. Pre-analytical errors account for approximately 60%-70% of all laboratory test errors. Laboratory test results may be largely impacted by pre-analytical phase management. However, primary care clinics currently do not have pre-analytical quality management audit systems. We aimed to understand the current status of pre-analytical quality management in laboratory medicine in Korean primary care clinics.

Methods: Questionnaires were designed to focus on essential components of the pre-analytical process of primary care clinics. An online survey platform was used to administer the survey to internal medicine or family medicine physicians in primary care clinics.

Results: A total of 141 physicians provided a complete response to the questionnaire. In 65.2% of the clinics, patient information was hand-labeled rather than barcoded on the specimen bottles; 14.2% of clinics displayed only one piece of patient information (name or identification number), and 19.9% of clinics displayed two pieces of information. Centrifuges were not available in 29.1% of the clinics. Institutions carrying out the National Health Screening Program (NHSP) used more barcode system and had more centrifuges than institutions that did not carrying out the NHSP.

Conclusions: Pre-analytical quality management is inadequate in many primary clinics. We suggest implementation of a mandatory management system, allowing for a pre-analytical quality management to be carried out in primary care clinics.

Keywords: Laboratory medicine; Pre-analytical phase; Primary care; Quality management; Survey.

MeSH terms

  • Humans
  • Laboratories*
  • Republic of Korea

Grants and funding

RESEARCH FUNDING This work was supported by a 2021 quality improvement grant, funded by the Korean Laboratory Medicine Foundation.