Reprocessing Cost Analysis of Specimens Rejected in Laboratory: Results from the Perspective of the Costs to the Hospital

Year 2022, Volume: 12 Issue: 1, 67 - 74, 30.03.2022

Enver Bozdemir , Mehmet Nurullah Kurutkan , Melek Terzi

https://doi.org/10.33808/clinexphealthsci.804238

Cited By: 1

Abstract

Objective: The objective of the study is to analyze the additional costs of reprocessing the specimens rejected in the laboratory to the hospital.
Methods: The data is acquired from the Düzce University Medical Application and Research Hospital (DUMARH) laboratories. 5-year (2015-
2019) data was retrospectively reviewed and subjected to document analysis.
Results: The rate of the total rejected specimens has increased throughout the years. (2015, 0.88% – 2019, 2.12%). The most prominent
rejection reasons are hemolysis specimen (32.9%), insufficient specimen (17.25%), clotted specimen (15.4%) and inaccurate examination
request (10.64%). While the reprocessing cost of specimens was 12.085 dollars in 2015, it increased to 51.132 dollars in 2019. It is seen that the
rejection rate has increased as the specimen number increased and the reprocessing costs have increased since the inflation in Turkey increased
and the purchasing power of the hospital has decreased throughout the years.
Conclusion: In order to decrease and prevent the rejected specimen, there is a need for phlebotomy training, especially for nursing and other
healthcare professionals, and strict quality control and standard operating procedures for the pre-analytical phase. These are the critical
approaches that will improve the service quality of laboratories and patient safety.

Keywords

Laboratory, Rejected Specimen, Reprocessing, Cost Analysis

Thanks

We would like to thank Öner Abidin Balbay, the chief physician of Düzce University Research and Application Hospital, for his help and support in this research. We would like to thank Zekeriya Kaplan, hospital information manager, who provided us with the research data.

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