SAS/TÜSKA Akreditasyonunda Post-Analitik Kalite Göstergeleri: IFCC WG-LEPS Çerçevesine Göre 12 Aylık Performans Değerlendirmesi

Öz

Amaç: Post-analitik fazda meydana gelen hatalar, toplam laboratuvar hatalarının önemli bir bölümünü oluşturmakta ve hasta güvenliğini doğrudan etkileyebilmektedir. Bu çalışmanın amacı, standart post-analitik kalite göstergeleri kullanılarak laboratuvar performansının değerlendirilmesidir. Gereç ve Yöntemler: Bu çalışmada, IFCC Laboratuvar Hataları ve Hasta Güvenliği Çalışma Grubu ile ISO 15189:2022 standardı tarafından önerilen post-analitik kalite göstergeleri kullanılmıştır. Veriler, 12 aylık bir süre boyunca laboratuvar bilgi yönetim sisteminden otomatik olarak elde edilmiştir. Değerlendirilen göstergeler; kritik değerlerin zamanında bildirilme oranı, post-analitik sonuçlanma süresi uyumu, sonuç düzeltme oranı, klinisyenlere ulaşmayan raporların oranı ve otovalidasyon kapsamıdır. Bulgular: Kritik değerlerin zamanında bildirilme oranı ve sonuçlanma süresi uyumunun uluslararası hedef eşiklerin (≥%95) üzerinde olduğu saptanmıştır. Sonuç düzeltme oranı düşük bulunmuş (<%0,3) ve etkin doğrulama süreçlerini göstermiştir. Raporların küçük bir bölümünün klinisyenlere ulaşmaması, elektronik raporlama sistemlerinde iyileştirilmesi gereken alanlara işaret etmiştir. Otovalidasyon kapsamı %0 bulunmuştur. Sonuç: Post-analitik kalite göstergeleri, laboratuvar performansının izlenmesi ve geliştirilmesinde etkili bir araçtır. ISO 15189:2022 gerekliliklerinin uygulanması ve otomasyonun artırılması, hasta güvenliğini destekleyebilir.

Anahtar Kelimeler

• laboratuvar performansı
• kalite göstergeleri
• post-analitik faz
• hasta güvenliği
• laboratuvar tıbbı

Post-Analytical Quality Indicators in SAS/TUSKA Accreditation: A 12-Month Performance Evaluation Using the IFCC WG-LEPS Framework

Öz

Aim: Errors occurring in the post-analytical phase of laboratory testing account for a substantial proportion of total laboratory errors and may directly affect patient safety. This study aimed to evaluate laboratory performance using standardized post-analytical quality indicators. Materials and Methods: Post-analytical quality indicators recommended by the IFCC Working Group on Laboratory Errors and Patient Safety (WG-LEPS) and aligned with ISO 15189:2022 were applied. Data were automatically extracted from the laboratory information management system over a 12-month period. Evaluated indicators included timely communication of critical values, post-analytical turnaround time compliance, report correction rate, proportion of reports not reaching clinicians, and auto-validation coverage. Results: Timely communication of critical values and turnaround time compliance rates exceeded international target thresholds (≥95%). The report correction rate remained low (<0.3%), indicating effective verification and validation processes. A small proportion of reports did not reach clinicians, highlighting challenges in electronic reporting systems. Conclusion: Post-analytical quality indicators provide an effective framework for monitoring laboratory performance. Implementation of ISO 15189:2022 requirements and increased use of automation may further enhance post-analytical processes and patient safety.

Anahtar Kelimeler

• laboratory performance
• quality indicators
• post-analytical phase
• patient safety
• laboratory medicine

Kaynakça

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