LAB FORMS AUDIT OF LABORATORY REQUEST FORMS IN ISO 9001: 2015 CERTIFIED LABORATORY
LAB REQUEST FORMS
Objectives: To evaluate the frequency of improperly/ properly filled Laboratory Request Forms.
Material & Methods: This descriptive cross-sectional study was conducted in the Department of Pathology, Combined Military Hospital Multan Cantt from 26th Feb2018 to 24th March 2018. We have collected LRFs from Main ITC, CCU, Surgical ITC, Pediatrics, Medical, Surgical and Gynecology wards at an ISO 9001:2015 Certified Lab and evaluated for endorsement of Patient Particulars (complete/ incomplete), Clinical Notes (Yes/No), and LRFs signed by House Officer, Medical Officer, Postgraduate residents (PGR), Consultant & not signed. Data was entered in Microsoft excel for compilation.
Results: A total of 6702 LRFs were received in lab, which were advised for Haematology, Clinical Pathology, Microbiology, Chemical Pathology, Endocrinology, Histopathology & Virology. Patient Particulars were complete in 6018 cases, incomplete in 684 (10.2%) cases, Clinical Notes on request form were endorsed in 652 cases and 6050(90.3%) forms were without any clinical information and LRFs were signed by House Officer -1159, Medical Officers- 2069, PGR -2717, Consultant- 519 & not signed 270 times.
Conclusion: Laboratory request forms are not filled properly and clinical notes are missing most frequently.
Key Words: Laboratory request forms, Pre-analytical, Quality assurance.