Patients as their own controls: use of the computer to identify 'laboratory error'

J. H. Ladenson

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

A system of quality control is described based on computer detection of changes in individual patient test results. This system, called 'delta check', was used to follow all the tests performed by the clinical chemistry laboratory in a 1200 bed hospital. Analysis of 22 months' experience indicates that specimen misidentification is a serious problem in the clinical chemistry laboratory. Over a nine month period, errors were most frequent in the results for total thyroxine, total calcium, and total protein. Instances of laboratory error detectable by the delta check system are not detected by other currently used methods of quality control. This system therefore appears to be a valuable asset to the clinical laboratory.

Original languageEnglish
Pages (from-to)1648-1653
Number of pages6
JournalClinical chemistry
Volume21
Issue number11
StatePublished - Dec 1 1975

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