Summer 2005

P r a c t i c e   M a n a g e m e n T
Labeling lab specimens
 
Improperly or unlabeled specimens can cause delays and errors. 

by Lynn Wade

Improperly or unlabeled specimens can cause delays and errors.

Every day hundreds of blood and other specimens are coming into the province’s laboratories, some of them with incorrect MCP numbers, incorrect names or with no labeling at all. These errors can cause serious problems for patients and for staff.

For instance, in some families where a father and son may have the same first and last names, an incorrect MCP number can result in the wrong family member receiving the information. This not only causes confusion but is also a breech of confidentiality if the results are released to the wrong family member.

The importance of proper labeling is highlighted in the Laboratory Medicine Program Policy. It states: An adequate label for any specimen submitted to the laboratory must contain:

  • Patient’s name

  • MCP or hospital 12-digit-computer generated number

  • Date of collection

  • Time of collection (for timed specimens)

For those occasional samples for which only the physician knows the identity, the requisition and the specimen label must contain the same information, for example a “coded” name and an identifier other than an MCP number.

There is also an issue surrounding adverse effects because of mislabeling. Too often near misses are caught before a patient can be mis-diagnosed or wrongly medicated. We need your help, as physicians, in ensuring this type of thing doesn’t happen. It’s a matter of patient safety.

If we all work together to properly label specimens, you will receive results quickly and accurately, and the patient will receive a clear and accurate diagnosis.

Lynn Wade is the client services manager with the laboratory program for St. John’s hospitals with the Eastern Health authority.

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