PROCESSES | FAILURE MODES | NUMBER OF PRIORITY |
Preanalytical | Incorrect temperature of sample transport | 252 |
Clotted sample | 180 | |
Hemolysed sample | 180 | |
Difficulty of obtaining a sample. Sample obtained is not correct | 162 | |
Wrong container drawn | 126 | |
Analytical | Inappropriate use of equipment or incorrect maintenance | 210 |
Incorrect validation of previous analytical results | 180 | |
Failure in relation sample-diagnostic reactive (interferences, prozone effects, viscosity…) | 126 | |
Wrong magnitude selected in the request | 108 | |
Adverse environmental conditions | 108 | |
Postanalytical | Misinterpreted results | 280 |
Inadequate performance of the patient results | 280 | |
Critical value not notified | 270 | |
Alert value not recognized | 189 | |
Entry error results | 180 | |
Strategic | Management error of the corrective and improvement actions | 80 |
Failures in the organization of the indicators in preanalytical processes | 40 | |
Failures in the organization of the indicators in analytical processes | 40 | |
Failures in the organization of the indicators in postanalytical processes | 40 | |
Lines of responsibility are poorly-defined | 14 | |
Support | Error or failures of staff competence | 14 |
Failure of replacement of staff | 12 | |
Failure of installation maintenance | 10 | |
Failure of reagent delivery (outstanding stocks) | 7 | |
Lack or inappropriate health training | 7 |