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WorksheetsLaboratory Errors and Quality Management
Total questions: 62
Worksheet time: 31mins
Which phase has the highest number of laboratory errors
Analytical
Post analytical
Pre analytical
Reporting
The main purpose of a Quality Management System is
Faster processing
Reduce staff
Ensure accurate results and patient safety
Replace SOPs
What is the first step in the pre analytical phase
Tube selection
Patient identification
QC running
Result reporting
Which document controls how procedures are performed
Receipt book
SOP
Stock sheet
Lab manual
An SOP must include
Patient results
Rules
Version number and approval signature
Reagent expiry dates
QC ensures
Building cleanliness
Accuracy of test results
Faster service
Improved patient flow
EQA helps with
Billing
Comparing performance with other labs
Staff leave planning
Mixing samples
Most common vein for venipuncture
Basilic vein
Dorsal veins
Median cubital vein
Foot veins
Maximum tourniquet time allowed
Five minutes
One minute or less
Ten minutes
Thirty seconds
Excessive tourniquet time may cause
Decreased potassium
Hemoconcentration and hemolysis
Increased WBC
No change
QNS means
Quality Needed Soon
Quantity Not Sufficient
Quick Numerical Sample
Not a lab term
Fainting patient must
Continue procedure
Stop and lay flat
Give water
Shake patient
Factor that affects fasting glucose
Drawing blood from right arm
Tight clothes
Exercise before test
Drinking water
Hemolysis caused by
Drying alcohol
Using small needle
Correct angle
Gentle mixing
Tubes must be mixed gently to
Color sample
Avoid clotting and hemolysis
Warm sample
Increase volume
Occurrence Management is for
Cleaning equipment
Reporting errors
Increasing samples
Rewriting SOPs
PDCA promotes
Faster workflow
Continuous improvement
Staff discipline
Reduce stock cost
QSE for training
Customer Service
Personnel
Facilities
Documents
A mislabeled sample is a
Minor deviation
Critical error
Acceptable
Post analytical issue
Posture matters because it
Affects clothing
Affects blood concentration
Helps vein visibility
Reduces waiting time
Most important step before blood collection
Tube selection
Patient identification
Label writing
Cleaning table
Pre analytical error example
Calibration error
Wrong patient preparation
Calculation error
Late reporting
QSE for procurement
Equipment
Inventory
Documents
Assessment
Hemolysis risk increases with
Dry alcohol
Small needle
Gentle inversion
Correct order
Long tourniquet time result in
Low potassium
High protein and calcium
Low hematocrit
Low glucose
Test that requires fasting
CBC
Lipid profile
ESR
Sodium
Wrong tube is a
Analytical error
Pre analytical error
Post analytical error
QC error
EDTA tube color
Blue
Red
Lavender
Grey
Basilic vein avoided because
Too visible
Near nerves and artery
Too small
For children only
Probing needle causes
Fainting
Nerve injury
Hemoconcentration
Low hemoglobin
First step if dizzy
Speed up
Stop immediately
Push chair
Continue
Clotted EDTA tube means
Correct
Insufficient mixing
Too much blood
Good ratio
What is the primary purpose of CAPA in quality management?
To identify and eliminate defects
To enhance customer satisfaction
To ensure compliance with regulations
To improve employee training
Documentation errors affect
Customer service
Documents and Records
Facilities
Personnel
Test most affected by posture
Sodium
Total protein
ESR
Uric acid
Sample to reject
Full tube
Hemolyzed sample
Correct label
Fresh sample
PDCA used for
Stock
Improvement
Reporting
Labels
Which of the following is a component of Quality Control?
Training
Reporting
Equipment Calibration
audit
Labeling after leaving patient is
Acceptable
Serious error
Not important
Part of PDCA
QC must be run
Optional
Regularly
Yearly
If problem
Reduce TAT by
Skipping steps
Following SOPs
Wrong tubes
Avoid QC
Mandatory label item
Height
Name
Nurse name
Phone
Fist clenching increases
Glucose
Potassium
Creatinine
Sodium
Avoid drawing
Opposite arm
Above IV line
Normal arm
Preferred vein
Incorrect posture increases
Platelets
Triglycerides
ESR
Reticulocytes
QSE for safety training
Facilities and Safety
Inventory
Customer service
Assessment
Prevent hematoma
Slow entry
Immediate pressure
Large needle
Long tourniquet
Sign of nerve injury
Discomfort
Electric shock
Bleeding
Numb arm
Hemoconcentration due to
Low pressure
Long tourniquet
Correct technique
Low RBC
Control out of range means
Continue
Stop and investigate
Ignore
Report
Quality indicator
Register
Rejection rate
Hours of collection time
Temperature
Mix blood to
Prevent clotting
Color sample
Warm it
Increase WBC
Anxious patient shows
Calm
Hyperventilation
Stable pulse
Normal BP
QSE for trained staff
Personnel
Assessment
Facilities
Documents
Missing training records mean
Organization issue
Personnel failure
Purchasing issue
Safety issue
Wrong fasting instruction is
Post analytical
Pre analytical
Analytical
Reporting
High hemolysis rate shows
Good training
Poor technique
Clean area
Correct mixing
What should be done prior to performing a venipuncture?
Wear mask
Check patient’s name
Tell patient to keep hand on the table
Ask if patient can collect report
Clotted CBC affects
Cell count
Glucose
Lipids
Thyroid
Exercise affects
Urea
Glucose
ESR
Ammonia
Documentation errors cause
Traceability loss
Better accuracy
No impact
Faster workflow
Resting before collection helps
Clothing
Stabilize blood volume
Sleep
Comfort only
