Preanalitik Hataların Altı Sigma Metodu ve Pareto Prensibi Analizi ile Değerlendirilmesi

Yıl 2023, Cilt: 7 Sayı: 2, 163 - 169, 29.10.2023

Saniye Başak Oktay , Ferhat Hanikoğlu

https://doi.org/10.30565/medalanya.1325564

Öz

Amaç: Bu çalışmada, klinik biyokimya laboratuvarımızda altı sigma metodolojisi ve Pareto prensibi kullanılarak beş yıllık süreçteki preanalitik hataların değerlendirilmesi amaçlanmıştır.

Yöntem: Klinik biyokimya laboratuvarında Ocak 2015 ve Aralık 2019 tarihleri arasında gerçekleşen beş yıllık numune red verileri analiz edildi ve reddetme nedenlerine göre sınıflandırıldı.
Toplam ve her bir preanalitik hata için gerçekleşen red verilerinin altı sigma düzeyleri, Westgard online formülü kullanılarak hesaplandı. Preanalitik hatalar, Pareto prensibi kullanılarak sıklık sıraları ve yüzdelerine göre değerlendirildi.

Bulgular: Beş yıllık toplam kritik preanalitik hataların genel oranı %1,91 ve sigma düzeyi 3,6 idi. Beş yıllık veriler Pareto grafiğine göre değerlendirildiğinde en sık karşılaşılan preanalitik hatalar pıhtılaşmış numune (%42,49, sigma değeri: 4), yetersiz numune (%23,53, sigma değeri: 4,2) ve yanlış numune kabı (%8,01, sigma değeri: 4,5) olarak belirlendi.

Sonuç: Altı Sigma, laboratuvar performans süreçlerini evrensel kalite kriterlerine göre değerlendirmek amacıyla kullanılan bir kalite yönetim metodolojisidir. Laboratuvarımızdaki preanalitik hataların hesaplanan sigma değerleri kabul edilebilir aralıktaydı. Ancak sık gözlenen preanalitik hatalara yönelik planlanan düzenleyici faaliyetler, bu hata oranlarının azaltılması ve laboratuvar performansımızın geliştirilmesi için bir laboratuvar yönetim stratejisi olmalıdır.

Anahtar Kelimeler

Altı Sigma, Kalite kontrol, Preanalitik hatalar

Assessment of Preanalytical Errors by Six Sigma Method and the Pareto Principle Analysis

Öz

Aim: In this study, we aimed to evaluate the preanalytical errors over a five year period using the Six Sigma methodology and Pareto Principle in the clinical biochemistry laboratory.

Methods: Five-year sample rejection data between January 2015 and December 2019 in the clinical biochemistry laboratory were analyzed and classified according to the reasons for rejection. Six Sigma levels for the total and each preanalytical error were calculated with Westgard online formula. Preanalytical errors were evaluated according to their frequencies ranks and percentages with Pareto's principle.

Results: The overall rate of five-year total critical preanalytical errors was 1.91% and the sigma level was 3.6. According to Pareto's chart, the three most common errors among the five-year preanalytical rejections were clotted sample (42.49%, sigma value:4), insufficient sample (23.53%, sigma value:4.2), and wrong container (8.01%, sigma value:4.5).

Conclusion: Six Sigma is a quality management methodology used to evaluate laboratory performance processes according to universal quality criteria. Calculated sigma values of preanalytical errors in our laboratory were within the acceptable range. However, planned regulatory activities for frequently observed preanalytical errors should be a laboratory management strategy to reduce these error rates and improve our laboratory performance.

Anahtar Kelimeler

Six Sigma, Quality Control, Preanalytical Errors

Kaynakça

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