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Table 1.6

Errors in Collection

Specimen ErrorsCollector Errors
Insufficient volumeTransport delay
Improper typeImproper collection method; using syringe for collection
Insufficient number of samplesWrong specimen container
Combining two partially filled tubesTraumatic venipuncture or excessive repositioning with needle
Wrong transport medium or wrong or absent preservativeIncorrect documentation; wrong date or time
Storage at incorrect temperatureIncorrect storage
Incorrect order of drawAir bubbles in tube
Improper centrifugation timeUnlabeled or mislabeled specimen or wrong patient identification information
Clotted sampleImproperly completed forms or computer data entry
Hemolyzed sampleTest tapes cut in half
Diluted sample; collecting above or below an IVDiscrepancies between test ordered and specimen collected
Failure to properly transcribe and process orders

Observing institutional protocols can prevent mishaps. Large-scale (affecting many patients) testing errors can result from improperly maintained or calibrated equipment at the site of sample analysis. There should be policies/procedures in place to address specimen, collection, and large-scale errors to include who should be notified and remedial action.