Abstract

Reducing errors in laboratory test requests

Author(s): Dr Lysa E. Owen MB ChB,Dr Louisa M.McIlwaine MB ChB,Dr Jean. S. Ker,Dr Lysa Owen

Errors in laboratory test requests can lead to adverse consequences for patients. There is increasing evidence that integrating safety concepts early in the curriculum is beneficial. This paper describes the development of an integrated skills programme using simulation which reduced errors in laboratory requests by medical students. All second year medical students, as part of their clinical skills core programme, received training on laboratory test requesting. The training included both paper based laboratory requesting and laboratory test requesting using an electronic system. A convenient sample of students completed both paper and electronic laboratory test requests as part of the training session and again six weeks later and the error rates were compared. The number of errors in the electronic versions was reduced and the reduction maintained over time. Incorporating IT and paper based simulated exercises early in clinical learning may have a role in error reduction in laboratory requests and in other areas of clinical practice.