Error Sources in Laboratory Analysis

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Questions and Answers

What type of errors occur during sample collection, transport, or processing prior to the analysis step?

  • Analytical errors
  • Preanalytical errors (correct)
  • Interfering errors
  • Postanalytical errors

Which of the following is an example of a preanalytical error related to specimen collection?

  • Instrument not calibrated correctly
  • Specimen mislabeled (correct)
  • Report delayed or incomplete
  • Bubbles or particles present in the sample

When do postanalytical errors occur?

  • During sample collection
  • Before the analysis step
  • After the analysis has taken place (correct)
  • During analysis

Which type of error may involve issues like interfering substances present and not recognized or bubbles or particles in the sample?

<p>Analytical errors (A)</p> Signup and view all the answers

What could be a consequence of a preanalytical error related to a patient being improperly prepared?

<p>Specimen collected in wrong container (C)</p> Signup and view all the answers

Which error category involves issues like the result reported incorrectly or with inappropriate units of measure?

<p>Postanalytical errors (C)</p> Signup and view all the answers

What is one negative consequence of particulate matter, like microclots, in a plasma sample?

<p>Impedes the measurement by clogging the sampling probe (B)</p> Signup and view all the answers

Which error is likely to occur if a laboratory uses less than the required volume of patient specimen in the reaction mixture?

<p>Analytical error (B)</p> Signup and view all the answers

In the context of automation in laboratories, what does 'Reference Range' refer to?

<p>The range of values considered normal for a particular test (D)</p> Signup and view all the answers

How does automation impact the modern laboratory's efficiency and capacity?

<p>Increases efficiency and capacity by automating manual steps (C)</p> Signup and view all the answers

Which phase of the analytical process involves controlled operation by mechanical or electronic devices without human intervention?

<p>Analytical phase (C)</p> Signup and view all the answers

'Short sampling' in laboratory procedures can lead to which type of error?

<p>Random error (B)</p> Signup and view all the answers

What are the three most common interferents in a serum or plasma sample?

<p>Hemoglobin, Icteric (or Bilirubin), Lipemia (A)</p> Signup and view all the answers

Which condition is characterized by the presence of extremely high triglycerides making the sample turbid?

<p>Lipemic (C)</p> Signup and view all the answers

What is the term used to refer to samples with high bilirubin content?

<p>Icteric (B)</p> Signup and view all the answers

What type of errors occur as a result of unpredictable events that affect the measurement of the signal?

<p>Random errors (C)</p> Signup and view all the answers

Which of the following examples represents a random error in laboratory testing?

<p>Air bubbles in the sample leading to an incorrect volume measurement (C)</p> Signup and view all the answers

How can a bubble in the light path of a spectrophotometer affect test results?

<p>Lead to underestimation or overestimation of analyte concentration (C)</p> Signup and view all the answers

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Study Notes

Sources of Error

  • Sources of error are typically divided into three categories: preanalytical, analytical, and postanalytical.

Preanalytical Errors

  • Occur during sample collection, transport, or processing prior to analysis
  • Examples:
    • Wrong test ordered
    • Test order misunderstood
    • Patient improperly prepared or misidentified
    • Specimen collected in wrong container or with incorrect additive
    • Inadequate amount of specimen collected
    • Specimen transport under improper conditions
    • Delay in processing and transport time

Analytical Errors

  • Occur during analysis
  • Examples:
    • Instrument not calibrated correctly
    • Interfering substances present and not recognized
    • Dilution error
    • Bubbles or particles present in sample
    • Hemoglobin, Icterus (Bilirubin), and Lipemia are common interferents in serum or plasma samples

Postanalytical Errors

  • Occur after analysis
  • Examples:
    • Result reported incorrectly or with inappropriate units of measure
    • Result sent to wrong location
    • Report delayed or incomplete

Random Errors

  • Errors that occur due to unpredictable events affecting the measurement of the signal
  • Examples:
    • Air bubbles or particulate matter in the sample
    • Pipetting a too-small volume of sample
    • Particulate matter (e.g., microclots) in a plasma sample

Automation

  • Defined as the mechanization of steps in procedures or the use of machines to follow a predetermined sequence of individual operations with minimal human involvement
  • The modern laboratory uses a high degree of automation, allowing operators to focus on tasks that cannot be readily automated
  • Automation is applied to the analytical process, which can be divided into three phases: preanalytical, analytical, and postanalytical

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