Question: study this case and answer where Nonconforming Event took place from the list: The medical laboratory at XYZ Hospital aims to reduce the number of

study this case and answer where Nonconforming Event took place from the list: The medical laboratory at XYZ Hospital aims to reduce the number of rejected blood specimens to below 2% to enhance the efficiency of result turn-around times (TAT). An audit was conducted to assess current practices in blood sample collection, handling, transportation, and processing. The study aims to identify areas of conformity and non-conformity, provide insights into potential improvements, and suggest corrective actions. Blood samples were collected by trained phlebotomists. The phlebotomy area was clean and well-organized. However, there were occasional lapses in protocol adherence, such as improper identification verification and rushed sample collection during peak hours. Samples were labeled using a barcode system. While most samples were labeled correctly, some samples had discrepancies between the barcode data and the manual entries in the logbook. Additionally, some labels were smudged, making them difficult to scan. Blood samples were transported to the laboratory in insulated carriers. Transportation logs were maintained, but there were instances of delayed transportation during high-traffic periods, resulting in some samples being received outside the acceptable time window. Upon arrival, samples were checked for integrity and stored in temperature-controlled environments. However, some samples were improperly stored, leading to hemolysis and other integrity issues. Additionally, storage logs indicated occasional temperature fluctuations. The processing of blood samples was generally efficient, but there were occasional delays due to equipment malfunctions and staff shortages. Some samples were rejected due to hemolysis, clotted specimens, and insufficient volume. Description of nonconforming event and type (Minor, Major, Critical). Facilities & Safety
Organization
Personnel
Equipment
Purchasing & Inventory
Process Control
Information Management
Documents & Records
Customer Focus
Assessment
Nonconforming Event Management
Continual Improvement

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