Curriculum
პრე-ექსამინაცია — პაციენტის მომზადება, შეგროვება, იდენტიფიკაცია, ტრანსპორტი, მიღება [L-04]
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Start here
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Course pre-test
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Part I — Patient preparation and collection instructions
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Part II — Patient and specimen identification
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Part III — Specimen transport and chain of custody
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Part IV — Specimen reception and rejection criteria
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Course post-test
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Resources
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Capstone & certificate
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Text lesson
Chapter 4 · Specimen reception and rejection criteria
The laboratory must have documented acceptance and rejection criteria for all specimen types. Rejection criteria include: wrong tube, insufficient volume, haemolysis, incorrect temperature, exceeded time limit, unlabelled or mislabelled. When a specimen is rejected, the laboratory must notify the requester, document the reason, and — where patient safety requires — arrange recollection. Rejection rates must be monitored as a quality indicator.
Practical example
The laboratory’s rejection rate for unlabelled specimens is 0.8%, double the acceptable threshold. Good practice: The QM investigates, identifies that three specific wards account for 90% of unlabelled specimens, arranges targeted training, and monitors the rejection rate monthly. Poor practice: The QM notes the figure in the quality report but takes no action — the rate remains high and the root cause is never addressed.
What this means for your practice: Rejection rates are quality indicators. A persistently high rejection rate for a specific cause or source should trigger a root cause investigation, not just monitoring.