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Table 3 Reasons for rejection of PHC specimens correlated with the most possible causes and action plan

From: Clinical laboratory services for primary healthcare centers in urban cities: a pilot ACO model of ten primary healthcare centers

Reason of rejection

%

Expected underlying cause

Action plan

No sample

68.30%

Phlebotomy process

Phlebotomy training and competency program for nurses

Incorrect tube

6.95%

Phlebotomy process

Phlebotomy training and competency program for nurses

Incorrect sample

2.90%

Phlebotomy process

Phlebotomy training and competency program for nurses

Hemolysis

2.85%

Phlebotomy process

Transportation

Lab personnel competency on specimen handling

Phlebotomy training and competency program for nurses

Training on specimen transportation and spill kit safety for drivers

Specimen reception training for laboratory personnel

Leakage

2.45%

Phlebotomy process

Transportation

Lab personnel competency on specimen handling

Phlebotomy training and competency program for nurses

Training on specimen transportation and spill kit safety for drivers

Specimen reception training for laboratory personnel

Missing or incorrect label

1.78%

Phlebotomy process

Phlebotomy training and competency program for nurses

No request

1.60%

Physician awareness

Physician awareness on the unified laboratory guide

Un-centrifuged

0.94%

Lab personnel competency on specimen handling

Specimen reception training for laboratory personnel

Insufficient quantity

0.71%

Phlebotomy process

Phlebotomy training and competency program for nurses

Clotted

0.27%

Phlebotomy process Transportation

Lab personnel competency on specimen handling

Phlebotomy training and competency program for nurses

Training on specimen transportation and spill kit safety for drivers

Specimen reception training for laboratory personnel

Other (combination)

11.23%

Phlebotomy process Transportation

Lab personnel competency on specimen handling