[Contribution and evolution of blood culture quality indicators]

Ann Biol Clin (Paris). 2019 Jun 1;77(3):331-338. doi: 10.1684/abc.2019.1450.
[Article in French]

Abstract

The monitoring of quality indicators, combined with a detailed risk analysis, validates the process of automated blood culture. Here we report the methodology of 5 years monitoring for 5 indicators at the Biology Department of Foch Hospital: volume sampled, proportion of contaminants, proportion of positive blood cultures in each instrument and drawer, epidemiological indicator and proportion of false-positive instrument signals. The results obtained were outside the expected target for the volume sampled and were acceptable for the other indicators. The analysis of these results leads us to discuss the evolution of quality indicators and more particularly the implementation of corrective measures, their periodicity, their relevance as well as the need to refine their results to carry out targeted actions.

Keywords: blood culture; indicators; quality.

MeSH terms

  • Accreditation
  • Automation, Laboratory / standards
  • Blood Culture / methods
  • Blood Culture / standards*
  • Blood Culture / trends*
  • Equipment Contamination
  • False Positive Reactions
  • Humans
  • Pre-Analytical Phase / standards
  • Pre-Analytical Phase / trends
  • Predictive Value of Tests
  • Quality Control*
  • Quality Improvement / standards
  • Quality Improvement / trends
  • Quality Indicators, Health Care* / trends
  • Sepsis / blood
  • Sepsis / diagnosis
  • Seroepidemiologic Studies
  • Sterilization / methods
  • Sterilization / standards