Amending Reported Results

Unit:
LABORATORY DEPARTMENT Number: LAB/P/D026 ED#1
Classification :
Hospital-Wide Multidisciplinary Departmental
New Revised Renewed
Issue Date: 1/7/2018 Effective Date: 1/9/2018 Review Date: 1/9/2021
Title: AMENDING REPORTED RESULTS
PURPOSE:
To provide the laboratory staff with guidelines for amending or correcting an issued laboratory
results.
RESPONSIBILITIES:
Laboratory director/ designee are responsible for:
• Reporting the correct result to the relevant patient, doctor.

• Ensuring all staff compliance to the procedure.
Laboratory senior/ Laboratory supervisor are responsible for:

• Ensuring correct results are reported to all concerned parties.
• For checking & noticing reports that needs corrections.

Laboratory Quality Manager is responsible for:
• Receiving the data from the laboratory director/designee and investigation of errors and
implementing corrective action.

Medical technologists are responsible for:
• Writing patient results neatly & carefully.
• Reporting any erroneous result to the senior/deputy lab director or lab director, and doing
all efforts to investigate & collection of data as per the designed quality indicator, correct
the result in collaboration with Quality Manager.
Applicable to: All Laboratory Staff
1. DEFINITIONS:
1.1 Corrected Report:

The one that replaces a previously reported incorrect result, reference range or
interpretation.
An example would be, corrected creatinine result"___” previously reported as" ___”, (or)
“Previously reported as gram positive cocci – corrected report is no growth.”
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Unit:
1.2 Revised Report:

Revised reports means reports that contain any changes to patient results, accompanying
reference intervals and interpretations, or patient identifiers, but not minor typographical
errors. Reports that display revised results must clearly indicate that the new result is a
change from a previously reported result.
1.3 Amended Report:
The one that has an additional comment or addendum attached to the result that does not
change the clinical interpretation of the result. Or includes situations in which progressive,
incremental reporting is standard practice "an example would be a final microbiology culture
results after initial gram stain reporting.
2. POLICY:
2.1. Whenever it becomes evident that erroneous laboratory test results have been reported,
an amended report must be completed with all corrections and the reason for error clearly
documented.
2.2. While the report is the end result of the testing process, the reasons for the release of an
erroneous report must be investigated whether pre-analytical phase, from test ordering
to specimen collection and handling, through the analytical phase
(instruments/reagents/staff competency), to the post-analytic phase that includes
verification of the HMIS for automated and manual results transfer. All these indicates a
problem that may involve the core issues of oversight, training, communication and
documentation.
3. PROCEDURE
3.1 Report the final corrected result, and mention clearly the previous/errors result as erroneous
and the new final result as amended/corrected result in the report.
3.2 Immediately after recognizing an erroneous result has been reported: Contact the individual
who received the original report and notify about the amendment.
3.3 When possible, retest the original specimen to obtain the correct result copy of the
erroneous report will be printed before any correction is made on the HMIS system.
3.4 The correction is made by hand on the copy, dated & signed by the person who made the
correction. If the original report is available, document on the report that the
original/previous result was in error.
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Unit:
3.5 The correct result is entered to the HMIS system & printed promptly. The lab
Director/Designee will review both reports, supporting data e.g. Instrument printouts etc. &
approve the corrected report.

3.6 The date & time of corrected report is the same as the report printing date and time.
3.7 All original & corrected reports will be maintained permanently in the corrected reports file.
3.8 Reported patient errors will be handled according to the Corrective and Preventive Action
Procedure.
3.9 All released/ verified results found to be erroneous must be reported to the ordering
physician as soon as possible to minimize the potential adverse impact on patient
management. The physician must be informed that once the error has been investigated the
new corrected results will be called to him.
3.10 All corrected results must be called to the ordering physician as soon as the results are
repeated and confirmed, all relevant quality control records have been reviewed and
checked ensuring that the quality control have been performed according to established
policy and controls are within acceptable analytical ranges and the laboratory director/
section head have reviewed / approved the new corrected results.
3.11 The previous test results/ information and the revised results/ information must be identified
as such and included in the corrected report
3.12 The corrected reports guidelines as detailed above apply to all results and patient data
performed in the laboratory and any correction of any patient data must be informed either
verbally by phone and electronic laboratory report through HMIS as a part of general reporting
requirements
4 RESOURCES
CBAHI, CLSI, CAP
5 CROSS REFERENCES
6 REFERENCES
6.1 NCCLS, Using Proficiency Testing to Improve the Clinical Laboratory, Approved
Guideline GP27- A.
7 FORMS AND ATTACHMENTS

Form: Corrected Laboratory Results-LAB/086-V1
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Unit:
8. APPROVALS & REVIEWS:
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Amending Reported Results

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Unit:

LABORATORY DEPARTMENT Number: LAB/P/D026 ED#1

Issue Date: 1/7/2018 Effective Date: 1/9/2018 Review Date: 1/9/2021

Title: AMENDING REPORTED RESULTS

Laboratory director/ designee are responsible for:

• Reporting the correct result to the relevant patient, doctor.

Laboratory senior/ Laboratory supervisor are responsible for:

• For checking & noticing reports that needs corrections.

implementing corrective action.

• Writing patient results neatly & carefully.

Applicable to: All Laboratory Staff

1.1 Corrected Report:

1.2 Revised Report:

approve the corrected report.

new corrected results will be called to him.

section head have reviewed / approved the new corrected results.

as such and included in the corrected report

7 FORMS AND ATTACHMENTS

8. APPROVALS & REVIEWS:

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