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Table 2 Example of data record form for preanalytical mistake

From: Types and frequency of preanalytical mistakes in the first Thai ISO 9002:1994 certified clinical laboratory, a 6 – month monitoring

Date time Source of Type* and detail of Primary corrective action signature
   request identified mistake   
  1. * classified as physician's order missed, patient misidentiflcation, specimen collected in insufficient quantity, inappropriate container used, inappropriate quality of specimen, specimen lost in transit and etc.