Description of Event or Problem · 1
SEVEN PATIENT SAMPLES WITH DISCREPANT GLUCOSE RESULTS. PATIENTS 1 THROUGH 6 WERE REPEATED TWICE, IN 2008 AND ABOUT 15 DAYS LATER, EXCEPT PATIENT 2 WHO WAS REPEATED ONCE ON THE INITIAL DATE. AT ABOUT 2 MONTHS PRIOR: PATIENT 1, INITIAL GAVE 39 MG/DL, REPEATS GAVE 79 AND 92 MG/DL. ABOUT 9 DAYS LATER: PATIENT 2, INITIAL GAVE 48 MG/DL, REPEAT GAVE 56 MG/DL. A SECOND SAMPLE RESULTED AT 75 MG/DL BY DIFFERENT ANALYZER. AT ABOUT APPROX 2 WEEKS LATER: PATIENT 3, INITIAL GAVE 42 MG/DL, REPEATS GAVE 79 AND 88 MG/DL. A SECOND SAMPLE RESULTED AT 85 MG/DL BY DIFFERENT ANALYZER. AT ABOUT 15 DAYS LATER: PATIENT 4, INITIAL GAVE 41 MG/DL. REPEATS GAVE 78 MG/DL EACH TIME. PATIENT 5, INITIAL GAVE 48 MG/DL; REPEATS GAVE 99 AND 88 MG/DL. A SECOND SAMPLE RESULTED AT 89 MG/DL BY A DIFFERENT ANALYZER. PATIENT 6, INITIAL GAVE 49 MG/DL; REPEATS GAVE 72 AND 63 MG/DL. A SECOND SAMPLE RESULTED AT 76 MG/DL BY DIFFERENT ANALYZER. AT ABOUT 47 DAYS LATER: PATIENT 7, INITIAL GAVE 46 MG/DL, REPEAT SAME DAY GAVE 65 MG/DL. A SECOND SAMPLE GAVE 74 MG/DL. INITIAL RESULTS WERE REPORTED. PATIENTS NOT ADVERSELY AFFECTED. ALTHOUGH A ROOT CAUSE WAS NOT DETERMINED, THE FIELD SERVICE REPRESENTATIVE LUBRICATED ALL MECHANISMS AND REQUIRED SURFACES, AND REBUILT DOSAGE PIPETTORS. PERFORMANCE TESTS WAS PERFORMED AND WITHIN.