Description of Event or Problem · 1
THE ACCOUNT STATED THAT A PT SAMPLE WAS ASSAYED WITHIN 5 MINUTES OF BEING DRAWN AND GENERATED THE FOLLOWING RESULTS WHEN USING A CELL-DYN 1700 ANALYZER; WBC=4.9 K/UL, RBC-2.23 M/UL, HGB=6.7 G/DL, HCT=20.6%, PLT=88 K/UL. THE RBC, HCT, AND PLT WERE FLAGGED BY THE INSTRUMENT AS LOW AND THE HGB RESULT WAS FAGGED CR (CRITICALLY LOW). THE RESULTS WERE REPORTED TO A PHYSICIAN. THE PT WAS ADMITTED TO THE HOSP AND A CBC PERFORMED, GENERATING RESULTS IN THE NORMAL RANGE (PLATFORM AND RESULTS NOT PROVIDED). A REPEAT OF THE ORIGINAL SAMPLE ON THE CELL-DYN 1700 YIELDED THE FOLLOWING RESULTS; WBC=9.6 K/UL, RBC=4.50 M/UL, HGB=13.7 G/DL, HCT=42.0%, PLT=200 K/UL. THE REPEATED RESULTS WERE VERY CLOSE TO THAT OF THE HOSPITAL VALUES. NO FURTHER IMPACT TO PT MANAGEMENT WAS REPORTED.