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Healthcare – Inaccurate Glucometer Readings

Reasons for incorrect glucometer readings

RCA fishbone for Inaccurate Glucometer Readings

Consistently inaccurate glucometer readings are a critical issue that demands immediate attention. This device plays a pivotal role in accurately detecting blood sugar levels, requiring precision in handling and proper storage. Even the slightest deviation from standard guidelines may result in inaccurate readings. Monitoring glucose levels in diabetic patients is crucial, as their medication and dosage depend on these readings and require close vigilance. The test strip must be dry and clean, and stored properly. Additionally, the patient’s hematocrit condition, habitat, amount of blood sample, and test strip quality also affect the reading. Errors in readings can be life-threatening. Therefore, understanding the causes of errors in glucometer readings is a highly relevant and crucial topic for many people worldwide.

Inaccurate Glucometer Readings

Man

  •  Failure to follow calibration instructions
  •  Improper blood application or timing
  •  Dehydrated diabetic patient
  •  Hematocrit variations/ low RBC count of the patient

 Machine

  • Inaccurate calibration
  •  Meter variances
  •  Old undercharged batteries
  •  Incorrect coding

Method

  •  Blood not taken from the fingertip
  •  Test strip partially inserted into the monitor
  •  Used sanitizer instead of soap/ water
  •  Hand and testing site not washed/ dried
  •  Presence of dirt/ alcohol/ other substances

Material

  •   Blood sample size not optimum/hemolyzed blood
  •  Test strip not meant for glucometer
  •  Damaged/outdated/ wet / contaminated test strip
  •  Strip not stored in a sealed container

Management

  •  Inadequate policies for calibration/ maintenance
  •  Insufficient training programs for users
  •  Lack of routine checks and maintenance

Environment

  •  Extreme temperature affects glucometer/ test strip performance
  •  Extreme high/ low temperatures affect the glucose level of the patient
  •  Inappropriate storage environment for glucometer/ test strip
  •  High humidity level

This RCA Fishbone diagram categorizes the potential root causes of inaccurate glucometer readings into six areas: human factors, equipment issues, processes, materials, management practices, and environmental factors. By systematically investigating these categories, stakeholders can identify and address the root causes to improve the accuracy and reliability of glucometer readings.

Who should use the Inaccurate Glucometer Readings template?

  • The RCA fishbone, Inaccurate Glucometer Readings is quite pertinent when our cause of concern is hyper or hypoglycemia. People associated with healthcare would find it insightful. The collaborative approach and the visual representation of an issue with a hierarchical structure offer a user-friendly environment.

Why use this template?

  • Doctors, nurses, and other medical professionals who rely on accurate glucometer readings for diagnosing and managing patients’ blood glucose levels may refer to this template. It helps them understand potential sources of error and improve patient care. Individuals who use glucometers would be aware of the factors that affect the glucometer reading.
  • Companies that design and manufacture glucometers can use the RCA Fishbone diagram to identify areas for product improvement, enhance device reliability, and ensure quality control.
  • Personnel responsible for maintaining and calibrating glucometers can use the diagram. They can ensure the proper working of the devices and implement best practices for maintenance.
  • Anyone can design and extend the template or reuse this with some modifications for cause analysis of other problems in ProSolvr by smartQED.

Curated from community experience and public sources:

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