Accession Register in Healthcare: Definition, Components, and Importance

Definition

An accession register (also called an accession log or book) is a record-keeping system used in healthcare to track the receipt, processing, and storage of patient specimens and samples. It ensures traceability and accountability throughout the testing process.

Standard Data Fields

1. Accession Number: Unique identifier assigned upon receipt.
2. Patient Information: Name, medical record number, date of birth, gender, and other demographics.
3. Specimen Type: Description (e.g., blood, urine, tissue, body fluids).
4. Collection Date and Time.
5. Collected By: Healthcare professional who obtained the specimen.
6. Received By: Laboratory professional who accepted the specimen.
7. Test(s) Requested.
8. Specimen Condition: Notation of any abnormalities, damage, or leaks.
9. Storage Location: Refrigerator, freezer, biorepository, etc.
10. Status: Current stage (testing, completed, awaiting processing).
11. Reporting Date: When results were made available to the requesting provider.

Additional Functions

The register also records test results and any notes on specimen handling or analysis.

Importance

Maintaining an accurate, up-to-date accession register is critical for efficient laboratory operations, proper specimen identification, regulatory compliance, and the overall reliability of laboratory services.