What is an accession register in healthcare?

An accession register, also known as an accession log or accession book, is a record-keeping system used in healthcare settings to track and document the receipt, processing, and storage of patient specimens and samples. It serves as a central repository of information related to the collection, handling, and analysis of these specimens, ensuring traceability and accountability throughout the testing process.

The accession register typically contains the following information for each specimen or sample received:

1. Accession Number: A unique identifier assigned to the specimen upon its receipt. This number serves as a reference for all subsequent documentation and communication related to the specimen.

2. Patient Information: Details of the patient from whom the specimen was collected, including name, medical record number, date of birth, gender, and other relevant demographic information.

3. Specimen Type: A description of the type of specimen collected, such as blood, urine, tissue, or other body fluids or materials.

4. Collection Date and Time: The date and time the specimen was collected from the patient.

5. Collected By: The name or initials of the healthcare professional who collected the specimen.

6. Received By: The name or initials of the healthcare professional who received the specimen in the laboratory.

7. Test Requested: A list of the tests or analyses requested to be performed on the specimen.

8. Specimen Condition: A description of the condition of the specimen upon its receipt, including any visible abnormalities, damage, or leaks.

9. Storage Location: The location where the specimen is stored within the laboratory, such as a refrigerator, freezer, or biorepository.

10. Status: The current status of the specimen, indicating whether it is in the process of being tested, completed, or awaiting further processing.

11. Reporting Date: The date when the test results were reported or made available to the requesting healthcare provider.

The accession register also includes sections for recording the results of the tests performed on the specimen, as well as any additional relevant information or notes related to the specimen's handling or analysis.

Maintaining an accurate and up-to-date accession register is crucial for efficient laboratory operations, ensuring proper specimen identification, tracking, and documentation. It facilitates quick retrieval of patient information and test results, supports regulatory compliance, and contributes to the overall quality and reliability of laboratory services.

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