Lab Matters Summer 2018 - Page 87

APHL 2018 Annual Meeting Poster Abstracts agencies. To ensure quality testing, accuracy and report accountability, it is imperative that specimens be submitted using suitable and accurate identifiers and that appropriate shipping and handling of the specimen to testing laboratories occurs. Labeling errors and specimens shipped under suboptimal conditions lead to cancellation of specimens. This impacts patient care as treatment is postponed due to delay in results, lost analyst productivity and higher testing fees due to repeat collection. Method: To investigate specimen rejections at Indiana State Department of Health Laboratories (ISDHL) resulting from improper labeling and/or shipping conditions, data was gathered from ISDHL Information Management System, STARLIMS. Data was collected on submitters, reasons for cancellation, test requests and specimen submission dates. This information was then examined to categorize the most common reason for specimen cancellations and identify submitting facilities. An instructional specimen submission training presentation was created and dispersed via an electronic mailing list. Discussion: The initial decrease in specimen cancellation following the training tool dissemination does not appear to be long-lasting. This may be attributed to the fact that submitters have not fully incorporated the presentation into their specimen submission process, complete training using this tool has not been widespread, or staffing turnover. By continuing to track this data on a monthly basis, ISDH will be able to observe whether this increase is a trend and possibly identify ways to mitigate it. With an average of 19,000 HIV specimens submitted yearly, it is important to continue communication and education with submitters to decrease cancellations. Presenter: Stephanie Dalenberg, Indiana State Department of Health, Indianapolis, IN, Phone: 317.921.5535, Email: sdalenberg@isdh.in.gov Walking in Each Other’s Shoes: The Importance of Building Relationships Between Epi and Lab (complete abstract in Food Safety, p. 57) Advantages of Self-Directed Regional Public Health Laboratory Networks S. 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