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- W2593162419 abstract "A 60-year-old female patient presented to a family physician with recent symptoms of fatigue, but no prior medical problems. During that initial visit, the physician ordered laboratory evaluations for anemia (complete blood count, iron, and vitamin B12), thyroid status, and renal function (Table 1). The ordered test results were not remarkable except for an unexplained mild anemia: hemoglobin 9.1 g/dL (91 g/L); hyponatremia: Na 127 mmol/L; and hypoalbuminemia: albumin 2.1 g/dL (21 g/L).View this table:Table 1. Selected results of laboratory testing performed after initial evaluation of the patient with age- and sex-dependent reference intervals.aResults for vitamin B12 could not be provided by the laboratory. During the analysis, a series of instrument error codes were observed by staff and the instrument stopped. The error codes were triggered after incubation of plasma with reagents for measurement of vitamin B12 on an E601 analyzer (Roche Diagnostics). The error codes appeared in the software and computer that operates the E601 analyzer and were recorded by the middleware (Cobas I.T. middleware 1.05.02) but was not communicated to the laboratory information system). The 4 error codes indicated a shortage of auxiliary reagent, an abnormal measuring cell condition, an abnormal sipper pipette movement, and a tip/cup pickup error. During investigation, staff observed that as an automated pipette …" @default.
- W2593162419 created "2017-03-16" @default.
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- W2593162419 date "2017-05-01" @default.
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- W2593162419 title "Instrument Error Codes and Diagnostic Serendipity" @default.
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- W2593162419 doi "https://doi.org/10.1373/jalm.2016.021725" @default.
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