Purpose: To identify the number of submitted dried blood spot specimens missing at least one state-defined essential data field1 upon receipt at the lab, which may delay the testing of a specimen and reporting of results, causing potential harm to the newborn and requiring additional work for laboratory personnel to acquire the missing information.
Screening Data for Denominator: Number of dried blood spot specimens received at your state's newborn screening laboratory. This should include first and subsequent specimens.2
- Essential information is defined differently by each state, and consists of information that is critical for testing and follow-up activities. Missing essential information is that which impacts result interpretation and/or impedes the ability to identify and locate the infant in an emergent situation. The following is a list of data elements often considered essential information from the Emergency NBS Collection Cards:
- Patients Identification Number
- Infant's First & Last Name
- Date and Time of Birth
- Date and Time of Specimen Collection
- Birth Weight at time of specimen collection
- Mother's First and Last Name
- Mother's Address
- Mother's Phone
- Submitter's Identification
- Submitter's Address
- Physician's Name
- Physician's Phone
- You do not need to tally how many fields are missing; only count the specimen in the numerator if at least one field is missing.
- A list of data fields considered essential information pulled from the Emergency NBS Collection Card developed by the Association of Public Health Laboratories Quality Assurance/ Quality Control Subcommittee can be found in Appendix A: Glossary of Terms of the QI Source Document.
- This includes multiple specimens collected from a single newborn, but not monitoring specimens (e.g. PKU monitoring)