Blood sample collection and patient identification demand improvement: A questionnaire study of preanalytical practices in hospital wards and laboratories

Scandinavian Journal of Caring Sciences

Volumn 24, Issue 3, 2010, Pages 581-591

  Wallin, Olof ^a,b   Söderberg, Johan ^a,b   Van Guelpen, Bethany ^a   Stenlund, Hans ^c   Grankvist, Kjell ^b   Brulin, Christine ^a  

^a Department of Nursing ^*  (Sweden)

^b Department of Medical Biosciences   (Sweden)

^c UMEÅ UNIVERSITY   (Sweden)

Author keywords

Adverse events; Clinical guidelines; Error research; Nursing practice; Patient safety; Quality and safety; Questionnaire; Venous blood sampling

Indexed keywords

ARTICLE; CROSS-SECTIONAL STUDY; FEMALE; HOSPITAL DEPARTMENT; HOSPITAL LABORATORY; HUMAN; LABORATORY DIAGNOSIS; MALE; MIDDLE AGED; PATIENT IDENTIFICATION; PHLEBOTOMY; QUESTIONNAIRE;

CROSS-SECTIONAL STUDIES; FEMALE; HOSPITAL DEPARTMENTS; HUMANS; LABORATORIES, HOSPITAL; MALE; MIDDLE AGED; PATIENT IDENTIFICATION SYSTEMS; PHLEBOTOMY; QUESTIONNAIRES; SPECIMEN HANDLING;

EID: 77955730068     PISSN: 02839318     EISSN: 14716712     Source Type: Journal    
DOI: 10.1111/j.1471-6712.2009.00753.x     Document Type: Article

References (50)

1. Fourth Annual Patient Safety in American Hospitals Study http://www.healthgrades.com/media/DMS/pdf/PatientSafetyInAmericanHospitalsStudy2007.pdf, Health Grades Inc, (last accessed 25 April 2008)
2. Nutting PA, Main DS, Fischer PM, Stull TM, Pontious M, Seifert M, Boone DJ, Holcomb S. Toward optimal laboratory use. Problems in laboratory testing in primary care. JAMA 1996, 275:635-39.
3. Plebani M, Carraro P. Mistakes in a stat laboratory: types and frequency. Clin Chem 1997, 43:1348-51.
4. Wiwanitkit V. Types and frequency of preanalytical mistakes in the first Thai ISO 9002:1994 certified clinical laboratory, a 6-month monitoring. BMC Clin Pathol 2001, 1:5.
5. Plebani M. Errors in clinical laboratories or errors in laboratory medicine? Clin Chem Lab Med 2006, 44:750-9.
6. Galloway M, Woods R, Whitehead S, Baird G, Stainsby D. An audit of error rates in a UK district hospital transfusion laboratory. Transfus Med 1999, 9:199-203.
7. Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem 2007, 53:1338-42.
8. Ibojie J, Urbaniak SJ. Comparing near misses with actual mistransfusion events: a more accurate reflection of transfusion errors. Br J Haematol 2000, 108:458-60.
9. Wagar EA, Tamashiro L, Yasin B, Hilborne L, Bruckner DA. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med 2006, 130:1662-68.
10. Valenstein PN, Raab SS, Walsh MK. Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Arch Pathol Lab Med 2006, 130:1106-13.
11. McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med 2006, 144:510-16.
12. Linden JV, Wagner K, Voytovich AE, Sheehan J. Transfusion errors in New York State: an analysis of 10 years' experience. Transfusion 2000, 40:1207-13.
13. Fuentes-Arderiu X, Acebes-Frieyro G, Gavaso-Navarro L, Castineiras-Lacambra MJ. Pre-metrological (pre-analytical) variation of some biochemical quantities. Clin Chem Lab Med 1999, 37:987-89.
14. Kouri T, Siloaho M, Pohjavaara S, Koskinen P, Malminiemi O, Pohja-Nylander P, Puukka R. Pre-analytical factors and measurement uncertainty. Scand J Clin Lab Invest 2005, 65:463-75.
15. Kjeldsen SE, Eide I, Leren P, Foss OP. Effects of posture on serum cholesterol fractions, cholesterol ratio and triglycerides. Scand J Clin Lab Invest 1983, 43:119-21.
16. Miller M, Bachorik PS, Cloey TA. Normal variation of plasma lipoproteins: postural effects on plasma concentrations of lipids, lipoproteins, and apolipoproteins. Clin Chem 1992, 38:569-74.
17. Rasmussen K, Moller J, Lyngbak M. Within-person variation of plasma homocysteine and effects of posture and tourniquet application. Clin Chem 1999, 45:1850-55.
18. Thirup P, Ekelund S. Day-to-day, postprandial, and orthostatic variation of total plasma homocysteine. Clin Chem 1999, 45:1280-83.
19. Lippi G, Salvagno GL, Montagnana M, Brocco G, Guidi GC. Influence of short-term venous stasis on clinical chemistry testing. Clin Chem Lab Med 2005, 43:869-75.
20. Lippi G, Salvagno GL, Montagnana M, Franchini M, Guidi GC. Venous stasis and routine hematologic testing. Clin Lab Haematol 2006, 28:332-37.
21. Lippi G, Salvagno GL, Montagnana M, Guidi GC. Short-term venous stasis influences routine coagulation testing. Blood Coagul Fibrinolysis 2005, 16:453-58.
22. Polack B, Schved JF, Boneu B. Preanalytical recommendations of the 'Groupe d'Etude sur l'Hemostase et la Thrombose' (GEHT) for venous blood testing in hemostasis laboratories. Haemostasis 2001, 31:61-68.
23. Procedures for the collection of diagnostic blood specimens by venipuncture; Approved Standard 2003, Clinical and Laboratory Standards Institute, 5th edn, CLSI document H3-A5, Clinical and Laboratory Standards Institute, Wayne
24. Romero A, Munoz M, Ramos JR, Campos A, Ramirez G. Identification of preanalytical mistakes in the stat section of the clinical laboratory. Clin Chem Lab Med 2005, 43:974-75.
25. Salvagno GL, Lippi G, Bassi A, Poli G, Guidi GC. Prevalence and type of pre-analytical problems for inpatients samples in coagulation laboratory. J Eval Clin Pract 2008, 14:351-3.
26. Dale JC, Novis DA. Outpatient phlebotomy success and reasons for specimen rejection. Arch Pathol Lab Med 2002, 126:416-19.
27. Kalra J. Medical errors: impact on clinical laboratories and other critical areas. Clin Biochem 2004, 37:1052-62.
28. Bologna LJ, Lind C, Riggs RC. Reducing major identification errors within a deployed phlebotomy process. Clin Leadersh Manag Rev 2002, 16:22-26.
29. Jones BA, Meier F, Howanitz PJ. Complete blood count specimen acceptability. A College of American Pathologists Q-Probes study of 703 laboratories. Arch Pathol Lab Med 1995, 119:203-8.
30. Jones BA, Calam RR, Howanitz PJ. Chemistry specimen acceptability: a College of American Pathologists Q-Probes study of 453 laboratories. Arch Pathol Lab Med 1997, 121:19-26.
31. Lippi G, Bassi A, Brocco G, Montagnana M, Salvagno GL, Guidi GC. Preanalytic error tracking in a laboratory medicine department: results of a 1-year experience. Clin Chem 2006, 52:1442-43.
32. Chaturvedi S, Suri V, Pant I, Rusia U. Blood collection procedures in hematology: knowledge and practice among laboratory personnel. Indian J Pathol Microbiol 2006, 49:381-4.
33. Wallin O, Söderberg J, Van Guelpen B, Brulin C, Grankvist K. Patient-centred care-preanalytical factors demand attention: a questionnaire study of venous blood sampling and specimen handling. Scand J Clin Lab Invest 2007, 67:836-47.
34. Wallin O, Söderberg J, Van Guelpen B, Stenlund H, Grankvist K, Brulin C. Preanalytical venous blood sampling practices demand improvement - a survey of test-request management, test-tube labelling and information search procedures. Clin Chim Acta 2008, 391:91-97.
35. Laboratory Services National Patient Safety Goals http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/07_lab_npsgs.htm, The Joint Commission, (last accessed 25 April 2008)
36. Lippi G, Salvagno GL, Montagnana M, Guidi GC. Influence of primary sample mixing on routine coagulation testing. Blood Coagul Fibrinolysis 2007, 18:709-11.
37. Iversen LH. Pre-analytical variation in the measurements of sensitive markers of coagulation and fibrinolysis: the influence of venipuncture and mixing of blood. Haemostasis 1997, 27:119-24.
38. Chuang J, Sadler MA, Witt DM. Impact of evacuated collection tube fill volume and mixing on routine coagulation testing using 2.5-ml (pediatric) tubes. Chest 2004, 126:1262-66.
39. Lippi G, Salvagno GL, Montagnana M, Banfi G, Guidi GC. Evaluation of different mixing procedures for K2 EDTA primary samples on hematological testing. Lab Med 2007, 38:723-25.
40. Papp AC, Hatzakis H, Bracey A, Wu KK. ARIC hemostasis study-I. Development of a blood collection and processing system suitable for multicenter hemostatic studies. Thromb Haemost 1989, 61:15-19.
41. Timms JF, Arslan-Low E, Gentry-Maharaj A, Luo Z, T'Jampens D, Podust VN, Ford J, Fung ET, Gammerman A, Jacobs I, Menon U. Preanalytic influence of sample handling on SELDI-TOF serum protein profiles. Clin Chem 2007, 53:645-56.
42. Kristensen GB, Nerhus K, Thue G, Sandberg S. Results and feasibility of an external quality assessment scheme for self-monitoring of blood glucose. Clin Chem 2006, 52:1311-17.
43. Madeo M, Jackson T, Williams C. Simple measures to reduce the rate of contamination of blood cultures in accident and emergency. Emerg Med J 2005, 22:810-11.
44. Howanitz PJ, Renner SW, Walsh MK. Continuous wristband monitoring over 2 years decreases identification errors: a College of American Pathologists Q-Tracks Study. Arch Pathol Lab Med 2002, 126:809-15.
45. Zarbo RJ, Jones BA, Friedberg RC, Valenstein PN, Renner SW, Schifman RB, Walsh MK, Howanitz PJ. Q-tracks: a College of American Pathologists program of continuous laboratory monitoring and longitudinal tracking. Arch Pathol Lab Med 2002, 126:1036-44.
46. Renner SW, Howanitz PJ, Bachner P. Wristband identification error reporting in 712 hospitals. A College of American Pathologists' Q-Probes study of quality issues in transfusion practice. Arch Pathol Lab Med 1993, 117:573-7.
47. Quillen K, Murphy K. Quality improvement to decrease specimen mislabelling in transfusion medicine. Arch Pathol Lab Med 2006, 130:1196-98.
48. Lau FY, Wong R, Chui CH, Ng E, Cheng G. Improvement in transfusion safety using a specially designed transfusion wristband. Transfus Med 2000, 10:121-4.
49. Polit D, Hungler B. Nursing Research. Principles and Methods 1999, 6th edn, Lippincott Williams & Wilkins, Philadelphia
50. Streiner DL, Norman GR. Health Measurement Scales - A practical guide to their development and use 2003, 3rd edn, Oxford University Press, Oxford