Is phlebotomy part of the dark side in the clinical laboratory struggle for quality?

Laboratory Medicine

Volumn 43, Issue 5, 2012, Pages 172-176

  Lima Oliveira, Gabriel ^a,b,c,d   Guidi, Gian Cesare ^a,d   Salvagno, Gian Luca ^d   Montagnana, Martina ^d   Rego, Fabiane G M ^a   Lippi, Giuseppe ^e   Picheth, Geraldo ^a  

^a FEDERAL UNIVERSITY OF PARANÁ   (Brazil)

^b Sector Committee of Clinical Analyses and In Vitro Diagnostics CSM 20   (Brazil)

^c Brazilian Society of Clinical Analyses (SBAC)   (Brazil)

^d UNIVERSITY OF VERONA   (Italy)

^e Academic Hospital of Parma   (Italy)

Author keywords

Blood collection; ISO 15189; Phlebotomist; Phlebotomy; Preanalytical variability; Quality indicators; Tourniquet; Venous stasis

Indexed keywords

ARTICLE; BLOOD SAMPLING; CLINICAL LABORATORY; DIAGNOSTIC ERROR; PHLEBOTOMIST; PHLEBOTOMY; PRIVATE HOSPITAL; QUALITY CONTROL PROCEDURES; TOURNIQUET;

EID: 84867259653     PISSN: 00075027     EISSN: 19437730     Source Type: Journal    
DOI: 10.1309/LMZ7YARD6ZSDIID     Document Type: Article

References (32)

1. Lippi G, Guidi GC. Risk management in the preanalytical phase of laboratory testing. Clin Chem Lab Med. 2007;45:720-727.
2. Plebani M, Carraro P. Mistakes in a stat laboratory: Types and frequency. Clin Chem. 1997;43:1348-1351.
3. Carraro P, Plebani M. Errors in a stat laboratory: Types and frequencies 10 years later. Clin Chem. 2007;53:1338-1342.
4. Lima-Oliveira G, Salvagno GL, Lippi G, et al.Elimination of the venous stasis error for routine coagulation testing by transillumination. Clin Chim Acta. 2011;412:1482-1484.
5. Lima-Oliveira G, Lippi G, Salvagno GL, et al.Transillumination: A new tool to eliminate the impact of venous stasis during the procedure for the collection of diagnostic blood specimens for routine haematological testing. Int J Lab Hematol. 2011;33:457-462.
6. Lima-Oliveira G, Lippi G, Salvagno GL, et al.New ways to deal with known preanalytical issues: Use of transilluminator instead of tourniquet for easing vein access and eliminating stasis on clinical biochemistry. Biochem Med (Zagreb). 2011;21:152-159.
7. Salvagno GL, Lippi G, Montagnana M, et al.Influence of temperature and time before centrifugation of specimens for routine coagulation testing. Int J Lab Hematol. 2009;31:462-467.
8. Wallin O, Söderberg J, Van Guelpen B, et al. 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.
9. Lippi G, Bassi A, Brocco G, et al.Preanalytic error tracking in a laboratory medicine department: Results of a 1-year experience. Clin Chem. 2006;52:1442-1443.
10. Lippi G, Fostini R, Guidi GC. Quality improvement in laboratory medicine: Extra-analytical issues. Clin Lab Med. 2008;28:285-294, vii.
11. International Organization for Standardization (ISO). Medical Laboratories-Particular Requirements for Quality and Competence ISO 15189. 2nd ed. Geneva, Switzerland: International Organization for Standardization; 2007.
12. National System of Accreditation (DICQ)/Brazilian Society of Clinical Analyses (SBAC). Manual for Accreditation of Quality Management System for Clinical Laboratories. 4th ed. Petrópolis, Brazil: Brazilian Society of Clinical Analyses; 2009.
13. Lippi G. Governance of preanalytical variability: Travelling the right path to the bright side of the moon? Clin Chim Acta. 2009;404:32-36.
14. Lippi G, Banfi G, Maffulli N. Preanalytical variability: The dark side of the moon in blood doping screening. Eur J Appl Physiol. 2010;109:1003-1005.
15. Lippi G, Guidi GC, Mattiuzzi C, et al.Preanalytical variability: The dark side of the moon in laboratory testing. Clin Chem Lab Med. 2006;44:358-365.
16. Lima-Oliveira G, Picheth G, Sumita NM, et al.Quality control in the collection of diagnostic blood specimens: Illuminating a dark phase of preanalytical errors. J Bras Patol Med Lab. 2009;45:441-447.
17. Lippi G, Guidi GC. Preanalytic indicators of laboratory performances and quality improvement of laboratory testing. Clin Lab. 2006;52:457-462.
18. Clinical and Laboratory Standards Institute (CLSI). Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture. CLSI H3-A6. 6th ed. Wayne, PA: Clinical and Laboratory Standards Institute; 2007.
19. Clinical and Laboratory Standards Institute (CLSI). Procedures for the Handling and Processing of Blood Specimens for Common Laboratory Tests. CLSI H18-A4. 4th ed. Wayne, PA: Clinical and Laboratory Standards Institute; 2010.
20. Kaplan LA, Pesce AJ. Clinical Chemistry: Theory, Analysis, Correlation. 3rd ed. St. Louis, MO: Mosby; 1996.S
21. Young DS. Effects of Preanalytical Variables on Clinical Laboratory Tests. 3rd ed. Washington, DC: AACC Press; 2007.
22. Clinical and Laboratory Standards Institute (CLSI). Collection, Transport, and Processing of Blood Specimens for Testing Plasma-Based Coagulation Assays and Molecular Hemostasis Assays. CLSI H21-A5. 5th edn. Wayne, PA: Clinical and Laboratory Standards Institute; 2008.
23. Goon PK, Boos CJ, Lip GY. Circulating endothelial cells: Markers of vascular dysfunction. Clin Lab. 2005;51:531-538.
24. Calam RR, Cooper MH. Recommended "order of draw" for collecting blood specimens into additive-containing tubes. Clin Chem. 1982;28:1399.
25. Ernst DJ, Calam R. NCCLS simplifies the order of draw: A brief history. MLO Med Lab Obs. 2004;36:26-27.
26. Clinical and Laboratory Standards Institute (CLSI). Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture. NCCLS H3-A5. 5th edn. Wayne, PA: National Committee for Clinical Laboratory Standards; 2003.
27. Rushing J. Drawing blood with vacuum tubes. Nursing. 2004;34:26.
28. Lippi G, Salvagno GL, Montagnana M, et al.Phlebotomy issues and quality improvement in results of laboratory testing. Clin Lab. 2006;52:217-230.
29. Lippi G, Salvagno GL, Montagnana M, et al.Influence of short-term venous stasis on clinical chemistry testing. Clin Chem Lab Med. 2005;43:869-875.
30. Lippi G, Salvagno GL, Montagnana M, et al.Venous stasis and routine hematologic testing. Clin Lab Haematol. 2006;28:332-337.
31. Lippi G, Salvagno GL, Montagnana M. Short-term venous stasis influences routine coagulation testing. Blood Coagul Fibrinolysis. 2005;16:453-458.
32. Favaloro EJ, Adcock DM, Lippi G. Pre-analytical variables in coagulation testing associated with diagnostic errors in hemostasis. LabMedicine. 2012;43:1-10