Phlebotomy issues and quality improvement in results of laboratory testing

被引:1
|
作者
Lippi, Giuseppe
Salvagno, Gian Luca
Montagnana, Martina
Franchini, Massin
Guidi, Gian Cesare
机构
[1] Univ Verona, Dipartimento Sci Morfol Biomed, Ist Chim & Microscopia Clin, I-37100 Verona, Italy
[2] Azienda Osped Verona, Serv Immunoematol & Trasfus, Verona, Italy
关键词
laboratory testing; medical error; phlebotomy; preanalytic variability; quality;
D O I
暂无
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Laboratory testing is an integral part of the decision-making process, and results of laboratory testing often strongly influence medical diagnoses and therapies. There is a long history of quality requirements in laboratory medicine, which have mainly concerned the analytic phase of this process. Owing to the substantial advances in technology, laboratory automation and analytic quality, there is increasing evidence that further quality improvements should be targeted to extra-analytic phases of laboratory testing. Objective difficulties to monitor most of the preanalytic variables which lie outside the direct control or supervision of the laboratory personnel, such as phlebotomy, call for effective educational and preventive policies. Owing to high personnel turnover rates, lack of understanding about good laboratory practices, and inadequate training, there are several opportunities for making errors during phlebotomy, which mainly concern patient misidentification and collection of unsuitable specimens for testing due to unsuited venous accesses, venous stasis, inappropriate collection devices and containers. Improved standardization of phlebotomy techniques, along with operative guidelines dissemination, continuous education, certification, and training of health care professionals involved in blood drawing responsibilities would enhance the chance of obtaining specimens of consistent quality, with favorable revenues for the health care system and the patient's outcome.
引用
收藏
页码:217 / 230
页数:14
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