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

Scand J Caring Sci; 2010; 24; 581–591 
 Blood sample collection and patient identification demand improvement: a questionnaire study of preanalytical practices in hospital wards and laboratories Background:  Most errors in venous blood testing result from human mistakes occurring before the sample r...

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Vydané v:Scandinavian journal of caring sciences Ročník 24; číslo 3; s. 581 - 591
Hlavní autori: Wallin, Olof, Söderberg, Johan, Van Guelpen, Bethany, Stenlund, Hans, Grankvist, Kjell, Brulin, Christine
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Oxford, UK Blackwell Publishing Ltd 01.09.2010
Predmet:
adverse events
clinical guidelines
Cross-Sectional Studies
error research
Female
Hospital Departments
Humans
Laboratories, Hospital
Male
Middle Aged
nursing practice
Patient Identification Systems
patient safety
Phlebotomy
quality and safety
questionnaire
Specimen Handling
Surveys and Questionnaires
venous blood sampling
Sweden
quality and safety
patient safety
questionnaire
clinical guidelines
error research
venous blood sampling
adverse events
nursing practice
ISSN:0283-9318, 1471-6712, 1471-6712
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Shrnutí:Scand J Caring Sci; 2010; 24; 581–591 
 Blood sample collection and patient identification demand improvement: a questionnaire study of preanalytical practices in hospital wards and laboratories Background:  Most errors in venous blood testing result from human mistakes occurring before the sample reach the laboratory. Aims:  To survey venous blood sampling (VBS) practices in hospital wards and to compare practices with hospital laboratories. Methods:  Staff in two hospitals (all wards) and two hospital laboratories (314 respondents, response rate 94%), completed a questionnaire addressing issues relevant to the collection of venous blood samples for clinical chemistry testing. Results:  The findings suggest that instructions for patient identification and the collection of venous blood samples were not always followed. For example, 79% of the respondents reported the undesirable practice (UDP) of not always using wristbands for patient identification. Similarly, 87% of the respondents noted the UDP of removing venous stasis after the sampling is finished. Compared with the ward staff, a significantly higher proportion of the laboratory staff reported desirable practices regarding the collection of venous blood samples. Neither education nor the existence of established sampling routines was clearly associated with VBS practices among the ward staff. Conclusions:  The results of this study, the first of its kind, suggest that a clinically important risk of error is associated with VBS in the surveyed wards. Most important is the risk of misidentification of patients. Quality improvement of blood sample collection is clearly needed, particularly in hospital wards.
Bibliografia:ArticleID:SCS753
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ISSN:0283-9318
1471-6712
1471-6712
DOI:10.1111/j.1471-6712.2009.00753.x