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Continuous quality control of the blood sampling procedure using a structured observation scheme
INTRODUCTION: An observational study was conducted using a structured observation scheme to assess compliance with the local phlebotomy guideline, to identify necessary focus items, and to investigate whether adherence to the phlebotomy guideline improved. MATERIALS AND METHODS: The questionnaire fr...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Croatian Society of Medical Biochemistry and Laboratory Medicine
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082213/ https://www.ncbi.nlm.nih.gov/pubmed/27812302 http://dx.doi.org/10.11613/BM.2016.037 |
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author | Seemann, Tine Lindberg Nybo, Mads |
author_facet | Seemann, Tine Lindberg Nybo, Mads |
author_sort | Seemann, Tine Lindberg |
collection | PubMed |
description | INTRODUCTION: An observational study was conducted using a structured observation scheme to assess compliance with the local phlebotomy guideline, to identify necessary focus items, and to investigate whether adherence to the phlebotomy guideline improved. MATERIALS AND METHODS: The questionnaire from the EFLM Working Group for the Preanalytical Phase was adapted to local procedures. A pilot study of three months duration was conducted. Based on this, corrective actions were implemented and a follow-up study was conducted. All phlebotomists at the Department of Clinical Biochemistry and Pharmacology were observed. Three blood collections by each phlebotomist were observed at each session conducted at the phlebotomy ward and the hospital wards, respectively. Error frequencies were calculated for the phlebotomy ward and the hospital wards and for the two study phases. RESULTS: A total of 126 blood drawings by 39 phlebotomists were observed in the pilot study, while 84 blood drawings by 34 phlebotomists were observed in the follow-up study. In the pilot study, the three major error items were hand hygiene (42% error), mixing of samples (22%), and order of draw (21%). Minor significant differences were found between the two settings. After focus on the major aspects, the follow-up study showed significant improvement for all three items at both settings (P < 0.01, P < 0.01, and P = 0.01, respectively). CONCLUSION: Continuous quality control of the phlebotomy procedure revealed a number of items not conducted in compliance with the local phlebotomy guideline. It supported significant improvements in the adherence to the recommended phlebotomy procedures and facilitated documentation of the phlebotomy quality. |
format | Online Article Text |
id | pubmed-5082213 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Croatian Society of Medical Biochemistry and Laboratory Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-50822132016-11-03 Continuous quality control of the blood sampling procedure using a structured observation scheme Seemann, Tine Lindberg Nybo, Mads Biochem Med (Zagreb) Original Papers INTRODUCTION: An observational study was conducted using a structured observation scheme to assess compliance with the local phlebotomy guideline, to identify necessary focus items, and to investigate whether adherence to the phlebotomy guideline improved. MATERIALS AND METHODS: The questionnaire from the EFLM Working Group for the Preanalytical Phase was adapted to local procedures. A pilot study of three months duration was conducted. Based on this, corrective actions were implemented and a follow-up study was conducted. All phlebotomists at the Department of Clinical Biochemistry and Pharmacology were observed. Three blood collections by each phlebotomist were observed at each session conducted at the phlebotomy ward and the hospital wards, respectively. Error frequencies were calculated for the phlebotomy ward and the hospital wards and for the two study phases. RESULTS: A total of 126 blood drawings by 39 phlebotomists were observed in the pilot study, while 84 blood drawings by 34 phlebotomists were observed in the follow-up study. In the pilot study, the three major error items were hand hygiene (42% error), mixing of samples (22%), and order of draw (21%). Minor significant differences were found between the two settings. After focus on the major aspects, the follow-up study showed significant improvement for all three items at both settings (P < 0.01, P < 0.01, and P = 0.01, respectively). CONCLUSION: Continuous quality control of the phlebotomy procedure revealed a number of items not conducted in compliance with the local phlebotomy guideline. It supported significant improvements in the adherence to the recommended phlebotomy procedures and facilitated documentation of the phlebotomy quality. Croatian Society of Medical Biochemistry and Laboratory Medicine 2016-10-15 2016-10-15 /pmc/articles/PMC5082213/ /pubmed/27812302 http://dx.doi.org/10.11613/BM.2016.037 Text en |
spellingShingle | Original Papers Seemann, Tine Lindberg Nybo, Mads Continuous quality control of the blood sampling procedure using a structured observation scheme |
title | Continuous quality control of the blood sampling procedure using a structured observation scheme |
title_full | Continuous quality control of the blood sampling procedure using a structured observation scheme |
title_fullStr | Continuous quality control of the blood sampling procedure using a structured observation scheme |
title_full_unstemmed | Continuous quality control of the blood sampling procedure using a structured observation scheme |
title_short | Continuous quality control of the blood sampling procedure using a structured observation scheme |
title_sort | continuous quality control of the blood sampling procedure using a structured observation scheme |
topic | Original Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5082213/ https://www.ncbi.nlm.nih.gov/pubmed/27812302 http://dx.doi.org/10.11613/BM.2016.037 |
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