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Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use
Background Phlebotomy guidelines discourage tourniquet use whenever possible. We assessed phlebotomists' capability of not using the tourniquet in venous blood sampling, hypothesizing it to be equal to 50% of the patients attended, and identifying the most frequent venipuncture site. Materials...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381316/ https://www.ncbi.nlm.nih.gov/pubmed/35982876 http://dx.doi.org/10.1055/s-0041-1735584 |
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author | Freitas, Francisco Alves, Mónica |
author_facet | Freitas, Francisco Alves, Mónica |
author_sort | Freitas, Francisco |
collection | PubMed |
description | Background Phlebotomy guidelines discourage tourniquet use whenever possible. We assessed phlebotomists' capability of not using the tourniquet in venous blood sampling, hypothesizing it to be equal to 50% of the patients attended, and identifying the most frequent venipuncture site. Materials and Methods We assigned two phlebotomists of the same age (41 years) and experience (20 years) to record 10 phlebotomy days, the first with prioritized and the latter with nonprioritized patients. Each acquired daily data for the number of attended patients, age, gender, frequency of nontourniquet usage, and punctured vein. To test our work hypothesis we used the two-tailed single sample t -test. Differences between age-group means and nontourniquet use means by each phlebotomist were tested by two-tailed t -test for independent means. Results In 10 phlebotomy days, 683 patients were attended (males 43.2%). We found no statistically significant difference between age-group means. The combined capability of nontourniquet use was 50.5%, which did not differ from our null hypothesis, but the difference in individual group means was statistically significant, the means being 33% and 66.9% (prioritized vs. nonprioritized). The medial cubital vein was the most prone to be punctured (77.7%). Conclusion Performing phlebotomies without tourniquet was possible in at least half of the attended patients, though it was more limited in specific group populations. |
format | Online Article Text |
id | pubmed-9381316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93813162022-08-17 Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use Freitas, Francisco Alves, Mónica J Lab Physicians Background Phlebotomy guidelines discourage tourniquet use whenever possible. We assessed phlebotomists' capability of not using the tourniquet in venous blood sampling, hypothesizing it to be equal to 50% of the patients attended, and identifying the most frequent venipuncture site. Materials and Methods We assigned two phlebotomists of the same age (41 years) and experience (20 years) to record 10 phlebotomy days, the first with prioritized and the latter with nonprioritized patients. Each acquired daily data for the number of attended patients, age, gender, frequency of nontourniquet usage, and punctured vein. To test our work hypothesis we used the two-tailed single sample t -test. Differences between age-group means and nontourniquet use means by each phlebotomist were tested by two-tailed t -test for independent means. Results In 10 phlebotomy days, 683 patients were attended (males 43.2%). We found no statistically significant difference between age-group means. The combined capability of nontourniquet use was 50.5%, which did not differ from our null hypothesis, but the difference in individual group means was statistically significant, the means being 33% and 66.9% (prioritized vs. nonprioritized). The medial cubital vein was the most prone to be punctured (77.7%). Conclusion Performing phlebotomies without tourniquet was possible in at least half of the attended patients, though it was more limited in specific group populations. Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-09-22 /pmc/articles/PMC9381316/ /pubmed/35982876 http://dx.doi.org/10.1055/s-0041-1735584 Text en The Indian Association of Laboratory Physicians. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Freitas, Francisco Alves, Mónica Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use |
title | Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use |
title_full | Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use |
title_fullStr | Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use |
title_full_unstemmed | Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use |
title_short | Improving the Quality of Venous Blood Sampling Procedure (Phlebotomy): Avoiding Tourniquet Use |
title_sort | improving the quality of venous blood sampling procedure (phlebotomy): avoiding tourniquet use |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381316/ https://www.ncbi.nlm.nih.gov/pubmed/35982876 http://dx.doi.org/10.1055/s-0041-1735584 |
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