Development of a preanalytical errors recording software

Lippi, Giuseppe; Bonelli, Patrizia; Rossi, Rossana Adele; Bardi, Mirco; Aloe, Rosalia; Caleffi, Alberta; Bonilauri, Enrichetta

doi:10.11613/bm.2010.011

Cited by 13 publications

(7 citation statements)

References 2 publications

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“…Objective and standardized mechanisms should be adopted for systematic error tracking (20), with the ultimate goal of promoting successful risk management and safety awareness. Objective and standardized mechanisms should be adopted for systematic error tracking (20), with the ultimate goal of promoting successful risk management and safety awareness.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of preanalytical errors in a Croatian ISO 15189 accredited laboratory

Šimundić

Nikolac

Vukasović

et al. 2010

Clinical Chemistry and Laboratory Medicine

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Section: Discussionmentioning

confidence: 99%

The prevalence of preanalytical errors in a Croatian ISO 15189 accredited laboratory

Šimundić

Nikolac

Vukasović

et al. 2010

Clinical Chemistry and Laboratory Medicine

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“…7 The analysis was based on data about hemolyzed specimens entered in the two years before the implementation of the new blood drawing device (i.e., 2012 and 2013) and the two years after introducing S-Monovette in manual aspiration mode (i.e. 2015 and 2016).…”

Section: Methodsmentioning

confidence: 99%

Reduction of burden of hemolyzed specimens in a large urban emergency department: A real-world, five years’ experience

Cervellin¹,

Aloe²,

Bonfanti³

et al. 2017

Emerg Care J

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In vitro hemolysis may jeopardize patient care because tests results generated using unsuitable specimens may lead to inappropriate patient management. The prevalence of hemolyzed specimens is high in the emergency department (ED). We previously showed that collecting blood by means of a closed system entailing manual aspiration of blood instead of using conventional evacuated systems was effective to cut-down by nearly half the rate of hemolysis. Aim of this real world study was to verify whether longterm replacement of standard evacuated blood collection systems may be really effective to reduce the burden of spurious hemolysis. Starting from May 2014 in the ED of our Hospital vacuum tubes were replaced with S-Monovette serum tubes. We compared data about hemolyzed specimens entered in the two years before the implementation of the new device (i.e., 2012 and 2013) and the two years after introducing SMonovette in manual aspiration mode (i.e. 2015 and 2016). The year 2014 was not considered due to mixed data. The rate of hemolyzed specimens decreased from 4.36% to 3.07% with the use of S-Monovette in manual aspiration mode (Chi squared, 183.8; P<0.001). The likelihood of obtaining hemolyzed specimens was hence reduced by approximately 30% (relative risk, 0.707), with an expected economic saving of approximately 510€/year. The results of this real-world study demonstrate that the use of an alternative closed device encompassing manual aspiration for drawing blood from intravenous catheters may reduce hemolyzed samples by approximately 30%, so representing a valuable perspective for safeguarding patient safety and improving ED efficiency.

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“…With this study, the authors have showed that the implementation of this very simple and absolutely free software for systematical recording of preanalytical errors is highly favorable, since it enables harmonization of incident reporting practices within the same laboratory and even across national and international laboratories (18). This is particularly noteworthy since incidents are commonly underreported in the preanalytical phase (19).…”

Section: Preanalytical Phase Studies Recently Published In Biochemia mentioning

confidence: 99%

Preanalytical phase – a continuous challenge for laboratory professionals

Šimundić¹,

Lippi

2012

Biochem Med

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118

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Preanalytical phase is the most vulnerable part of the total testing process and is considered to be among the greatest challenges to the laboratory professionals. However, preanalytical activities, management of unsuitable specimens and reporting policies are not fully standardized, nor harmonized worldwide. Several standards related to blood sampling and sample transportation and handling are available, but compliance to those guidelines is low, especially outside the laboratory and if blood sampling is done without the direct supervision of the laboratory staff. Furthermore, for some most critical procedures within the preanalytical phase, internationally accepted guidelines and recommendations as well as related quality measures are unfortunately unavailable. There is large heterogeneity in the criteria for sample rejection, the diff erent strategies by which unacceptable samples are managed, processed and test results reported worldwide. Management of unacceptable specimens warrants therefore immediate harmonization. Alongside the challenging and long road of patient safety, preanalytical phase off ers room for improvement, and Editors at Biochemia Medica Journal definitely hope to continue providing a respective mean for reporting studies on diff erent preanalytical phase topics. With pleasure and delight we invite potential future authors to submit their articles examining the quality of various preanalytical activities to Biochemia Medica. We will keep nurturing this topic as our prominent feature and by this we hope to be able to deliver valid evidence for some future guidelines and recommendations.

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Development of a preanalytical errors recording software

Cited by 13 publications

References 2 publications

The prevalence of preanalytical errors in a Croatian ISO 15189 accredited laboratory

The prevalence of preanalytical errors in a Croatian ISO 15189 accredited laboratory

Reduction of burden of hemolyzed specimens in a large urban emergency department: A real-world, five years’ experience

Preanalytical phase – a continuous challenge for laboratory professionals

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