National survey on specimen acceptability for complete blood count testing of clinical laboratories in China

Zhang, L.; Yang, Xue; Wang, W.; Wang, Z.

doi:10.1111/ijlh.12472

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…The rejection rate in the study was similar to, but slightly lower than that found in the previous complete blood count testing study in 2012 ( 11 ). The comparison, to some extent, illustrates that laboratories in China pay more attention to collection and reception of specimens in the past 5 years, leading to a reduction in rejection due to preanalytical errors.…”

Section: Discussionsupporting

confidence: 84%

“…A survey on specimen acceptability in China was conducted in 2012 ( 11 ). However, considering it was an initial investigation on quality indicators conducted by NCCL in China, the content of the investigation and the data returned was not complete.…”

Section: Discussionmentioning

confidence: 99%

“…An investigation on specimen acceptability for complete blood count testing and coagulation testing was conducted in 2012, but it was just a general preliminary survey ( 11 ). In the past 5 years, more attention has been paid on preanalytical phase and laboratory information system (LIS) was continuously optimized.…”

Section: Introductionmentioning

confidence: 99%

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Haematology specimen acceptability: a national survey in Chinese laboratories

Wang

Zhao

et al. 2018

Biochemia Medica

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IntroductionSpecimen adequacy is a crucial preanalytical factor affecting accuracy and usefulness of test result. The aim of this study was to determine the frequency and reasons for rejected haematology specimens, preanalytical variables which may affect specimen quality, and consequences of rejection, and provide suggestions on monitoring quality indicators as to obtain a quality improvement.Materials and methodsA cross-sectional survey was conducted and a questionnaire was sent to 1586 laboratories. Participants were asked to provide general information about institution and practices on specimen management and record rejections and reasons for rejection from 1st to 31st July.ResultsA total survey response rate was 56% (890/1586). Of 10,181,036 tubes received during the data collection period, 11,447 (0.11%) were rejected, and the sigma (σ) was 4.6. The main reason for unacceptable specimens was clotted specimen (57%). Rejected specimens were related to source department, container type, container material type, transportation method and phlebotomy personnel. The recollection of 84% of the rejected specimens was required. The median specimen processing delay in inpatient, outpatient and emergency department were 81.0 minutes, 57.0 minutes and 43.3 minutes, respectively.ConclusionsOverall, rejection rate was a slightly lower than previously published data. In order to achieve a better quality in the preanalytical phase, haematology laboratories in China should pay more attention on training for phlebotomy and sample transportation, identify main reasons for clotted specimen and take effective measures. The platform in the study will be helpful for long-term monitoring, but simplification and modification should be introduced in the following investigation.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Haematology specimen acceptability: a national survey in Chinese laboratories

Wang

Zhao

et al. 2018

Biochemia Medica

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“…Inadequate mixing of blood and anti-coagulations would increase the risk of blood coagulation. There was report showing that China had a high clot rate of rejected specimens for complete blood count testing (77.38%), which could possibly be caused by insufficient mixing ( 21 ). Therefore, it is necessary for nurses to master the correct mixing times of various types of test tubes.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ knowledge on phlebotomy in tertiary hospitals in China: a cross-sectional multicentric survey

2017

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IntroductionIn China, phlebotomy practice is mostly executed by nurses instead of phlebotomists. Our hypothesis was that these nurses may lack of knowledge on phlebotomy, especially factors influencing quality of blood samples. This study aims to assess the overall nurses’ knowledge on phlebotomy to provide reference for improving blood sampling practice in China.Materials and methodsA survey was conducted involving nurses from 4 regions and 13 hospitals in China. A phlebotomy knowledge questionnaire was designed based on the Clinical and Laboratory Standards Institute H3-A6 guidelines, combining with the situations in China. Descriptive analysis and binary logistic regression analysis were used to analyze the knowledge level and its influencing factors.ResultsA total of 3400 questionnaires were distributed and 3077 valid questionnaires were returned, with an effective return rate of 90.5%. The correct rates of patient identification, hand sanitization, patient assessment, tube mixing time, needle disposing location and tube labelling were greater than 90%. However, the correct rates of order of draw (15.5%), definition of an inversion (22.5%), time to release tourniquet (18.5%) and time to change tube (28.5%) were relatively low. Binary logistic regression analysis showed that the correct rates of the aforementioned four questions were mainly related to the regional distribution of the hospitals (P < 0.001).ConclusionsThe knowledge level on phlebotomy among Chinese nurses was found unsatisfactory in some areas. An education program on phlebotomy should be developed for Chinese nurses to improve the consistency among different regions and to enhance nurse’s knowledge level on phlebotomy.

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“…Additionally, Steelman and Grailing noted that during specimen collection, labeling errors may occur when perioperative nurses perform other duties during the process of labeling the specimen. Evidence suggests that barcode systems and wristband scanning may enhance the accuracy of patient and specimen identification, enhance the accuracy of the patient‐to‐specimen linkage, streamline clinical workflow, promote work efficiency, and improve patient safety …”

Section: Literature Reviewmentioning

confidence: 99%

The Effect of Barcode Technology Use on Pathology Specimen Labeling Errors

Lee²,

Mills

2019

AORN Journal

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Pathology specimen labeling errors occur for a variety of reasons. We investigated the use of barcode technology as a method to improve the accuracy of pathology specimen labeling and patient safety. We also assessed nurses' perceptions of system quality, information quality, service quality, user satisfaction, and net benefits. Sixty-eight perioperative nurses who work in a teaching hospital in Taiwan completed the survey. Nurses scored net benefits as highly contributing to their satisfaction, whereas system quality contributed most to dissatisfaction. Further, we analyzed pathology specimen records before and after implementing the barcode system and found that specimen management errors significantly decreased. The use of a reliable barcode system could improve specimen labeling accuracy and enhance nurses' satisfaction with this technology.

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National survey on specimen acceptability for complete blood count testing of clinical laboratories in China

Cited by 3 publications

References 5 publications

Haematology specimen acceptability: a national survey in Chinese laboratories

Haematology specimen acceptability: a national survey in Chinese laboratories

Nurses’ knowledge on phlebotomy in tertiary hospitals in China: a cross-sectional multicentric survey

The Effect of Barcode Technology Use on Pathology Specimen Labeling Errors

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