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

Cai, Qian; Zhou, Yibin; Yang, Dangan

doi:10.11613/bm.2018.010703

Cited by 10 publications

(14 citation statements)

References 13 publications

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“…In our study, we observed significant difference between pediatric samples non-compliances compared to adult samples non-compliances (20,7% vs 10,0%; p < 0.001). The high rate of non-compliance among inpatients in our study could be linked to a low level of knowledge of nurse staff on phlebotomy and samples handling mainly in pediatric department as reported by Cai Q and al in 2018 [17]. In contrast, non-compliance with delivery times and temperature during transport was significantly more frequent in outpatients samples.…”

Section: Discussionmentioning

confidence: 50%

High preanalytical non-compliance and samples rejection rate in clinical biochemistry laboratory are decreased by nurse staff training in phlebotomy and sample handling

Coulibaly

Keita²,

Diawara

et al. 2020

GSC Biol. and Pharm. Sci.

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Background: Preanalytical phase of biomedical analysis remains an important source of diagnostic errors that deserves special attention. This study aims to evaluate the training in phlebotomy and sample handling impact on the preanalytical non-compliances. Material and Methods: we performed a prospective study before and after staff training in phlebotomy and sample handling by systematically recording all clinical samples non-compliances. First, we assessed and describe the non-compliance baseline rate from January to December 2017 in the clinical biochemistry laboratory of Hôpital Sominé DOLO de Mopti. After two sessions of one week staff training in January 2018, we performed the same study from January to December 2018. We compared the proportions of non-compliances between the two assessments. Data were collected on the case report forms, captured in Excel and analyzed by R software for (Mac) OS X version 4.0.3. Pearson Ch2 or Fisher exact tests were used for the comparison of proportions. The statistical significance was set at p < 5%. Results: a total of 27,810 venous blood samples were received during the study period; 48% was for biochemistry, 41% for immuno-serology, 9% for blood cell count and 2% for coagulation tests. There were 3,826 instances of preanalytical non-compliances (13.76%) identified that led to sample rejection. Out of the 11 types of non-compliances investigated, 5 (45.4%) accounted for nearly 91% of the problems: insufficient sample volume (28.9%), hemolyzed samples (20.5%), inappropriate collection time (17.8%), sample clot (12.9%), and inappropriate sample collection tube (10.8%). We observed a significant difference in rates of non-compliance between inpatients and outpatients samples (44.4% vs 7.3%; p < 0.001). The proportion of non-compliance have significatively decreased after the two training sessions of hospital staff in phlebotomy and sample handling 3,826/27,810 (13.8%) vs 3,009/32,476 (9.3%); p < 0.001. Conclusion: we report a significantly higher rate of non-compliance in inpatients. Hospital staff training in phlebotomy and sample handling reduce the proportion of preanalytical non-compliance and thereby improve patient management and safety.

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Section: Discussionmentioning

confidence: 50%

High preanalytical non-compliance and samples rejection rate in clinical biochemistry laboratory are decreased by nurse staff training in phlebotomy and sample handling

Coulibaly

Keita²,

Diawara

et al. 2020

GSC Biol. and Pharm. Sci.

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“…There was requirement to strengthen education with a focus on phlebotomy. 19 Twelve European countries participated in the study by Simundic et al They concluded that, phlebotomy staff have less awareness on patient safety and sample collection which causes hemolysis of the blood sample. They also showed that nursing staff require attention towards blood draw protocol.…”

Section: Resultsmentioning

confidence: 99%

Awareness of order of blood draw among nurses in tertiary care hospital

Mahato

Shanthaveeranna²,

Devanath³

2022

Int J Res Med Sci

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Background: Phlebotomy or drawing of blood sample is one of the initial steps in processing of samples for various investigations of the patients in clinical laboratory. The sample for various investigation has to follow certain protocol or order of blood draw into different vacutainers by phlebotomist or the clinical person drawing the blood to avoid errors in test results. Hence awareness of order of blood draw among them is very essential.Methods: It is a cross sectional and observational study. Based on CLSI H3-A6 (clinical and laboratory standards institute) guidelines, a questionnaire consisting of 13 multiple choice questions was prepared after validation and distributed amongst the nurses, who were on duty during the study. The answers to the questionnaire were analysed using SPSS version 23. Descriptive statistics was done for all the data collected.Results: Total 120 nurses participated in this study in a tertiary care hospital. Nurses who were able to identify Color of the vacutainer with respective to additives (90%), correct order of draw (52%), volume of blood sample collected in vacutainer (62.9%), sample collected directly into vacutainer with vacuum suction (61.7%) was incomplete. Nurses also had wrong practices, where sample was transferred from one vacutainer to other (3.3%), collected the blood sample from the arm which had IV line (28%).Conclusions: In this study, it was found that awareness on the level of order of blood draw among nurses was found unsatisfactory. Frequent training and monitoring of work practices should be developed for nurses to reduce the errors in sample collection.

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“…In our study, the correct rate on tourniquet release time was 80 % at the end of the close followup training, 60 % on the first unannounced observation, and 100 % on the informed observation. However, previous studies demonstrated that less than 50% of their phlebotomists did not release the tourniquet when the first test-tube had blood inflows (13,17). Moreover, following the correct order of draw step of phlebotomy was perfectly done in informed observations but in the first unannounced observation only 20 % performed it correctly.…”

Section: Discussionmentioning

confidence: 97%

“…On the other hand, the interns were inverting all the tubes but the inverting times for most tubes were below the standard. Likewise, in a previous study in China, the inverting times for most of the tubes were below the standard; therefore, the researches commented that only 22.5% of the nurses were aware of the correct definition of an inversion (17). Test tube mixing is important after sampling because the collected blood should be mixed properly with the additives in the test tube.…”

Section: Discussionmentioning

confidence: 98%

The results of a close follow-up of trainees to gain a good blood collection practice

Aykal

Esen

Yeğin

et al. 2019

Journal of Medical Biochemistry

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Summary Background Phlebotomy is one of the most important steps in the preanalytical phase of a clinical laboratory process. In order to decrease phlebotomy errors, this specific procedure should be taught in detail by laboratory organizations. Our study aims to practice the training program on venous blood sampling and observe the close follow-up results. Methods In this observational study, 127 students who started their summer internship in Antalya Education and Research Hospital were given a one-day theoretical phlebotomy training in accordance with the Venous Blood Sampling Guidelines. After the theoretical training, phlebotomy applications of 10 students who were working in the field of out-patient blood sampling were observed both with and without their knowledge. A comprehensive checklist related to phlebotomy was created by the trainers in Antalya Education and Research Hospital and the observers answered each question as yes or no. For the statistical analysis, IBM SPSS Statistics 21.0 was used. Results After the theoretical education, the trainees were observed but no significant difference was found between the first and the second informed observations (p = 0.125). The students were observed three times more in the following week without their knowledge. There was a statistically significant difference between the first and the third unannounced observations (p=0.001). Conclusions In order to perform phlebotomy correctly, apart from theoretical education, a close follow-up is necessary too.

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

Cited by 10 publications

References 13 publications

High preanalytical non-compliance and samples rejection rate in clinical biochemistry laboratory are decreased by nurse staff training in phlebotomy and sample handling

High preanalytical non-compliance and samples rejection rate in clinical biochemistry laboratory are decreased by nurse staff training in phlebotomy and sample handling

Awareness of order of blood draw among nurses in tertiary care hospital

The results of a close follow-up of trainees to gain a good blood collection practice

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