Document Detail


Minor improvement of venous blood specimen collection practices in primary health care after a large-scale educational intervention.
MedLine Citation:
PMID:  23096106     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Background: Venous blood specimen collection is a common health care practice that has to follow strict guidelines, non-compliance among sampling staff may compromise patient safety. We evaluated a large-scale 2 h educational intervention that emphasised guideline adherence to assess possible improvements of venous blood specimen collection practices. Methods: Blood specimen haemolysis is usually caused by inadequate venous blood specimen collection and handling, reflecting overall pre-analytical handling. We monitored haemolysis of serum samples with haemolysis index corresponding to ≥150 mg/L of free haemoglobin for specimens sent from 11 primary health care centres and analysed on a Vitros 5,1 clinical chemistry analyser before (2008, n=6652 samples) and after (2010, n=6121 samples) the intervention. Results: The total percentage of haemolysed specimens was 11.8% compared to 10.5% (p=0.022) before the intervention. As groups, rural primary health care centres demonstrated a significant reduction [Odds ratios (OR)=0.744] of haemolysed specimens after intervention, whereas urban primary health care centres demonstrated a significant increase (OR=1.451) of haemolysis. Conclusions: A large-scale 2 h educational intervention to make venous blood specimen collection staff comply with guideline practices had minor effects on collection practices. Educational interventions may be effective in wards/care centres demonstrating venous blood specimen collection practices with larger deviations from guidelines.
Authors:
Karin Bölenius; Johan Söderberg; Johan Hultdin; Marie Lindkvist; Christine Brulin; Kjell Grankvist
Related Documents :
24024556 - There are considerable drawbacks to oral anticoagulant for monitoring patients at home ...
25407496 - Multi-disciplinary care for the elderly in disasters: an integrative review.
8032426 - Continuously improving primary care.
20031866 - Quality improvement initiatives improve hypertension care among veterans.
3974486 - Changes in tobacco advertising in western australian newspapers in response to proposed...
7804476 - The physician's role. views of the public and the profession on seven aspects of patien...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-7
Journal Detail:
Title:  Clinical chemistry and laboratory medicine : CCLM / FESCC     Volume:  -     ISSN:  1434-6621     ISO Abbreviation:  Clin. Chem. Lab. Med.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-10-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9806306     Medline TA:  Clin Chem Lab Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Identification of a novel in-frame deletion in BRCA2 and analysis of variants of BRCA1/2 in Italian ...
Next Document:  Contribution of procoagulant phospholipids, thrombomodulin activity and thrombin generation assays a...