Medical Staff Training - Quality Initiative to Reduce Errors in the Pre-Preanalytical Phase
BACKGROUND: Numerous studies indicate that most error sources in hemostasis laboratories occur during the pre preanalytical phase through biological product sampling.
OBJECTIVES: The purpose of this study was documentation, monitoring, and reduction of preanalytical errors through operator training.
METHODS: For a period of 4 months in the "St. Spiridonˮ Hospital from Iaşi, 978 specimens were identified with non-conformities, due to the following causes: insufficiently-collected, hemolyzed- and coagulated samples. Data collection was conducted in two stages: before and after training of medical staff in clinical departments, upon improving the coagulation specimen sampling practices.
RESULTS: The study pointed out that subsequent to training, a reduction of the coagulated samples has been registered as follows: in medical departments from 33.33% to 16.78%, in surgery from 27.20% to 17.02%, ICU (intensive care units) from 10.63% to 8.74%, and slightly in EU (emergency) from 10.63% to 8.74%. Moreover, we noticed that the incidence of hemolyzed samples increased in clinical sections, as follows: EU from 4.50% to 14.89%, medical departments from 3.42% to 9.21%, surgery from 1.44% to 6.38%, and 4.50% to 14.89% for ICU. The insufficiently sampled volume persisted during the study in almost all sections: surgery from 1.80% to 4.96%, medical from 2.52% to 4.96%, EU from 1.80% to 3.78% with a slight decrease in ICU from 1.26% to 1.18%.
CONCLUSIONS: Nurses traditionally represent the core of quality medical services. Peer education is effective and implementation and compliance of sample collection procedure rules ultimately providing patient safety.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:67 |
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Enthalten in: |
Clinical laboratory - 67(2021), 1 vom: 01. Jan. |
Sprache: |
Englisch |
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Beteiligte Personen: |
Delianu, Carmen [VerfasserIn] |
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Links: |
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Themen: |
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Anmerkungen: |
Date Completed 21.06.2021 Date Revised 21.06.2021 published: Print Citation Status MEDLINE |
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doi: |
10.7754/Clin.Lab.2020.200346 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM320535142 |
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500 | |a Citation Status MEDLINE | ||
520 | |a BACKGROUND: Numerous studies indicate that most error sources in hemostasis laboratories occur during the pre preanalytical phase through biological product sampling | ||
520 | |a OBJECTIVES: The purpose of this study was documentation, monitoring, and reduction of preanalytical errors through operator training | ||
520 | |a METHODS: For a period of 4 months in the "St. Spiridonˮ Hospital from Iaşi, 978 specimens were identified with non-conformities, due to the following causes: insufficiently-collected, hemolyzed- and coagulated samples. Data collection was conducted in two stages: before and after training of medical staff in clinical departments, upon improving the coagulation specimen sampling practices | ||
520 | |a RESULTS: The study pointed out that subsequent to training, a reduction of the coagulated samples has been registered as follows: in medical departments from 33.33% to 16.78%, in surgery from 27.20% to 17.02%, ICU (intensive care units) from 10.63% to 8.74%, and slightly in EU (emergency) from 10.63% to 8.74%. Moreover, we noticed that the incidence of hemolyzed samples increased in clinical sections, as follows: EU from 4.50% to 14.89%, medical departments from 3.42% to 9.21%, surgery from 1.44% to 6.38%, and 4.50% to 14.89% for ICU. The insufficiently sampled volume persisted during the study in almost all sections: surgery from 1.80% to 4.96%, medical from 2.52% to 4.96%, EU from 1.80% to 3.78% with a slight decrease in ICU from 1.26% to 1.18% | ||
520 | |a CONCLUSIONS: Nurses traditionally represent the core of quality medical services. Peer education is effective and implementation and compliance of sample collection procedure rules ultimately providing patient safety | ||
650 | 4 | |a Journal Article | |
700 | 1 | |a Hurjui, Loredana L |e verfasserin |4 aut | |
700 | 1 | |a Tărniceriu, Claudia C |e verfasserin |4 aut | |
700 | 1 | |a Blaj, Mihaela |e verfasserin |4 aut | |
700 | 1 | |a Tamaș, Camelia |e verfasserin |4 aut | |
700 | 1 | |a Toma, Vasilica |e verfasserin |4 aut | |
700 | 1 | |a Bădulescu, Oana-Viola |e verfasserin |4 aut | |
700 | 1 | |a Foia, Liliana |e verfasserin |4 aut | |
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