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Minor improvement o...
Minor improvement of venous blood specimen collection practices in primary health care after a large-scale educational intervention
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- Bölenius, Karin (författare)
- Umeå universitet,Institutionen för omvårdnad
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- Söderberg, Johan (författare)
- Umeå universitet,Klinisk kemi
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- Hultdin, Johan (författare)
- Umeå universitet,Klinisk kemi
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- Lindkvist, Marie (författare)
- Umeå universitet,Epidemiologi och global hälsa
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- Brulin, Christine (författare)
- Umeå universitet,Institutionen för omvårdnad
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- Grankvist, Kjell (författare)
- Umeå universitet,Klinisk kemi
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(creator_code:org_t)
- 2012-08-07
- 2013
- Engelska.
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Ingår i: Clinical Chemistry and Laboratory Medicine. - : Walter de Gruyter GmbH. - 1434-6621 .- 1437-4331. ; 51:2, s. 303-310
- Relaterad länk:
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https://umu.diva-por... (primary) (Raw object)
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http://umu.diva-port...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- haemolysis
- intervention
- medical errors
- primary health care
- quality indicator
- venous blood specimen collection
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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